| 1. |
- Andersson-Engels, Stefan, et al.
(författare)
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Integrated system for interstitial photodynamic therapy
- 2003
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Ingår i: Proceedings of SPIE - The International Society for Optical Engineering. - : SPIE. - 0277-786X .- 1996-756X. ; 5142, s. 42-49
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Konferensbidrag (refereegranskat)abstract
- A novel photodynamic therapy system based on interstitial illumination using multiple fibres is under development. The aim with this system is to enable treatment of large tumour volumes and also to utilise real-time measurements to allow on-line dosimetry. Important dosimetric parameters to measure are light fluence rate, sensitizer fluorescence intensity and local blood oxygenation. A construction which allows all functions to be readily performed with a single system is presented. We believe that interstitial PDT utilising this technique may be attractive in many clinical situations.
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| 2. |
- Bendsoe, Niels, et al.
(författare)
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Fluorescence monitoring of a topically applied liposomal temoporfin formulation and photodynamic therapy of nonpigmented skin malignancies.
- 2007
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Ingår i: Journal of Environmental Pathology and Toxicology. - 2162-6537. ; 26:2, s. 117-126
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Tidskriftsartikel (refereegranskat)abstract
- Meso-tetra(hydroxyphenyl)chlorin (mTHPC) (INN: Temoporfin) is a potent photodynamically active substance in clinical use today. Usually, the substance is given systemically and a known drawback with this administration route is a prolonged skin light sensitization. For the first time to our knowledge, a liposomal Temoporfin gel formulation for topical application was studied in connection with photodynamic therapy (PDT) of nonpigmented skin malignancies in humans. Intervals of 4 hr between drug administration and light irradiation were used. Sensitizer distribution within tumor and surrounding normal skin was investigated by means of point monitoring and imaging fluorescence spectroscopy before, during, and after PDT, showing high tumor selectivity. Furthermore, the bleaching of Temoporfin was studied during the PDT procedure by monitoring the fluorescence following excitation by using a therapeutic light. A 30−35% light-induced photometabolization was shown. No pain occurred during or after treatment. It was also observed that the treated area did not show any swollen tissue or reddening, as is often seen in PDT using topical δ-aminolevulinic acid. On controlling the patients one week after treatment, healing progress was observed in several patients and no complications were registered.
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| 3. |
- Johansson, Ann, et al.
(författare)
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In vivo measurement of parameters of dosimetric importance during interstitial photodynamic therapy of thick skin tumors
- 2006
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Ingår i: Journal of Biomedical Optics. - : SPIE-Intl Soc Optical Eng. - 1083-3668. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- A system for interstitial photodynamic therapy is used in the treatment of thick skin tumors. The system allows simultaneous measurements of light fluence rate, sensitizer fluorescence, and tissue oxygen saturation by using the same fibers as for therapeutic light delivery. Results from ten tumor treatments using delta-aminolevulinic acid (ALA)-induced protoporphyrin IX show a significant, treatment-induced increase in tissue absorption at the therapeutic wavelength, and rapid sensitizer photobleaching. The changes in oxy- and deoxyhemoglobin content are monitored by means of near-infrared spectroscopy, revealing a varying tissue oxygenation and significant changes in blood volume during treatment. These changes are consistent with the temporal profiles of the light fluence rate at the therapeutic wavelength actually measured. We therefore propose the observed absorption increase to be due to treatment-induced deoxygenation in combination with changes in blood concentration within the treated volume. A higher rate of initial photobleaching is found to correlate with a less pronounced increase in tissue absorption. Based on the measured signals, we propose how real-time treatment supervision and feedback can be implemented. Simultaneous study of the fluence rate, sensitizer fluorescence, and local tissue oxygen saturation level may contribute to the understanding of the threshold dose for photodynamic therapy. (c) 2006 Society of Photo-Optical Instrumentation Engineers.
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| 4. |
- Johansson, Ann, et al.
(författare)
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Influence of treatment-induced changes in tussue absorption on treatment volume during interstitial photodynamic therapy
- 2006
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Ingår i: Medical Laser Application. - : Elsevier BV. - 1615-1615. ; 21, s. 261-261
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Tidskriftsartikel (refereegranskat)abstract
- Interstitial photodynamic therapy on thick skin lesions has been shown to induce changes in tissue light transmission as a direct consequence of variations in total blood volume and oxygen saturation. A finite element method was used in order to simulate the fluence rate distribution and total light dose throughout the target tissue for two cases. The first case constitutes a pre-treatment model where the tissue optical properties are assumed constant during the entire treatment. The second situation takes into account observed changes in tissue light transmission, small deviations in fiber insertion depth and a few cases of almost complete loss of source fiber output power possibly as a result of blood accumulation in front of the fiber tip. The pre- and post-treatment models from six clinical treatments are compared in terms of simulated treatment volumes. We conclude that real-time monitoring of the delivered fluence is necessary in order to ascertain a pre-determined light dose to the target tissue. Finally, we speculate on how to also include the sensitizer fluorescence level and tissue oxygenation in the real-time treatment feedback.
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| 5. |
- Johansson, Ann, et al.
(författare)
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Interstitial photodynamic therapy for primary prostate cancer incorporating realtime treatment dosimetry
- 2007
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Ingår i: Progress in Biomedical Optics and Imaging - Proceedings of SPIE. - : SPIE. - 1042-4687 .- 1605-7422. ; 6427, s. 4270-4270
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Konferensbidrag (refereegranskat)abstract
- Photodynamic therapy (PDT) for the treatment of prostate cancer has been demonstrated to be a safe treatment option capable of inducing tissue necrosis and decrease in prostate specific antigen (PSA). Research groups report on large variations in treatment response, possibly due to biological variations in tissue composition and shortterm response to the therapeutic irradiation. Within our group, an instrument for interstitial PDT on prostate tissue that incorporates realtime treatment feedback is being developed. The treatment protocol consists of two parts. The first part incorporates the pre-treatment plan with ultrasound investigations, providing the geometry for the prostate gland and surrounding risk organs, an iterative random-search algorithm to determine near-optimal fiber positions within the reconstructed geometry and a Block-Cimmino optimization algorithm for predicting individual fiber irradiation times. During the second part, the therapeutic light delivery is combined with measurements of the light transmission signals between the optical fibers, thus monitoring the tissue effective attenuation coefficient by means of spatially resolved spectroscopy. These data are then used as input for repeated runs of the Block-Cimmino optimization algorithm. Thus, the irradiation times for individual fibers are updated throughout the treatment in order to compensate for the influence of changes in tissue composition on the light distribution at the therapeutic wavelength.
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| 6. |
- Johansson, Ann, et al.
(författare)
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System for integrated interstitial photodynamic therapy and dosimetric monitoring
- 2005
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Ingår i: Proceedings of the SPIE - The International Society for Optical Engineering. - : SPIE. - 0277-786X .- 1996-756X. ; 5689:1, s. 130-140
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Konferensbidrag (refereegranskat)abstract
- Photodynamic therapy for the treatment of cancer relies on the presence of light, sensitizer and oxygen. By monitoring these three parameters during the treatment a better understanding and treatment control could possibly be achieved. Here we present data from in vivo treatments of solid skin tumors using an instrument for interstitial photodynamic therapy with integrated dosimetric monitoring. By using intra-tumoral ALA-administration and interstitial light delivery solid tumors are targeted. The same fibers are used for measuring the fluence rate at the treatment wavelength, the sensitizer fluorescence and the local blood oxygen saturation during the treatment. The data presented is based on 10 treatments in 8 patients with thick basal cell carcinomas. The fluence rate measurements at 635 nm indicate a major treatment induced absorption increase, leading to a limited light penetration at the treatment wavelength. This leads to a far from optimal treatment since the absorption increase prevents peripheral tumor regions from being fully treated. An interactive treatment has been implemented assisting the physician in delivering the correct light dose. The absorption increase can be compensated for by either prolonging the treatment time or increasing the output power of each individual treatment fiber. The other parameters of importance, i.e. the sensitizer fluorescence at 705 nm and the local blood oxygen saturation, are monitored in order to get an estimate of the amount of photobleaching and oxygen consumption. Based on the oxygen saturation signal, a fractionized irradiation can be introduced in order to allow for a re-oxygenation of the tissue
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| 7. |
- Soto Thompson, Marcelo, et al.
(författare)
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Clinical system for interstitial photodynamic therapy with combined on-line dosimetry measurements
- 2005
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Ingår i: Applied Optics. - 2155-3165. ; 44:19, s. 4023-4031
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Tidskriftsartikel (refereegranskat)abstract
- A system for interstitial photodynamic therapy with delta-aminolaevulinic acid and multiple optical fibers has been developed. The system enables photodynamic treatment of large embedded tumor volumes and utilizes real-time measurements to allow on-line dosimetry. Important parameters such as light fluence rate, sensitizer fluorescence intensity, and changes in local blood oxygen saturation are measured with the same fibers that deliver the therapeutic light. Data from the first clinical treatments on nodular basal cell carcinomas indicate a major treatment-induced light absorption increase, rapid sensitizer photo-bleaching, and a relatively constant global tissue oxygen saturation level during the treatment.
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| 8. |
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| 9. |
- Grönlund, Rasmus, et al.
(författare)
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Laser-Induced Fluorescence for Assessment of Cultural Heritage
- 2006
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Konferensbidrag (refereegranskat)abstract
- Remote imaging measurements of laser-induced fluorescence have been performed, with application towards cultural heritage. Measurement campaigns have been performed at, e.g., the Coliseum in Rome. Differences in fluorescence spectra from different points were found and images corresponding to different features could be produced for thematic mapping.
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| 10. |
- Grönlund, Rasmus, et al.
(författare)
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Remote Multicolor Excitation Laser-Induced Fluorescence Imaging
- 2006
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Ingår i: Laser Chemistry. - : Hindawi Limited. - 0278-6273 .- 1476-3516. ; 2006, s. 57934-57934
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Tidskriftsartikel (refereegranskat)abstract
- Remote laser-induced fluorescence of stone materials was performed with application towards cultural heritage. Fluorescence was induced in targets ∼60 m from a mobile lidar laboratory by ultraviolet laser light, either from a frequency-tripled Nd:YAG laser or from an optical parametric oscillator system. Analysis was performed on combined spectra from the different excitation wavelengths and it was noted that important additional information can be gained when using several excitation wavelengths.
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