Photoacoustic Image Guidance for Laser Tonsil Ablation: Approach and Initial Results

Pacheco NE, Gao S, Cleary K, Shah R, Zhang H, Fichera L, SPIE Medical Imaging 2024 (2024).

Abstract

Tonsillectomy, one of the most common surgical procedures worldwide, is often associated with postoperative complications, particularly bleeding. Tonsil laser ablation has been proposed as a safer alternative; however, its adoption has been limited because it can be difficult for a surgeon to visually control the thermal interactions that occur between the laser and the tissue. In this study, we propose to monitor the ablation caused by a CO2 laser on ex-vivo tonsil tissue using photoacoustic imaging. Soft tissue’s unique photoacoustic spectra were used to distinguish between ablated and non-ablated tissue. Our results suggest that photoacoustic imaging is able to visualize necrosis formation and calculate the necrotic extent, offering the potential for improved tonsil laser ablation outcomes.