Laser In Medicine

This handbook is intended for the advanced specialist and for the practitioner interested in the application of lasers in medicine. It provides summaries of all available medical laser systems and their clinical use. The first part introduces basic laser physics, including laser-tissue interactions as well as technical equipment and particular techniques developed for medical use in connection with laser. The second part of the text covers all areas of laser application in medicine and has been written by senior specialists from different countries. The book includes about 300 line drawings, more than 100 high quality photographs, an extensive subject and author register, and an exhaustive list of references.

Lasers have a wide and growing range of applications in medicine. Lasers for Medical Applications summarises the wealth of recent research on the principles, technologies and application of lasers in diagnostics, therapy and surgery. Part one gives an overview of the use of lasers in medicine, key principles of lasers and radiation interactions with tissue. To understand the wide diversity and therefore the large possible choice of these devices for a specific diagnosis or treatment, the respective types of the laser (solid state, gas, dye, and semiconductor) are reviewed in part two. Part three describes diagnostic laser methods, for example optical coherence tomography, spectroscopy, optical biopsy, and time-resolved fluorescence polarization spectroscopy. Those methods help doctors to refine the scope of involvement of the particular body part or, for example, to specify the extent of a tumor. Part four concentrates on the therapeutic applications of laser radiation in particular branches of medicine, including ophthalmology, dermatology, cardiology, urology, gynecology, otorhinolaryngology (ORL), neurology, dentistry, orthopaedic surgery and cancer therapy, as well as laser coatings of implants. The final chapter includes the safety precautions with which the staff working with laser instruments must be familiar. With its distinguished editor and international team of contributors, this important book summarizes international achievements in the field of laser applications in medicine in the past 50 years. It provides a valuable contribution to laser medicine by outstanding experts in medicine and engineering. Describes the interaction of laser light with tissue Reviews every type of laser used in medicine: solid state, gas, dye and semiconductor Describes the use of lasers for diagnostics

A careful review of the literature covering various aspects of applications of lasers in science and technology reveals that lasers are being applied very widely throughout the entire gamut of physical medicine. After surveying the current developments taking place in the field of medical applications of lasers, it was considered appropriate to bring together these efforts of international research scientists and experts into one volume. It is with this aim that the editors have prepared this volume which brings current research and recent developments to the attention of a wide spectrum of readership associated with hospitals, medical institutions and universities world wide, including also the medical instrument industry. Both teachers and students in the medical faculties will especially find this compendium quite useful. This book is comprised of eleven chapters. All of the important medical applications of lasers are featured. The editors have made every effort that individual chapters are self-contained and written by experts. Emphasis has been placed on straight and simple presentation of the subject matter so that even the new entrants into the field will find the book of value.

The use of lasers in medical practice has dramatically increased over the years. Lasers and modern optics have largely been unexplored in medical science. This contributed work is both optimistic and cautionary in its expert evaluation of the state-of-the-art medical use of laser technology. The use of lasers to improve upon conventional practice i

The use oflasers has entered almost every facet of medicine and biology. Therefore, it is to be expected that the reviews contained in this vol urne will reflect this diversity. As dinical acceptance has grown with various diagnostic and therapeutic applications, so has the need for a more thorough understanding of the theoretical background for each. This is especially true where a correlation is to be made between the theoretical background and the experimental data. It is only in this way that we can attain the optimal form of any therapy. The basic coupling ofenergy into biological tissue and its conversion into heat is characterized by many parameters. One ofthe most important is pulse duration. The review by Bimgruber in Chapter 6 shows how our knowledge ofthis parameter has been extended.The need for a more basic understanding of the interaction of electromagnetic energy with various kinds of materials has led to investigations on the nature of plasmas their stability and instability,and how theyexist. Docchio reviews the factors that cause them to occur at a specific locale and then to move away from that site. The availabilityofmany types ofoptical fibers has extended our ability to deliver laser energy from various types oflasers into almost anyselected location. This is particularly useful in medicine, where less invasive ap proaches to surgery and diagnosis are always helpful. However, as Rol and his colleagues explain, the power-handling capabilities ofoptical fibers limit many applications, particularly for short-duration, high-peak-power laser pulses.

In every area of human endeavor, technology has opened the door for new advancements to occur. Much of the progress in medicine over the last few years is due, in large part, to new technological tools made available to clinicians and researchers. Laser is an expanding technological discipline in medicine that will ultimately contribute to a broad and rapid expansion of both diagnostic and treatment procedures. Laser is to light what music is to noise. Those physicians who wish to be most successful in the application of this technology, to the benefit of their patient, will learn of the subtle interactions of light with tissue. No technology is good or bad in itself. It is only in the choices we make, in when and how to apply that technology, that it gains its moral value. The use of lasers in medicine has some very definite advantages in the surgical and medical treatment of a variety of disorders. At the same time we must all be careful to not perpetrate the myth of lasers in medicine. Vastly overstated claims of the value of 'laser surgery' have been held out to the general public, resulting in health care being sought on the basis of laser availability.

Laser technology is constantly evolving and progressing. The use of laser therapy is vastly expanding and for this reason a medical book of this magnitude is necessary. Lasers and Light Therapy includes an up-to-date comprehensive look at lasers and light therapy not only in the field of Cutaneous Laser Surgery, but in other medical specialties as well.

Along with its sister dermatologic volume, this comprehensive textbook of laser technology covers the use of lasers in cardiac procedures, control of intraocular pressure, urological procedures, neurological use, dentistry, gynaecology and surgical applications. Chapters are formatted in an easy to follow format with clear concise sections with bulleted summaries to highlight key points. Lasers in Dermatology and Medicine: Dental and Medical Applications provides detailed explanations of when lasers can be of use how to use them across a range of medical disciplines. Clinically relevant examples are provided along with relevant images and summary boxes to highlight key points. It therefore provides a critical resource on the applications and use of lasers across medicine for both the trainee and trained clinician.