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Future Perspective of Clinical Application of the Minimally Invasive Laser Therapy Using Composite-type Optical Fiber for Endometrial Lesions 复合光纤微创激光治疗子宫内膜病变临床应用前景展望
Pub Date : 2020-01-15 DOI: 10.2530/JSLSM.JSLSM-40_0044
Kana Iwai, K. Oka, E. Niiro, Yuki Yamada, Y. Tanase, R. Kawaguchi, Hiroshi Kobayashi
Ultrasonic testing and cytodiagnosis have been used for the diagnosis of endometrial disease. However, lesions can not be observed under direct view with these techniques. Laser therapy facilitates observation and treatment of the uterine body. The images produced by the minimally invasive laser therapy system are of high quality, and it is easier to irradiate a laser beam on target lesions. This technology may provide a new treatment strategy of early endometrial cancer.
超声检查和细胞诊断已被用于子宫内膜疾病的诊断。然而,这些技术不能直接观察病变。激光治疗有利于观察和治疗子宫体。微创激光治疗系统产生的图像质量高,并且更容易将激光束照射到目标病变上。该技术可能为早期子宫内膜癌的治疗提供一种新的策略。
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引用次数: 0
A Method of Computational Clinical Trial of a Nanosecond Pulsed Laser Skin Treatment Device by Numerical Simulation of Photothermal Damage 基于光热损伤数值模拟的纳秒脉冲激光皮肤治疗装置的计算临床试验方法
Pub Date : 2020-01-15 DOI: 10.2530/jslsm.jslsm-40_0050
T. Nishimura, Yu Shimojo, H. Hazama, K. Awazu
This paper proposes a computational clinical trial of laser treatment for rapid and low cost evaluation of novel medical laser devices. The optical propagation and photothermal damage process after pulse laser irradiation are modeled and the safety of the laser treatment with the evaluation target devices is evaluated by numerical simulation. The computational clinical trial result shows the safety of a novel nanosecond laser device for skin treatment is equivalent to the device that has approved for clinical use.
为了快速、低成本地评估新型医疗激光设备,本文提出了一种激光治疗的计算临床试验方法。模拟了脉冲激光照射后的光传播和光热损伤过程,并通过数值模拟对激光治疗靶材的安全性进行了评价。计算临床试验结果表明,新型纳秒激光皮肤治疗装置的安全性与已批准临床使用的装置相当。
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引用次数: 0
The 41st Annual Meeting of Japan Society for Laser Surgery and Medicine 第41届日本激光外科与医学学会年会
Pub Date : 2020-01-15 DOI: 10.2530/jslsm.jslsm-40_0069
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引用次数: 0
Ablation Using Laser Beam Irradiation and Dog Recombinant Interferon γ for Two Canine Mammary Tumors 激光照射联合重组干扰素γ治疗两种犬乳腺肿瘤
Pub Date : 2020-01-15 DOI: 10.2530/jslsm.jslsm-40_0052
S. Imamoto
main treatments for cancer treatment in the veterinary medicine. Treatment using immunity has attracted attention as the fourth treatment. However, immunotherapy for tumor in veterinary field is not put to practical use as a standard therapy yet. Except for immunotherapy, hyperthermia, cryotherapy, and photodynamic therapy are also being carried out for canine cancer treatment, but these therapies are not spread out because of insufficient evidence, and high cost of instrument and drug. In this study, we will introduce two canine cases in which the mammary gland tumor has shrunk by conducting combination ablation using semiconductor laser and interferon γ against tumor.
主要治疗方法为兽医学中癌症的治疗。利用免疫治疗作为第四种治疗方法引起了人们的关注。然而,免疫治疗在兽医领域的肿瘤治疗尚未作为一种标准疗法投入实际应用。除免疫疗法外,热疗、冷冻疗法和光动力疗法也被用于犬类癌症的治疗,但由于证据不足、仪器和药物费用高,这些疗法并没有推广。在本研究中,我们将介绍两例犬乳腺肿瘤经半导体激光联合干扰素γ治疗后缩小的病例。
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引用次数: 0
Histological Changes of Feline Mammary Carcinoma Treated by NPe6 HVJ-E PDT NPe6 HVJ-E PDT治疗猫乳腺癌的组织学改变
Pub Date : 2020-01-15 DOI: 10.2530/JSLSM.JSLSM-40_0024
Masamichi Yamashita, T. Osaki, Y. Sunden, Shouko Saito, Mizuho Inai, N. Honda, T. Nishimura, H. Hazama, K. Awazu, Y. Kaneda, Y. Okamoto
It was reported that tumor specific immunity is induced by local administration of hemagglutinating virus of Japan envelope (HVJ-E) to malignant tumor tissue. In the present case report, we tried to activate tumor specific immunity in feline mammary adenocarcinoma by NPe6 HVJ-E PDT where photodynamic therapy (PDT) was performed after local administration of HVJ-E containing taraporfin sodium (NPe6) into the tumor tissue. As a result of the treatment, necrosis of tumor cells and infiltration of macrophages in tumor tissue which were induced by NPe6 HVJ-E PDT were confirmed in and around the tumor. In addition, lymphocyte infiltration was remarkably observed around the tumor as compared with untreated tumor, and the immunity induction effect of NPe6 HVJ-E PDT was confirmed.
据报道,局部注射日本包膜血凝病毒(HVJ-E)可诱导恶性肿瘤组织产生肿瘤特异性免疫。在本病例报告中,我们试图通过NPe6 HVJ-E PDT激活猫乳腺腺癌的肿瘤特异性免疫,在肿瘤组织中局部施用含特拉波芬钠(NPe6)的HVJ-E后进行光动力治疗(PDT)。经治疗,肿瘤内及肿瘤周围可见NPe6 HVJ-E PDT诱导的肿瘤细胞坏死和巨噬细胞浸润。此外,与未治疗的肿瘤相比,肿瘤周围淋巴细胞明显浸润,证实了NPe6 HVJ-E PDT的免疫诱导作用。
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引用次数: 0
Relationship between Transparent Skin Tissue Image Shading and Skin Tissue Light Scattering Intensity 透明皮肤组织图像阴影与皮肤组织光散射强度的关系
Pub Date : 2020-01-15 DOI: 10.2530/jslsm.jslsm-40_0058
E. Sano, K. Awazu
To obtain a fingerprint pattern without being affected by protrusions and indentations on the skin surface is important for fingerprint identification. In our previous work, we discovered a fine structure corresponding to the fingerprint pattern in the stratum corneum and surrounding area from observation of OCT images, and developed a method which detects the light from the light source goes through a fine structure and create grayscale images corresponding to a fingerprint pattern. In this paper, to clarify the origins of the greyscale image, we propose a simple simulated model of the fine structure of different light scattering properties alternately arranged in the epidermis of finger skin. We calculated the light intensity distribution via a Monte Carlo simulation of light scattering with two parameter sets at 640 nm. We found that the light passing through this model created a greyscale image that corresponded to the epidermis structure.
获得不受皮肤表面凸起和凹陷影响的指纹图案是指纹识别的重要内容。在之前的工作中,我们通过对OCT图像的观察,在角质层及周围区域发现了与指纹图案对应的精细结构,并开发了一种检测光源发出的光穿过精细结构并生成与指纹图案对应的灰度图像的方法。为了弄清灰度图像的来源,本文提出了手指皮肤表皮中不同光散射特性的精细结构交替排列的简单模拟模型。我们通过蒙特卡罗模拟计算了两个参数集在640 nm处的光散射的光强分布。我们发现,穿过这个模型的光产生了一个与表皮结构相对应的灰度图像。
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引用次数: 0
Photosensitizer and Radio-Dynamic Therapy (RDT) 光敏剂和放射动力治疗(RDT)
Pub Date : 2019-11-09 DOI: 10.2530/jslsm.jslsm-40_0056
J. Yamamoto, Takehiro Kitagawa, Ryo Miyaoka, Kohei Suzuki, Seishiro Takamatsu, Takeshi Saito, Yoshiteru Nakano
Photosensitizers have been widely used for diagnosis and therapy for malignant tumors in clinical setting. Porphyrin compounds have been known as not only a photosensitizer but also radiosensitizer. In clinical neurosurgery, 5-aminolevulinic acid (ALA) is available for intraoperative fluorescence marker for malignant gliomas. Recently, combination therapy using 5ALA and ionizing irradiation for malignant tumors have been investigated. 5-ALA can highly accumulate protoporphyrin IX (PpIX) in mitochondria of tumor cells via the heme biosynthesis. PpIX can induce oxidative stress on mitochondria of tumor cells under the ionizing irradiation exposure. In this review, we discuss radiotherapy using 5-ALA, so called radio-dynamic therapy, for malignant tumors.
光敏剂在临床上已广泛应用于恶性肿瘤的诊断和治疗。卟啉化合物不仅被认为是光敏剂,而且还被认为是放射敏化剂。在临床神经外科中,5-氨基乙酰丙酸(ALA)可作为恶性胶质瘤的术中荧光标记物。近年来,对5ALA与电离照射联合治疗恶性肿瘤进行了研究。5-ALA可以通过血红素生物合成在肿瘤细胞的线粒体中大量积累原卟啉IX (PpIX)。PpIX可诱导肿瘤细胞在电离照射下的线粒体氧化应激。在这篇综述中,我们讨论了使用5-ALA放射治疗,即所谓的放射动力治疗,恶性肿瘤。
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引用次数: 0
Sonodynamic Therapy Using Transcranial Focused Ultrasound for Malignant Gliomas 经颅聚焦超声对恶性胶质瘤的声动力治疗
Pub Date : 2019-11-09 DOI: 10.2530/jslsm.jslsm-40_0057
Hiroyuki Kobayashi
Malignant glioma is the adult brain tumor with the poorest prognosis, and its median overall survival is around one year. In the treatment of this disease, the surgical removal rate has the most significant influence on the prognosis, which means that adjuvant therapy such as radiation or chemotherapy has not exerted sufficient effect. Therefore it is indispensable to develop totally different ideas and methods. Among the new attempts, photodynamic therapy (PDT) has been a unique presence. We focused on 〒 062-8513 札幌市豊平区月寒東 1条 15丁目 7-20 TEL: 011-851-2333, FAX: 011-851-2131 (15-7-20 Tsukisamu higashi 1Jo, Toyohira-ku, Sapporo, Hokkaido 062-8513, Japan) Corresponding author: hiro.lausanne@gmail.com(小林浩之) Nippon Laser Igakkaishi
恶性胶质瘤是成人脑肿瘤中预后最差的一种,其中位总生存期约为1年。在本病的治疗中,手术切除率对预后的影响最为显著,这意味着放疗或化疗等辅助治疗没有发挥足够的作用。因此,发展完全不同的思想和方法是必不可少的。在新的尝试中,光动力疗法(PDT)是一种独特的存在。通讯作者:hiro.lausanne@gmail.com()
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引用次数: 0
Laser Safety in the Field of Dermatology and Plastic Surgery: Our Approach in Ohshiro Clinic 激光安全在皮肤科和整形外科领域:我们在Ohshiro诊所的做法
Pub Date : 2019-07-15 DOI: 10.2530/jslsm.jslsm-40_0036
T. Ohshiro, T. Ohshiro, K. Sasaki, Reiko Sakio, Saki Ando, Tomoko Suganuma, Yukie Takatsuka, Kiyofumi Takenouchi, Yuichi Kageyama, Mitsuaki Kozuma, Yasuhiro Suzuki, T. Sudo, Mitsuyuki Morishita
In the field of dermatology and plastic surgery, laser equipment have been more sophisticated and compact since the 1990s, and many types of medical laser equipment have become to be available. In addition, the number of manufacturers dealing with medical laser equipment has increased, making it easy to use medical laser equipment in many facilities. On the other hand, since the maintenance of medical laser equipment and the laser safety measures have not been so problematic, various accident reports concerning about the medical laser safety have been reported. In this manuscript, we introduce our 44-years’ efforts toward laser safety, and make a practical proposal on laser safety in our fields.
在皮肤科和整形外科领域,自20世纪90年代以来,激光设备变得更加精密和紧凑,许多类型的医疗激光设备已经成为可用的。此外,处理医疗激光设备的制造商数量有所增加,使得在许多设施中使用医疗激光设备变得容易。另一方面,由于医疗激光设备的维护和激光安全措施没有那么多问题,各种关于医疗激光安全的事故报道层出不穷。在本文中,我们介绍了44年来我们在激光安全方面的努力,并对我们领域的激光安全提出了切实可行的建议。
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引用次数: 0
The Safety Standards of Medical Laser Equipment and User’s Guide 医用激光设备安全标准及使用指南
Pub Date : 2019-07-15 DOI: 10.2530/JSLSM.JSLSM-40_0037
Y. Hashishin
It describes the guidelines for users in accordance with the safety standards for medical laser devices established by Japanese standards and international standards. The responsible person appoints a laser safety officer, and the laser safety officer sets up a laser safety management area. Laser safety officer perform risk assessments from incidents and accidents and take safety measures. Administrative procedures and health management, and protection against secondary risks are also important. Anyone entering the controlled area must wear personal protective glasses and clothing. Regular safety education and safety training are essential. Maintenance management and inspection of laser equipment should be performed systematically.
它描述了根据日本标准和国际标准建立的医疗激光设备安全标准为用户提供的指南。负责人任命激光安全员,激光安全员设立激光安全管理区。激光安全员对事故和事故进行风险评估,并采取安全措施。行政程序和健康管理以及防止二次风险的保护也很重要。进入控制区必须佩戴个人防护眼镜和防护服。定期的安全教育和安全培训是必不可少的。对激光设备进行系统的维护管理和检查。
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Nippon Laser Igakkaishi
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