NdYAG laser photodisruption with nanosecond (ns) pulses is an established method for intraocular surgery. In order to assess whether an increased precision can be achieved by the use of picosecond (ps) pulses, the plasma size, the shock wave characteristics, and the cavitation bubble expansion after optical breakdown with ps-and ns-laser pulses were investigated by time-resolved photography and acoustic measurements. NdYAG laser pulses with a duration of 30 ps and 6 ns, respectively, were focused into a water-filled glass cuvette. Frequency doubled light from the same laser pulses was optically delayed between 2 ns and 136 ns and used as illumination light source for photography. Since the individual events were well reproducible, the shock wave and bubble wall position could be determined as a function of time. From the slope of these r(t) curves, the shock wave and bubble wall velocities were determined, and the shock wave pressure was calculated from the shock velocity. The plasma size at various laser pulse energies was measured from photographs of the plasma radiation. The breakdown thresholds at 30 ps and 6 ns pulse duration were found to be 15 p J and 200 pJ, respectively. At threshold, ps-plasmas are shorter than ns-plasmas, but at the same pulse energy they are always -2.5 times longer. The initial shock pressures were 17 kbar after ps-pulses with an energy of 50 pJ, and 21 kbar after 1 m J ns-pulses. The pressure amplitude decayed much faster after the ps-pulses. The maximum expansion velocity of the cavitation bubble was 350 m/s after a 50 pJ ps-pulse, but 1,600 m/s after a 1 m J ns-pulse. The side effects of intraocular microsurgery associated with shock wave emission and cavitation bubble expansion can be considerably reduced by the use of ps-pulses, and new applications of photodisruption may become possible. o 1994 WiIey-~iss, Inc.

The interaction of two laser-induced bubbles in bulk water is investigated. The strength and direction of the emerging liquid jets can be controlled by adjusting the relative bubble positions, the time difference between bubble generation, and the laser pulse energies determining the bubble sizes. Experimental and numerical studies are performed for millimetre-sized bubble pairs. Taking bubbles of equal energy, a maximum jet velocity is found for close anti-phase bubbles, i.e. when the second bubble is produced at the maximum volume of the first one and the bubble walls are almost touching and not merging. Under these conditions, one bubble produces a fast jet with a peak velocity of about 150 m s −1 that reaches a distance into the surrounding liquid of at least three times the maximum bubble radius. Collapse of the other bubble results in a slow jet of large mass that rapidly converts into a ring vortex. Correspondingly, the interaction with adjacent structures is dominated either by localized jet impact or by shear stresses extending over a larger area. Furthermore, interactions between micrometre-sized bubble pairs are investigated numerically to understand and predict how the effects of the physical parameters on bubble dynamics would change when the bubbles become smaller. The results are discussed with respect to micropumping and opto-injection.

MR-guided brachytherapy employing open high-field MRI is feasible and safe.

The purpose of this study was to assess a new open system with a field-strength of 1.0 T for the feasibility of liver biopsy using the freehand technique with fast continuous imaging. Fifty patients with focal liver lesions measuring 5 to 30 mm in diameter were included in the study. Guidance and monitoring was performed using a 1.0-T open magnetic resonance (MR) scanner (Panorama HFO; Philips Healthcare, Best, The Netherlands). With fast continuous imaging using a T1-weighted (T1W) gradient echo (GRE) sequence after administration of gadolinium (Gd)-EOB-DTPA, the needle was placed into the lesion. An interface for interactive dynamic viewing in two perpendicular planes prevented needle deviations T2-weighted turbo spin echo (TSE) fat-suppressed sequence was added to rule out postinterventional hematoma or biloma. All lesions were visible on the interventional images. Biopsy was technically successful, and solid specimens were obtained in all cases. Forty-six patients showed a histopathologic pattern other than native liver tissue, thus confirming correct position of the needle. Time between determination of the lesion and performance of the control scan was on average 18 min. No major complications were recorded. MR guidance with the new 1-T open system must be considered an attractive alternative for liver punction. An interface for dynamic imaging of needle guidance and T1W-GRE imaging with administration of Gd-EOB-DTPA for contrast enhancement allows the pinpoint puncture of liver lesions.