Background and Objective: Laser induced thermotherapy (LITT) is a promising
treatment for irresectable liver tumors. For predicting the effects of las
er applications and optimizing irradiation planning in LITT, knowledge abou
t light distribution in tissue, optical tissue properties (absorption, scat
tering, anisotropy, penetration depth) and their changes due to thermal den
aturation is indispensable.
Study Design/Materials and Methods: The optical parameters in healthy porci
ne liver were determined in the native state and after thermal coagulation
using a double integrating sphere system in the wavelength range of 400-240
0 nm.
Results: Optical parameters showed significant fluctuations in the examined
wavelength range mainly due to the water and hemoglobin content in the tis
sue. The greatest optical penetration depth of 7.46 mm was achieved at 1070
nm. After thermal coagulation, a clear increase in scattering and a slight
decrease in absorption was found, which results in a decreased optical pen
etration depth.
Conclusion: In order to ensure a safe and effective procedure, an adjustmen
t of the laser power to the decreasing penetration depth is recommended dur
ing therapy. These results provide a better understanding of laser-tissue i
nteraction and may be helpful to investigators in the field of light dosime
try in liver tissue. (C) 2001 Wiley-Liss, Inc.