Analysis of radiation parameters to control the effects of Nd:YAG laser surgery on gastric malignancies

M. L. Pelayo-Fernández; F. Fanjul-Vélez; I. Salas-García; A. Hernández-González; J. L. Arce-Diego

doi:10.1117/12.2183456

15 July 2015 Analysis of radiation parameters to control the effects of Nd:YAG laser surgery on gastric malignancies

M. L. Pelayo-Fernández, F. Fanjul-Vélez, I. Salas-García, A. Hernández-González, J. L. Arce-Diego

Proceedings Volume 9542, Medical Laser Applications and Laser-Tissue Interactions VII; 95420K (2015) https://doi.org/10.1117/12.2183456
Event: European Conferences on Biomedical Optics, 2015, Munich, Germany

Abstract

Endoscopic laser surgery provides an advantageous alternative to Argon Plasma Coagulation, endoscopic tweezers or electro-ablation in gastroenterology that facilitates a selective ablation of stomach tumors with an additional hemostatic effect in the surrounding tissue. This coagulation effect can also be employed for the treatment of gastric ulcers. It is mandatory to control the laser parameters regardless of the desired effect, either cancerous tissue ablation or coagulation to prevent ulcerous bleeding, in order to avoid stomach wall perforation or an insufficient therapeutic outcome. Dosimetric models constitute an attractive tool to determine the proper light dose in order to offer a customized therapy planning that optimizes the treatment results. In this work, a model for Nd:YAG laser surgery is applied to predict both the coagulation zone in gastric ulcers and the removal in adenocarcinomas under different laser setups. Results show clear differences in the effective zone of the gastric malignancy affected by both coagulation and ablation. Therefore the current model could be employed in the clinical practice to plan the optimal laser beam parameters to treat a certain type of pathologic stomach tissue with variable morphology and without risk of perforation or undertreated parts.

Citation Download Citation

M. L. Pelayo-Fernández, F. Fanjul-Vélez, I. Salas-García, A. Hernández-González, and J. L. Arce-Diego "Analysis of radiation parameters to control the effects of Nd:YAG laser surgery on gastric malignancies", Proc. SPIE 9542, Medical Laser Applications and Laser-Tissue Interactions VII, 95420K (15 July 2015); https://doi.org/10.1117/12.2183456

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