Clinical Ultrafast Laser Surgery: Recent Advances and Future Directions
Ultrafast pulsed lasers can be used to achieve remarkable precision during surgical ablation. Through nonlinear interactions with tissue, ultrafast lasers can provide a largely non-thermal mechanism of ablation and a unique ability to create targeted damage within bulk tissue. These advantages have...
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| Published in | IEEE journal of selected topics in quantum electronics Vol. 20; no. 2; pp. 242 - 255 |
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| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
IEEE
01.03.2014
The Institute of Electrical and Electronics Engineers, Inc. (IEEE) |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Ultrafast pulsed lasers can be used to achieve remarkable precision during surgical ablation. Through nonlinear interactions with tissue, ultrafast lasers can provide a largely non-thermal mechanism of ablation and a unique ability to create targeted damage within bulk tissue. These advantages have made ultrafast lasers the ideal surgical tool for various novel applications in ophthalmology. Clinical adoption of ultrafast lasers in other surgical applications remains limited in part due to the lack of a means for fiber delivery of ultrafast laser pulses as a flexible, hand-held surgical endoscope. This review provides an overview of the recent advances in bringing this unique surgical tool into the clinic. We discuss fundamental mechanisms and limitations of ultrafast laser ablation, novel techniques for overcoming these limitations, the current state of clinical applications, and conclude with our recent efforts in developing fiber-coupled probes for flexible ultrafast laser surgery and imaging. |
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| AbstractList | Ultrafast pulsed lasers can be used to achieve remarkable precision during surgical ablation. Through nonlinear interactions with tissue, ultrafast lasers can provide a largely non-thermal mechanism of ablation and a unique ability to create targeted damage within bulk tissue. These advantages have made ultrafast lasers the ideal surgical tool for various novel applications in ophthalmology. Clinical adoption of ultrafast lasers in other surgical applications remains limited in part due to the lack of a means for fiber delivery of ultrafast laser pulses as a flexible, hand-held surgical endoscope. This review provides an overview of the recent advances in bringing this unique surgical tool into the clinic. We discuss fundamental mechanisms and limitations of ultrafast laser ablation, novel techniques for overcoming these limitations, the current state of clinical applications, and conclude with our recent efforts in developing fiber-coupled probes for flexible ultrafast laser surgery and imaging. |
| Author | Ben-Yakar, Adela Chan, Ka Man Carmen Ki Hyun Kim Zeitels, Steven M. Kobler, James B. Yildirim, Murat Hoy, Christopher L. Ferhanoglu, Onur Karajanagi, Sandeep S. |
| Author_xml | – sequence: 1 givenname: Christopher L. surname: Hoy fullname: Hoy, Christopher L. email: c.lhoy@erasmusmc.nl organization: Dept. of Mech. Eng., Univ. of Texas at Austin, Austin, TX, USA – sequence: 2 givenname: Onur surname: Ferhanoglu fullname: Ferhanoglu, Onur email: oferhanoglu@utexas.edu organization: Dept. of Mech. Eng., Univ. of Texas at Austin, Austin, TX, USA – sequence: 3 givenname: Murat surname: Yildirim fullname: Yildirim, Murat email: yildirim@utexas.edu organization: Dept. of Mech. Eng., Univ. of Texas at Austin, Austin, TX, USA – sequence: 4 surname: Ki Hyun Kim fullname: Ki Hyun Kim email: kihyunkim@utexas.edu organization: Dept. of Mech. Eng., Univ. of Texas at Austin, Austin, TX, USA – sequence: 5 givenname: Sandeep S. surname: Karajanagi fullname: Karajanagi, Sandeep S. email: skarajanagi@partners.org organization: Center for Laryngeal Surg. & Voice Rehabilitation, Massachusetts Gen. Hosp., Boston, MA, USA – sequence: 6 givenname: Ka Man Carmen surname: Chan fullname: Chan, Ka Man Carmen email: kaman@mit.edu organization: Center for Laryngeal Surg. & Voice Rehabilitation, Massachusetts Gen. Hosp., Boston, MA, USA – sequence: 7 givenname: James B. surname: Kobler fullname: Kobler, James B. email: James.Kobler@mgh.harvard.edu organization: Center for Laryngeal Surg. & Voice Rehabilitation, Massachusetts Gen. Hosp., Boston, MA, USA – sequence: 8 givenname: Steven M. surname: Zeitels fullname: Zeitels, Steven M. email: zeitels.steven@mgh.harvard.edu organization: Center for Laryngeal Surg. & Voice Rehabilitation, Massachusetts Gen. Hosp., Boston, MA, USA – sequence: 9 givenname: Adela surname: Ben-Yakar fullname: Ben-Yakar, Adela email: ben-yakar@mail.utexas.edu organization: Dept. of Mech. Eng., Univ. of Texas at Austin, Austin, TX, USA |
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| Snippet | Ultrafast pulsed lasers can be used to achieve remarkable precision during surgical ablation. Through nonlinear interactions with tissue, ultrafast lasers can... |
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| SubjectTerms | Ablation biomedical optical imaging Endoscopes Free electron lasers Laser ablation Laser beam cutting Laser surgery Lasers Medical equipment nonlinear optics Ophthalmology Pulsed lasers Quantum electronics Surgery Ultrafast lasers Ultrafast optics |
| Title | Clinical Ultrafast Laser Surgery: Recent Advances and Future Directions |
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