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Archives of Dermatological Research May 2024Melanoma, accounting for a significant proportion of skin cancer-related deaths, has variable survival outcomes based on the stage at diagnosis and treatment efficacy.... (Review)
Review
Melanoma, accounting for a significant proportion of skin cancer-related deaths, has variable survival outcomes based on the stage at diagnosis and treatment efficacy. Traditional treatments, while effective, pose risks of scarring and systemic side effects. Laser therapy offers an emerging non-surgical alternative, with CO2 lasers particularly showing promise in palliative care.A comprehensive search was conducted using PubMed, focusing on laser therapy for melanoma treatment. The search included studies on both stand-alone and adjunct laser therapies, with inclusion criteria requiring peer-reviewed articles detailing treatment outcomes for primary, recurrent, or metastatic melanoma.The literature shows that laser therapy for melanoma falls into four major types when categorized by laser medium: solid-state, diode, pulse-dye, and gas (CO2). Data on solid-state lasers for melanoma are limited and their use remains controversial. However, one study with high-energy pulsed neodymium lasers reported a 5-year survival of 82.9% with minimal adverse effects for primary melanoma. CO2 laser therapy has been effective for palliative treatment, with one study showing 54.8% of patients with recurrent melanoma surviving 5.4 years post-ablation. For metastatic melanoma, numerous studies have shown that CO2 laser therapy can provide symptomatic relief and disease control. Combination therapies using lasers and immune-based therapies have demonstrated enhanced outcomes and immune activation, highlighting the potential of laser therapies in melanoma management.While traditional treatments remain the standard for primary melanoma, laser therapies, particularly CO2 laser ablation, show substantial promise in palliative care for metastatic melanoma. Careful patient selection and assessment are crucial for achieving positive outcomes.
Topics: Humans; Melanoma; Skin Neoplasms; Palliative Care; Treatment Outcome; Lasers, Gas; Laser Therapy; Combined Modality Therapy; Lasers, Solid-State; Neoplasm Recurrence, Local
PubMed: 38795247
DOI: 10.1007/s00403-024-03107-9 -
Indian Journal of Dermatology 2024Psoriasis is a chronic inflammatory skin condition affecting millions of individuals worldwide. Over the years, various treatment modalities have been explored to...
Psoriasis is a chronic inflammatory skin condition affecting millions of individuals worldwide. Over the years, various treatment modalities have been explored to alleviate the symptoms and improve the quality of life for patients with psoriasis. Among these treatment options, lasers and lights have emerged as promising non-invasive approaches with significant efficacy. This review aims to provide an overview of the current understanding and clinical applications of lasers and lights in the management of psoriasis. We have discussed the mechanisms of action behind different laser and light therapies and their impact on psoriatic plaques. Additionally, we discuss the various types of lasers and lights utilized, including excimer lasers, pulsed dye lasers, and narrowband ultraviolet B (NB-UVB) phototherapy, highlighting their unique properties and clinical outcomes. Moreover, we have addressed important considerations related to patient selection, treatment protocols, and potential side effects associated with lasers and lights. We emphasize the need for proper evaluation, monitoring, and customization of treatment plans to ensure optimal outcomes and minimize adverse events.
PubMed: 38841222
DOI: 10.4103/ijd.ijd_423_23 -
Polymers Dec 2023The high-power lasers have important implications for present and future light-based technologies; therefore, the protection measures against their high-intensity...
The high-power lasers have important implications for present and future light-based technologies; therefore, the protection measures against their high-intensity radiation are extremely important. Currently, a great deal of interest is directed towards the development of new nonlinear optical materials for passive optical limiters, which are used to protect the human eye and sensitive optical and optoelectronic devices from laser-induced damage. Biopolymers doped with natural dyes are emerging as a new class of optical materials with interesting photosensitive properties. In this paper, the optical limiting capability of deoxyribonucleic acid bio-polymer functionalized with Turmeric natural dye has been demonstrated for the first time, to the best of our knowledge. The experimental investigation of the optical limit has been done by the Intensity-scan method in the NIR spectral domain at the important telecommunication wavelength of 1550 nm, using ultrashort laser pulses (~120 fs). Several optical properties of this natural dye are presented and discussed. The values of the optical transmittance in the linear regime, the saturation intensity of the nonlinear transmittance curves, and the coefficient of the nonlinear absorption have been determined. The influence of the DNA biopolymer and natural dye concentration on the optical limiting properties of the investigated biomaterials is reported and discussed. The photostability and thermal stability of the investigated solutions have also been evaluated by monitoring the temporal decay of the normalized absorption spectra under illumination with UVA light and heating, respectively. Our results evidence the positive influence of the DNA, which embeds Turmeric natural dye, on the optical limiting functionality itself and on the photostability and thermal stability of this novel material. The performed study reveals the potential of the investigated novel biomaterial for applications in nonlinear photonics, in particular in optical limiting.
PubMed: 38201761
DOI: 10.3390/polym16010096 -
Advanced Optical Materials Jul 2023Dyes with aggregation-induced emission (AIE) properties have gained interests due to their bright luminescence in solid-state aggregates. While fluorescence from AIE...
Dyes with aggregation-induced emission (AIE) properties have gained interests due to their bright luminescence in solid-state aggregates. While fluorescence from AIE dyes have been widely exploited, relatively little is known about aggregation-induced emission. Here, we investigated stimulated emission of tetraphenylethene (TPE)-based organoboron AIE dyes, TPEQBN, in thin films and in microcavity lasers. Using femtosecond pump-probe spectroscopy, gain coefficients up to 230 cm at 500 nm were measured. Using rate equations, we analyzed concentration- and pump-dependent gain dynamics as well as laser build up dynamics. During laser oscillation, radiative stimulated emission allows high instantaneous quantum yield greater than 90% to be achieved. We fabricated solid-state microspheres made of 100% AIE dyes via microfluidic emulsion and solvent evaporation method. Coupled with high gain and high refractive index of 1.76, microspheres as small as 2 μm in diameter showed lasing by nanosecond pumping with a threshold of ~10 pJ μm. Polymer coated, but not bare, microspheres were internalized by live cells and generated narrowband cavity mode emission from within the cytoplasm. Our work shows the potential of AIE dyes as laser materials.
PubMed: 38107448
DOI: 10.1002/adom.202202956 -
Skin Research and Technology : Official... Aug 2023The Flash-lamp pulsed dye laser (FPDL) is nowadays considered the most precise laser currently on the market for treating superficial vascular lesions. In this study, we...
INTRODUCTION
The Flash-lamp pulsed dye laser (FPDL) is nowadays considered the most precise laser currently on the market for treating superficial vascular lesions. In this study, we gathered data from 10 years of experience regarding dye laser treatment of patients presenting vascular malformations such as telangiectasia, rhinophyma, port-wine stain, cherry and spider angioma and vascular tumours.
METHODS
Subjects were enrolled from 2013 to 2023 based on the vascular anomalies they presented. They underwent different treatment sessions with the FPDL device.
RESULTS
The age-range distribution by vascular anomaly confirmed that haemangiomas are typical in children while rhinophyma is a condition very common in older adults. A difference in sex distribution showed that pathologies such as telangiectasias typically affect women whereas rhinophyma is more frequent in men. Most of the treatments interested the face area but no permanent side effects were registered.
CONCLUSIONS
Our 10 years of experience with FPDL demonstrated good results in a wide range of applications for the treatment of different vascular anomalies. The absence of long-term side effects and bearable pain during the treatment makes it a valuable solution for the resolution of benign tumours also in very young patients.
Topics: Female; Humans; Male; Lasers, Dye; Retrospective Studies; Rhinophyma; Hemangioma; Vascular Malformations
PubMed: 37632184
DOI: 10.1111/srt.13427 -
Pharmaceutics Sep 2023Microbiological control of dental pathologies presents a significant clinical challenge for dental surgeons, particularly considering drug-resistant microorganisms. To... (Review)
Review
Microbiological control of dental pathologies presents a significant clinical challenge for dental surgeons, particularly considering drug-resistant microorganisms. To address this issue, Antimicrobial Photodynamic Therapy (PDT) has emerged as an effective and complementary technique for microbial reduction. This therapy involves the application of a photosensitizer dye (PS) either topically or systemically, followed by exposure to low-power lasers with appropriate visible light wavelengths. PDT has found a valuable place in dentistry across various specialties, including surgery, periodontics, endodontics, dentistry, implantology, orthodontics, and pediatrics. In the realm of pediatric dentistry, managing microorganisms during dental treatments has become a major challenge. Considering its promising results and ease of application, Photodynamic Therapy presents an interesting alternative for clinical practice. However, it is important to note that specific protocols must be followed for each application, encompassing the type of photosensitizer, concentration, pre-irradiation time, light type, wavelength, energy, power, and mode of light delivery. Researchers have been steadily refining these protocols to facilitate PDT's integration into clinical practice. The objective of this review is to describe in which procedures and oral health problems in children PDT can be applied. In this sense, we list what the literature brings about the possibilities of applying PDT in a pediatric dentistry clinic.
PubMed: 37765303
DOI: 10.3390/pharmaceutics15092335 -
Optics Express Jul 2023Continuous-wave laser emission is challenging to obtain in organic lasers, whether in the solid or liquid form, a limitation caused by long-lived triplet states and by...
Continuous-wave laser emission is challenging to obtain in organic lasers, whether in the solid or liquid form, a limitation caused by long-lived triplet states and by thermal effects. In liquid dye lasers, both issues can be fixed by rapidly flowing the dye, which is technically complex and prevents those lasers to be further miniaturized or easily integrated. Here we address the issue of the maximal pulsewidth that can be obtained in liquid dye lasers in the absence of any dye flow, in a compact and cost-effective diode-pumped laser system. Pulses as long as 80 μs have been obtained, thanks to the combination of a hemispherical resonator design, almost insensitive to thermal-lens effects, and an intentional mismatch between pump and cavity spatial modes. The limitation in pulse duration is shown to be entirely due to thermal blooming, and more specifically to diffraction losses brought by the spherical aberration of the thermal lens.
PubMed: 37475434
DOI: 10.1364/OE.480590