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Biomedical subjects

D R Doiron

Publications and source records attributed to D R Doiron.

40 records · Page 3Linked to original sources

Dosimetry considerations in phototherapy.

Dosimetry in phototherapy involves a determination of the energy absorbed per unit mass of tissue, corrected for the quantum yield in a photochemical reaction. The dose rate in photochemotherapy of cancer with hematoporphyrin derivative and visible light is related to the extinction coefficient, quantum yield for singlet oxygen production, concentration of sensitizer and energy flux density at depth. Data or methods of determining these quantities are presented. Calculations have been performed for the energy flux density at depth, as a function of the total attenuation coefficient and ratio of scattering coefficient to total attenuation coefficient, for isotropic scattering in slab geometry. For small absorption, these depth dose curves exhibit a maximum within the tissue followed by an exponential decrease.

Fluorescence↗

Temperature rise during photoradiation therapy of malignant tumors.

This report discusses the optical and thermal distribution during photoradiation therapy of malignant tumors. Emphasis is put on the therapeutic procedure with the light dose delivered through an inserted optical fiber. Theoretical predictions and experimental results indicate that the temperature rise during the procedure may give rise to hyperthermal cell kill. The report discusses the extent of the regions with hyperthermal bioeffects in terms of tissue parameters as optical absorption and scattering, thermal conductivity, specific heat, blood flow, and optical dose parameters as optical power and exposure time.

Animals↗

Fluorescence bronchoscopy for localization of carcinoma in situ.

A fluorescence bronchoscope system has been developed for imaging lung tumors by fluorescence of a previously injected, tumor-specific agent hematoporphyrin derivative. Carcinoma in situ has been localized, but there are too many false positives and negatives. A new system has been implemented which allows rapid switching between viewing of fluorescence, and viewing of the same area under white light illumination as in conventional bronchoscopy. The excitation source is a violet krypton ion laser coupled to a fused quartz fiber light conductor, with a diverging microlens to spread the light uniformly. A third-generation, microchannel plate image intensifier amplifies the weak fluorescence for viewing and video display, recording, and analysis. A movable mirror and periscope bypasses the intensifier for normal color viewing and video display and recording, with the laser shutter closed and the white light shutter open. This facilitates accurate localization, comparison of the color and fluorescence images, and precise sampling during biopsy. The improved system should reduce the false positive rate due to biopsy sampling error, and together with the video analyzer should reduce indeterminate results.

Bronchoscopes↗

Fluorometer for endoscopic diagnosis of tumors.

A filter fluorometer suitable for endoscopic applications has been developed for detection and characterization of superficial tumors by the fluorescence of a previously injected, tumor-specific agent, hematoporphyrin derivative. Fluorescence is excited by violet light conducted through a fiberoptic lightguide in the endoscope, and the fluorescence emission together with reflected violet are collected by another fiberoptic lightguide. The red fluorescence and violet are separated by a dichroic mirror and filter and detected in photomultiplier tubes. The ratio of the fluorescence signal to the reflected violet signal is proportional to the ratio of the fluorescence yield to the violet reflectivity but is insensitive to variations in distance, angle, and violet power. The instrument may be useful for localizing small tumors, and for quantitative measurements of the amount of hematoporphyrin derivative in the tumor, a requirement for accurate dosimetry in photoradiation therapy.

Animals↗