Diode laser thermotherapy in the treatment of hepatic tumors in rabbits

Michel Prudhomme M.D.; Marie-Ange Pierredon; Jing Tang; Francois-Michel Lopez; Guilhem Godlewski M.D.; Klaus Schoenenberger; Klauss Rinck; Guy P. Delacretaz

doi:10.1117/12.230338

19 January 1996 Diode laser thermotherapy in the treatment of hepatic tumors in rabbits

Michel Prudhomme M.D., Marie-Ange Pierredon, Jing Tang, Francois-Michel Lopez, Guilhem Godlewski M.D., Klaus Schoenenberger, Klauss Rinck, Guy P. Delacretaz

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Proceedings Volume 2623, Medical Applications of Lasers III; (1996) https://doi.org/10.1117/12.230338
Event: BiOS Europe '95, 1995, Barcelona, Spain

Abstract

Laser induced thermotherapy (LITT) has been recently developed for treating deep seated tumors. Diode laser (830 nm) is suitable for LITT, because of its high penetration in tissue. The present animal experiment was conducted to evaluate the performance of a diode laser for treating liver tumors in rabbits. Fifty-two New Zealand rabbits were grafted in liver with a Vx2 tumor model. They were treated at a tumor size of 8 mm diameter. A laser energy of 1 350 J (power: 1.5 W; irradiation time 900 s) was delivered through a 300 micrometer fiber implanted in the center of the tumor. Our experiment was divided in two parts: (1) A survival study: we compared the medians survival between untreated tumors (Group A, n equals 21) and irradiated tumors (Group B, n equals 21), (2) An evaluation of LITT efficiency on day 7 (Group C, n equals 5) and at day 14 (Group D, n equals 5). We compared at day 7 and day 14 the radiologic data (ultrasonography and MRI realized before and after irradiation) to the microscopic examinations (haematoxylin eosine stain and picrosirius red F3BA). The results were a median survival not significantly different in group B (laser) than in group A (control) and an efficiency only at short time (on day 7). There was a good correlation between radiologic data and microscopic examinations in groups C and D. The picrosirius red F3BA estimated the extent of thermal damage. In conclusion, these disappointing results are due to an insufficient irradiation of peritumoral tissue and to the Vx2 aggressivity (undifferentiated). Using multiple optical fiber could improve the LITT efficiency. The correlation between radiological and microscopic findings would allow us to quantify the results of LITT.

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Michel Prudhomme M.D., Marie-Ange Pierredon, Jing Tang, Francois-Michel Lopez, Guilhem Godlewski M.D., Klaus Schoenenberger, Klauss Rinck, and Guy P. Delacretaz "Diode laser thermotherapy in the treatment of hepatic tumors in rabbits", Proc. SPIE 2623, Medical Applications of Lasers III, (19 January 1996); https://doi.org/10.1117/12.230338

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KEYWORDS

Ultrasonography

Semiconductor lasers

Tumors

Magnetic resonance imaging

Heat therapy

Liver

Optical fibers

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