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Selective photocoagulation of cutaneous blood vessels: evaluation of vessel damage by color Do

机译:皮肤血管的选择性光凝:通过颜色评估血管损伤

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Abstract: This study investigates the threshold radiant exposures required to irreversibly damage cutaneous blood vessels using a pulsed dye laser (PDL) operating at 585 nm. Evaluation of blood vessel damage and blood flow stoppage was achieved using Doppler imaging in a color Doppler optical coherence tomographic (CDOCT) system. Hamster dorsal skin flap window vessels were irradiated with radiant exposures ranging from 2.5 - 8 J/cm$+2$/. A 5 mm spot size and 360 microsecond pulse duration were used. Irradiation sites were imaged with CDOCT prior to, immediately after, and a minimum of 24 hours after delivery of laser energy. Magnitude and color Doppler images provided information such as approximate vessel size, depth, and changes in blood flow velocity. Vessel stenosis, temporary occlusion, permanent occlusion, hemorrhaging, and changes in flow velocity were frequent results of laser irradiation visualized with CDOCT and video imaging. Probit analysis was used to estimate the 50% probability that a blood vessel of given size and type will be destroyed by a given radiant exposure. In most instances, arterioles required higher radiant exposures to be irreversibly damaged than venules of the same size. However, arteriole/venule pairs required approximately the same radiant exposures for visible damage to occur. Vessels of larger diameter required higher radiant exposures to coagulate than vessels of smaller diameter. !10
机译:摘要:这项研究调查了使用在585 nm波长运行的脉冲染料激光(PDL)对不可逆损害皮肤血管所需的阈值辐射暴露。使用彩色多普勒光学相干断层扫描(CDOCT)系统中的多普勒成像,可以评估血管损伤和血流停止。仓鼠背部皮肤皮瓣窗口血管的辐射暴露范围为2.5-8 J / cm $ + 2 $ /。使用5 mm的光点大小和360微秒的脉冲持续时间。在递送激光能量之前,之后和之后至少24小时,用CDOCT对照射部位进行成像。大小和彩色多普勒图像可提供诸如近似的血管大小,深度和血流速度变化等信息。血管狭窄,暂时性闭塞,永久性闭塞,出血和流速变化是通过CDOCT和视频成像可视化激光照射的常见结果。概率分析用于估计给定大小和类型的血管被给定的辐射暴露所破坏的50%概率。在大多数情况下,与相同大小的小静脉相比,小动脉需要更高的辐射暴露量来不可逆转地破坏。但是,小动脉/小静脉对需要大约相同的辐射照射量才能发生可见的损伤。与较小直径的血管相比,较大直径的血管需要更高的辐射照射以凝结。 !10

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