Laser light sources for photobiomodulation: The role of power and beam characterization in treatment accuracy and reliability.

Autor: Girasol CE; Postgraduate Program in Rehabilitation and Functional Performance, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil., Braz GA; Technology Center of the Supera Park of Innovation and Technology of Ribeirão Preto, Ribeirão Preto, São Paulo, Brazil., Bachmann L; Postgraduate Program in Physics Applied to Medicine and Biology, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil., Celli J; Department of Physics, University of Massachusetts Boston, Boston, Massachusetts, United States of America., Guirro RRJ; Postgraduate Program in Rehabilitation and Functional Performance, Department of Health Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Mar 30; Vol. 17 (3), pp. e0266193. Date of Electronic Publication: 2022 Mar 30 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0266193
Abstrakt: Purpose: Daily clinical use of therapeutic light sources can lead to changes in light emission stability with potentially significant consequences for usage in photomedicine treatment. The aim of this study was to evaluate the average and maximum power and to describe the beam diameter of different low-power laser photobiomodulation devices in clinical use in Brazil.
Methods: The power and light-emitting beam diameter of twenty-four therapeutic devices with an average age of 11±5 years, with an average weekly use of fewer than thirty minutes, were measured.
Results: The analyzed power varied between 2% to 134% of the values declared by the manufacturers. Differences in beam diameter of between 38% and 543% of the nominal values were also observed. It is also noteworthy that even between the same brand and model, differences in diameter were obtained. Finally, differences were observed in the power output after one and three minutes of sequential emission for 830 nm and 904 nm (p < 0.05), but not when comparing the difference between wavelengths in factor time.
Conclusion: There is a need for a shared effort on the part of laser manufacturers to improve standardization and consistency of laser output power and beam diameters. At the same time, medical laser operators should also consider development of standardized protocols for maintenance and monitoring equipment performance over time to correct for fluctuations that could ultimately impact on treatment outcomes.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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