We found no evidence that treatment of port-wine stains with the flash-lamp-pumped pulsed-dye laser in early childhood is more effective than treatment at a later age.
Using objective color measurements, we observed significant redarkening of port-wine stains at long-term follow-up after pulsed-dye-laser therapy. Patients should be informed about the possibility of redarkening before beginning treatment.
Radiotherapy with very high energy electrons has been investigated for a couple of decades as an effective approach to improve dose distribution compared to conventional photon-based radiotherapy, with the recent intriguing potential of high dose-rate irradiation. Its practical application to treatment has been hindered by the lack of hospital-scale accelerators. High-gradient laser-plasma accelerators (LPA) have been proposed as a possible platform, but no experiments so far have explored the feasibility of a clinical use of this concept. We show the results of an experimental study aimed at assessing dose deposition for deep seated tumours using advanced irradiation schemes with an existing LPA source. Measurements show control of localized dose deposition and modulation, suitable to target a volume at depths in the range from 5 to 10 cm with mm resolution. The dose delivered to the target was up to 1.6 Gy, delivered with few hundreds of shots, limited by secondary components of the LPA accelerator. Measurements suggest that therapeutic doses within localized volumes can already be obtained with existing LPA technology, calling for dedicated pre-clinical studies.
Our model suggests that individual prediction of treatment outcome and the required number of treatments is possible in an early stage of FPPDL treatment of PWS, in theory already after one single laser treatment.
Reasoning that the mechanism of tissue injury is comparable for normal and PWS skin, we conclude that it is safe to treat PWS with overlapping FPPDL pulses to achieve homogeneous lightening.
It was predicted that, when a fast electron beam with some angular spread is normally incident on a resistivity gradient, magnetic field generation can occur that can inhibit beam propagation [A. R. Bell et al., Phys. Rev. E 58, 2471 (1998)]. This effect can have consequences on the laser-driven ion acceleration. In the experiment reported here, we compare ion emission from laser irradiated coated and uncoated metal foils and we show that the ion beam from the coated target has a much smaller angular spread. Detailed hybrid numerical simulations confirm that the inhibition of fast electron transport through the resistivity gradient may explain the observed effect
We describe recent measurements in which a novel imaging technique was used to investigate the transport of high energy electrons produced by the interaction of a femtosecond laser pulse with a three-layer target at an intensity of 5 × 10 19 W cm −2 . The imaging system was configured to work in a singlephoton detection regime to identify the energy of the x-ray photons and to discriminate among Kα photons generated in each target layer. Electrons emerging from the rear side after propagation through all the target layers were also detected using a custom developed detector. The results on fast electron propagation are combined with the information obtained from electron diagnostics and are modelled using analytical and numerical codes to obtain a detailed description of electron propagation dynamics.
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