Investigation of laser pulsing parameters' importance in Er:YAG laser skin ablation: a theoretical study conducted via newly developed thermo-mechanical ablation model

Objective: Importance of laser pulsing parameters and tissue's mechanical properties in the Er:YAG laser skin-tissue ablation is not adequately understood. The goal here was to develop a computational model that incorporates skin tissue's mechanical properties to investigate the influence of Er:YAG laser pulsing parameters on tissue ablation and coagulation. Methods: Tissue's mechanical properties were incorporated by modeling ablation as a tissue water vaporization occurring under elevated pressures that depend on tissue's stress-strain relationships. Tissue deformation was assumed unidirectional; therefore, a one-dimensional model was utilized. Analytical solution and experimental results were used to verify and validate the model. Then, influence of pulse duration (10 µs-2 ms) and fluence (0-30 J cm^-2) on coagulation depth and ablation efficiency was explored. Results: Verification and validation results suggested that the model is acceptably accurate. Minimal effect of pulse duration on coagulation depth was predicted at sub-ablative conditions. At those conditions, coagulation depth increased asymptotically to ∼90 µm with increasing pulse fluence. At ablative conditions, coagulation depth decreased asymptotically to 22-28 µm with increasing pulse irradiance. Ablation efficiency plateaued at high pulse fluences and long pulse durations. Mechanical properties were important as about 50% increase in coagulation depth and 25% decrease in ablation efficiency were predicted when considering the high strain-rate loading effect in comparison with quasi-static loading. Conclusions: Proper tuning of Er:YAG laser pulsing parameters can substantially improve its therapeutic outcomes. The effect of these parameters varies and depends on whether the laser-tissue conditions are ablative or sub-ablative.

A three-dimensional transient computational study of 532-nm laser thermal ablation in a geometrical model representing prostate tissue

OBJECTIVE

Laser with 532-nm wavelength (GreenLight^TM) is clinically approved to treat benign prostatic hyperplasia (BPH). However, low rate of tissue ablation and excessive thermal coagulation are shortcomings of this therapy. The goal of this study was to use a mathematical model to identify clinically viable laser settings that have the potential to improve treatment time and outcomes.

METHODS

A three-dimensional transient computational model was developed, validated against analytical and experimental results, and utilized to investigate the response of tissues subjected to continuous-wave and pulsed lasers emitting 532-nm light (GreenLight^TM laser). The impact of laser power (10-125 W), pulse duration (100 ns and 100 µs) and pulse frequency (10 and 100 Hz) on tissue ablation and coagulation rates and sizes was explored.

RESULTS

Good agreement between the computational model and analytical and experimental results was found. Continuous-wave laser results in 13% less coagulation zone thickness and 10% higher ablation rate than the low frequency pulsed laser. With increasing laser power; ablation rate is expected to increase linearly, while coagulation zone thickness is expected to increase asymptotically. Pulse frequency influence on tissue ablation and coagulation is relevant at high power, but pulse duration is found to have minimal effect at all powers.

CONCLUSIONS

Laser thermal tissue ablation employing continuous wave mode lasers outperforms that employing pulsed mode lasers. Laser power settings should be carefully selected to maximize the rate of tissue ablation and minimize tissue coagulation.

Two dimensional analysis of low pressure flows in the annulus region between two concentric cylinders

A numerical simulation of the steady two-dimensional laminar natural convection heat transfer for the gaseous low-pressure flows in the annulus region between two concentric horizontal cylinders is carried out. This type of flow occurs in “evacuated” solar collectors and in the receivers of the solar parabolic trough collectors. A finite volume code is used to solve the coupled set of governing equations. Boussinesq approximation is utilized to model the buoyancy effect. A correlation for the thermal conductivity ratio (k_r = k_eff/k) in terms of Knudsen number and the modified Rayleigh number is proposed for Prandtl number (Pr = 0.701). It is found that as Knudsen number increases then the thermal conductivity ratio decreases for a given Rayleigh number. Also, it is shown that the thermal conductivity ratio k_r increases as Rayleigh number increases. It appears that there is no consistent trend for varying the dimensionless gap spacing between the inner and the outer cylinder (\documentclass[12pt]{minimal} \usepackage{amsmath} \usepackage{wasysym} \usepackage{amsfonts} \usepackage{amssymb} \usepackage{amsbsy} \usepackage{mathrsfs} \usepackage{upgreek} \setlength{\oddsidemargin}{-69pt} \begin{document}$$\overline{{L_{g} }}$$\end{document}Lg¯) on the thermal conductivity ratio (k_r) for the considered spacing range.