A Prospective Study of Laser Treatment of Port Wine Stain Associated with Gold Nanorods

Linzhuang Xing, Bin Chen, Dong Li, Wenjuan Wu, Guoxiang Wang
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Abstract

Laser therapy based on the selective photothermolysis has been regarded as the most effective treatment strategy for Port-Wine Stain (PWS) caused by the expansion of dermal capillaries. A long-pulsed Neodymium: Yttrium Aluminum Garnet (Nd:YAG) laser has great potential for deeply situated PWS. However, the weak absorption of blood to Nd:YAG laser limits the laser treatment efficacy. Gold nanorods, which can convert the absorbed near-infrared light into localized heat, have shown potential for photo-activated cancer therapy. Owing to their unique surface plasmon resonance and photothermal conversion effect, gold nanorods may be one of possible strategies for improving laser treatment efficacy of PWS by enhancing blood absorption to Nd:YAG laser. In this study, an experimental study was carried out to compare laser-induced thermal response of blood vessels in vivo animal model before and after injection of gold nanorods. The results demonstrated that the obvious thermal response of blood vessels to Nd:YAG can be obtained with lower laser energy fluence and less pulse number under the assistance of gold NRs, suggesting that Nd:YAG laser treatment combined with gold NRs may be a novel treatment strategy for PWS.
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激光治疗含金纳米棒葡萄酒斑的前瞻性研究
基于选择性光热分解的激光治疗已被认为是治疗由毛细血管扩张引起的葡萄酒色斑(PWS)最有效的方法。长脉冲钕钇铝石榴石(Nd:YAG)激光器在深部PWS中具有很大的应用潜力。然而,血液对Nd:YAG激光的吸收较弱,限制了激光治疗的效果。金纳米棒可以将吸收的近红外光转化为局部热,已经显示出光激活癌症治疗的潜力。由于其独特的表面等离子体共振和光热转换效应,金纳米棒可能是通过增强血液对Nd:YAG激光的吸收来提高PWS激光治疗效果的可能策略之一。本研究通过实验研究,比较注射金纳米棒前后动物体内模型血管激光诱导的热响应。结果表明,在金核磁共振辅助下,在较低的激光能量影响和较少的脉冲数下,Nd:YAG可以获得明显的血管热响应,表明Nd:YAG激光联合金核磁共振可能是一种新的治疗PWS的策略。
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