The purpose of this project was to develop a delivery system optimized for laser interstitial thermotherapy of small tumors of the breast. The proposed approach is to combine laser interstitial thermotherapy with stereotactic imaging for fiber guidance and treatment monitoring. The goals of the dissertation were to design a fiber insertion system for cylindrical diffusing tip optical fibers and to derive optimal laser parameters for coagulation of 1 cm tumor plus a surrounding 1 cm thick rim of healthy tissue. A fiber insertion system compatible with a high resolution stereotactic digital X-ray biopsy system was designed to guide the fiber into the tumor site in similar fashion to the insertion of the biopsy needle. An optical-thermal model consisting of a radiation model, a thermal model, and a coagulation model was developed and validated using ex-vivo porcine tissue. A single integrating sphere optical property measurement system and an inverse Monte Carlo algorithm were developed to measure the optical properties of ex-vivo porcine tissue at 830, 940, and 980 nm. An experimental method was developed to determine the parameters of the Arrhenius model (frequency factor (A) and activation energy (Ea)). The optical-thermal model was validated by comparing the predicted temperature and coagulation to results of laser irradiation experiments at 830, 940, and 980 nm. Using published values of the optical properties of the breast, the model predicts that a 3 cm coagulation size can be produced without vaporization in 10 min with 10.4 W at 980 and 940 nm and 13.2 W at 830 nm. The same outcome can be achieved in 20 min with 4.5 W at 980 and 940 nm and 6.1 W at 830 nm.

Interstitial laser thermal therapy is a novel local approach to treating prostate cancer. During treatment, thermal ablation may occur on the adjacent rectal wall. The aim of this thesis was therefore twofold: to study the effects of rectal cooling on lesion formation, and secondly, to engineer a computer controlled rectal cooling unit. To study the effects of the coolant temperatures and flow rate, thermal simulations were executed, followed by testing the phenomenon using agar gel phantoms which thermally mimic prostate tissue. Further simulations were run using a treatment planning software, which predicted the required coolant temperatures to protect the outer rectal wall while subsequently determining the shape and size of the resulting coagulated lesion at various laser settings. Results suggest that low coolant temperatures and low flow rates cause maximum cooling rates. Furthermore, the shape and size of the coagulated region is affected by coolant temperatures at specific laser powers and positions within the prostate.

Interstitial laser thermal therapy is a novel local approach to treating prostate cancer. During treatment, thermal ablation may occur on the adjacent rectal wall. The aim of this thesis was therefore twofold: to study the effects of rectal cooling on lesion formation, and secondly, to engineer a computer controlled rectal cooling unit. To study the effects of the coolant temperatures and flow rate, thermal simulations were executed, followed by testing the phenomenon using agar gel phantoms which thermally mimic prostate tissue. Further simulations were run using a treatment planning software, which predicted the required coolant temperatures to protect the outer rectal wall while subsequently determining the shape and size of the resulting coagulated lesion at various laser settings. Results suggest that low coolant temperatures and low flow rates cause maximum cooling rates. Furthermore, the shape and size of the coagulated region is affected by coolant temperatures at specific laser powers and positions within the prostate.