Characterizing stone ablation with the thulium fiber laser: a single-pulse comparison of different pulse durations.

IF 2 2区 医学 Q2 UROLOGY & NEPHROLOGY Urolithiasis Pub Date : 2025-03-02 DOI:10.1007/s00240-025-01714-3
Ron Marom, Leilane Glienke, John W Robinson, Timothy L Hall, William W Roberts, Khurshid R Ghani
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Abstract

Stone ablation using the thulium fiber laser (TFL) at different pulse duration/peak power or laser fiber-to-stone distances requires further research to understand effective and safe settings. In this study we characterized the vapor bubble anatomy and stone crater morphology at various settings and standoff distances. Optical profiles of 1 J short pulse (SP), 1 J long pulse (LP), 3 J SP, and 2.4 J LP of a TFL system (Fiberdust, Quanta) were assessed. We used high-speed imaging and segmentation to quantify the vapor bubble. Using Begostones, stone craters from a single pulse at each setting were compared at 0, 0.5, 1, 2 and 3 mm standoff distances. The temporal optical profile of TFL is rectangular in shape with a peak power of ~ 180W (LP) and ~ 470W (SP). Increasing the pulse energy did not increase the peak power. LP generated a channel-like bubble while SP formed multiple generations of a spherical bubble. Ablation volume with SP was greater than LP for all distances (p < 0.001) with up to 350% increased crater volume at contact. Ablation reduced as distance increased with both modes. There was no ablation at > 1 mm distance with LP. For SP, increasing the pulse energy had minimal impact on crater depth. The SP creates a bubble geometry that tends to collapse more quickly in comparison to LP. Peak power of TFL is a function of pulse duration, not pulse energy. LP results in weak ablation. When using SP, increasing the pulse energy increased ablation volume by increasing crater area rather than depth.

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来源期刊
Urolithiasis
Urolithiasis UROLOGY & NEPHROLOGY-
CiteScore
4.50
自引率
6.50%
发文量
74
期刊介绍: Official Journal of the International Urolithiasis Society The journal aims to publish original articles in the fields of clinical and experimental investigation only within the sphere of urolithiasis and its related areas of research. The journal covers all aspects of urolithiasis research including the diagnosis, epidemiology, pathogenesis, genetics, clinical biochemistry, open and non-invasive surgical intervention, nephrological investigation, chemistry and prophylaxis of the disorder. The Editor welcomes contributions on topics of interest to urologists, nephrologists, radiologists, clinical biochemists, epidemiologists, nutritionists, basic scientists and nurses working in that field. Contributions may be submitted as full-length articles or as rapid communications in the form of Letters to the Editor. Articles should be original and should contain important new findings from carefully conducted studies designed to produce statistically significant data. Please note that we no longer publish articles classified as Case Reports. Editorials and review articles may be published by invitation from the Editorial Board. All submissions are peer-reviewed. Through an electronic system for the submission and review of manuscripts, the Editor and Associate Editors aim to make publication accessible as quickly as possible to a large number of readers throughout the world.
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