Fiber-optic manipulation of urinary stone phantoms using holmium:YAG and thulium fiber lasers.
Identifieur interne : 000308 ( PubMed/Corpus ); précédent : 000307; suivant : 000309Fiber-optic manipulation of urinary stone phantoms using holmium:YAG and thulium fiber lasers.
Auteurs : Richard L. Blackmon ; Jason R. Case ; Susan R. Trammell ; Pierce B. Irby ; Nathaniel M. FriedSource :
- Journal of biomedical optics [ 1560-2281 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- chemical : Thulium.
- instrumentation : Lithotripsy, Laser.
- methods : Lithotripsy, Laser.
- therapeutic use : Lasers, Solid-State.
- therapy : Urinary Calculi.
- Humans, Optical Fibers, Optical Phenomena, Phantoms, Imaging.
Abstract
Fiber-optic attraction of urinary stones during laser lithotripsy may be exploited to manipulate stone fragments inside the urinary tract without mechanical grasping tools, saving the urologist time and space in the ureteroscope working channel. We compare thulium fiber laser (TFL) high pulse rate/low pulse energy operation to conventional holmium:YAG low pulse rate/high pulse energy operation for fiber-optic suctioning of plaster-of-paris (PoP) stone phantoms. A TFL (wavelength of 1908 nm, pulse energy of 35 mJ, pulse duration of 500 μs, and pulse rate of 10 to 350 Hz) and a holmium laser (wavelength of 2120 nm, pulse energy of 35 to 360 mJ, pulse duration of 300 μs, and pulse rate of 20 Hz) were tested using 270-μm-core optical fibers. A peak drag speed of ~2.5 mm/s was measured for both TFL (35 mJ and 150 to 250 Hz) and holmium laser (210 mJ and 20 Hz). Particle image velocimetry and thermal imaging were used to track water flow for all parameters. Fiber-optic suctioning of urinary stone phantoms is feasible. TFL operation at high pulse rates/low pulse energies is preferable to holmium operation at low pulse rates/high pulse energies for rapid and smooth stone pulling. With further development, this novel technique may be useful for manipulating stone fragments in the urinary tract.
DOI: 10.1117/1.JBO.18.2.028001
PubMed: 23377013
Links to Exploration step
pubmed:23377013Le document en format XML
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Irby</name></author><author><name sortKey="Fried, Nathaniel M" sort="Fried, Nathaniel M" uniqKey="Fried N" first="Nathaniel M" last="Fried">Nathaniel M. Fried</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="doi">10.1117/1.JBO.18.2.028001</idno><idno type="RBID">pubmed:23377013</idno><idno type="pmid">23377013</idno><idno type="wicri:Area/PubMed/Corpus">000308</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000308</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Fiber-optic manipulation of urinary stone phantoms using holmium:YAG and thulium fiber lasers.</title><author><name sortKey="Blackmon, Richard L" sort="Blackmon, Richard L" uniqKey="Blackmon R" first="Richard L" last="Blackmon">Richard L. Blackmon</name><affiliation><nlm:affiliation>University of North Carolina at Charlotte, Department of Physics and Optical Science, 9201 University City Avenue, Charlotte, NC 28223-0001, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Case, Jason R" sort="Case, Jason R" uniqKey="Case J" first="Jason R" last="Case">Jason R. Case</name></author><author><name sortKey="Trammell, Susan R" sort="Trammell, Susan R" uniqKey="Trammell S" first="Susan R" last="Trammell">Susan R. Trammell</name></author><author><name sortKey="Irby, Pierce B" sort="Irby, Pierce B" uniqKey="Irby P" first="Pierce B" last="Irby">Pierce B. Irby</name></author><author><name sortKey="Fried, Nathaniel M" sort="Fried, Nathaniel M" uniqKey="Fried N" first="Nathaniel M" last="Fried">Nathaniel M. Fried</name></author></analytic><series><title level="j">Journal of biomedical optics</title><idno type="eISSN">1560-2281</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>Lasers, Solid-State (therapeutic use)</term><term>Lithotripsy, Laser (instrumentation)</term><term>Lithotripsy, Laser (methods)</term><term>Optical Fibers</term><term>Optical Phenomena</term><term>Phantoms, Imaging</term><term>Thulium</term><term>Urinary Calculi (therapy)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Thulium</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Lithotripsy, Laser</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Lithotripsy, Laser</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Lasers, Solid-State</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Urinary Calculi</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Optical Fibers</term><term>Optical Phenomena</term><term>Phantoms, Imaging</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Fiber-optic attraction of urinary stones during laser lithotripsy may be exploited to manipulate stone fragments inside the urinary tract without mechanical grasping tools, saving the urologist time and space in the ureteroscope working channel. We compare thulium fiber laser (TFL) high pulse rate/low pulse energy operation to conventional holmium:YAG low pulse rate/high pulse energy operation for fiber-optic suctioning of plaster-of-paris (PoP) stone phantoms. A TFL (wavelength of 1908 nm, pulse energy of 35 mJ, pulse duration of 500 μs, and pulse rate of 10 to 350 Hz) and a holmium laser (wavelength of 2120 nm, pulse energy of 35 to 360 mJ, pulse duration of 300 μs, and pulse rate of 20 Hz) were tested using 270-μm-core optical fibers. A peak drag speed of ~2.5 mm/s was measured for both TFL (35 mJ and 150 to 250 Hz) and holmium laser (210 mJ and 20 Hz). Particle image velocimetry and thermal imaging were used to track water flow for all parameters. Fiber-optic suctioning of urinary stone phantoms is feasible. TFL operation at high pulse rates/low pulse energies is preferable to holmium operation at low pulse rates/high pulse energies for rapid and smooth stone pulling. With further development, this novel technique may be useful for manipulating stone fragments in the urinary tract.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">23377013</PMID><DateCreated><Year>2013</Year><Month>02</Month><Day>04</Day></DateCreated><DateCompleted><Year>2013</Year><Month>09</Month><Day>06</Day></DateCompleted><DateRevised><Year>2013</Year><Month>11</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1560-2281</ISSN><JournalIssue CitedMedium="Internet"><Volume>18</Volume><Issue>2</Issue><PubDate><Year>2013</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Journal of biomedical optics</Title><ISOAbbreviation>J Biomed Opt</ISOAbbreviation></Journal><ArticleTitle>Fiber-optic manipulation of urinary stone phantoms using holmium:YAG and thulium fiber lasers.</ArticleTitle><Pagination><MedlinePgn>28001</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1117/1.JBO.18.2.028001</ELocationID><Abstract><AbstractText>Fiber-optic attraction of urinary stones during laser lithotripsy may be exploited to manipulate stone fragments inside the urinary tract without mechanical grasping tools, saving the urologist time and space in the ureteroscope working channel. We compare thulium fiber laser (TFL) high pulse rate/low pulse energy operation to conventional holmium:YAG low pulse rate/high pulse energy operation for fiber-optic suctioning of plaster-of-paris (PoP) stone phantoms. A TFL (wavelength of 1908 nm, pulse energy of 35 mJ, pulse duration of 500 μs, and pulse rate of 10 to 350 Hz) and a holmium laser (wavelength of 2120 nm, pulse energy of 35 to 360 mJ, pulse duration of 300 μs, and pulse rate of 20 Hz) were tested using 270-μm-core optical fibers. A peak drag speed of ~2.5 mm/s was measured for both TFL (35 mJ and 150 to 250 Hz) and holmium laser (210 mJ and 20 Hz). Particle image velocimetry and thermal imaging were used to track water flow for all parameters. Fiber-optic suctioning of urinary stone phantoms is feasible. TFL operation at high pulse rates/low pulse energies is preferable to holmium operation at low pulse rates/high pulse energies for rapid and smooth stone pulling. With further development, this novel technique may be useful for manipulating stone fragments in the urinary tract.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Blackmon</LastName><ForeName>Richard L</ForeName><Initials>RL</Initials><AffiliationInfo><Affiliation>University of North Carolina at Charlotte, Department of Physics and Optical Science, 9201 University City Avenue, Charlotte, NC 28223-0001, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Case</LastName><ForeName>Jason R</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Trammell</LastName><ForeName>Susan R</ForeName><Initials>SR</Initials></Author><Author ValidYN="Y"><LastName>Irby</LastName><ForeName>Pierce B</ForeName><Initials>PB</Initials></Author><Author ValidYN="Y"><LastName>Fried</LastName><ForeName>Nathaniel M</ForeName><Initials>NM</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D023362">Evaluation Studies</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Biomed Opt</MedlineTA><NlmUniqueID>9605853</NlmUniqueID><ISSNLinking>1083-3668</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>8RKC5ATI4P</RegistryNumber><NameOfSubstance UI="D013932">Thulium</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D053844">Lasers, Solid-State</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000627">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D017602">Lithotripsy, Laser</DescriptorName><QualifierName MajorTopicYN="N" UI="Q000295">instrumentation</QualifierName><QualifierName MajorTopicYN="Y" UI="Q000379">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D055100">Optical Fibers</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D055620">Optical Phenomena</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="Y" UI="D019047">Phantoms, Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D013932">Thulium</DescriptorName></MeshHeading><MeshHeading><DescriptorName MajorTopicYN="N" UI="D014545">Urinary Calculi</DescriptorName><QualifierName MajorTopicYN="Y" UI="Q000628">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>2</Month><Day>5</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>9</Month><Day>7</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pii">1566742</ArticleId><ArticleId IdType="doi">10.1117/1.JBO.18.2.028001</ArticleId><ArticleId IdType="pubmed">23377013</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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