Ct. Germer et al., OPTICAL-PROPERTIES OF NATIVE AND COAGULATED HUMAN LIVER-TISSUE AND LIVER METASTASES IN THE NEAR-INFRARED RANGE, Lasers in surgery and medicine, 23(4), 1998, pp. 194-203
Background and Objective: Knowledge about optical parameters and the r
esultant light distribution in laser-treated tissue is important for p
redicting the effects of laser-induced thermotherapy of liver metastas
es (LITT). Materials and Methods: The absorption and scattering coeffi
cients as well as the anisotropy factors and the optical penetration d
epths of human liver tissue and colorectal liver metastases were deter
mined at 850, 980, and 1,064 nm under native and thermocoagulated cond
itions. Results: Liver metastases had a lower anisotropy factor, absor
ption, and scattering coefficient than healthy liver (P < 0.01), resul
ting in a significantly higher optical penetration depth in metastatic
tissue. Coagulation significantly changes the optical parameters by r
educing the optical penetration depth in both tissue types (P < 0.01).
Conclusions: A greater optical penetration depth in metastatic tissue
is advantageous for LITT, since larger tumor volumes can be coagulate
d. At the same time, an adjustment of the application parameters durin
g LITT is necessary to achieve optimal therapeutic success. (C) 1998 W
iley-Liss, Inc.