Abstract
Although this laser was originally developed for the military as a tank aiming device, the Nd:YAG laser has become one of the work horses of medical laser systems being used in a variety of areas of the body to treat a range of conditions. The medium excited to produce the laser beam is a synthetic crystal rod of yttrium aluminium garnet (YAG) which has been doped with a very small amount of neodymium (Nd) atoms. It is excited by a powerful krypton lamp focused onto the rod by elliptical reflectors. The neodymium atoms are excited to a high energy level and decay (non-radiatively) back to a long lived metastable condition. Transition from these states to intermediate and subsequently non-radiatively to the ground state produces infrared light of 1064nm wavelength. It is a four level laser with the population inversion between the long lived high energy and the short lived low energy intermediate states. Mirrors placed at either end of the rod produce a laser cavity.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Bown,S.G., Barr,H., Matthewson,K., Hawes,R., Swain,C.P., Clark,C.G., Boulos,P. B.,1986, Endoscopie treatment of inoperable colorectal cancers with the Nd:YAG laser, Br. J.Surg. 73:949–52.
Bown, S.G., Hawes, R., Matthewson, K., Swain, C.P., Barr, H., Boulos, P.B. and Clark, C.G., 1987, Endoscopic laser palliation for advanced malignant dysphagia, Gut, 28:799–807.
Bown, S.G., 1990, Lasers-the minimally invasive surgeons of the future, Sci.Publ.Affairs. 4:41–63.
Beistand, H.O. and Seland, P.,1986, A prospective randomised study on Nd:YAG laser irradiation versus TUR in the treatment of urinary bladder cancer, Scand. J. Urol. Nephrol. 20:209–212.
Brunetaud, J.M., Mosquet, L.and Houcke, M.,1985, Villous adenoma of the rectum-results of endoscopic treatment with argon and Nd:YAG lasers, Gastroenterology. 89:832–7.
Goldrath, M.H., 1986, Hysteroscopic laser ablation of the endometrium, in: “Gynaecological laser surgery,” J.A. Jordan and F. Sharp, ed. Perinatology Press, New York.
Michaels, J.A., Cross, F.W., Shaw, P., Raphael, M., Bowker, T.J., Bown, S.G., Adiseshiah, M. and Marston, A., 1989, Laser angioplasty with a pulsed Nd:YAG laser: early clinical experience, Br.J.Surg., 76:921–924.
Gruntzig, A.R.and Hopf, H.,1974,Perkutane rekanalisation chronischer arterieller verschlusse mit einem neuen dilationskatheter. Modifikation der Dotter-technik. Dtsch. Med. Wochenschr., 99:2502.
Hetzel, M.R., Nixon, C., Edmonstone, W.M. and Mitchell, D.M.,1985, Laser therapy in 100 tracheobronchial tumours, Thorax, 40:341–345.
Flemming, A.F.S., Colles, M.J., Guillianotti, R., Brough, M.D. and Bown, S.G.,1988, Laser assisted microvascular anastomosis of arteries and veins: laser tissue welding. Br.J.Plas.Surg., 41:378–388.
Lee, G., Ikeda, R.M., Theis, J.H., Chan, M.C., Stobbe, D., Ogata, C., Kumagai, A. and Mason, D.T., 1984, Acute and chronic complications of laser angioplasty: vascular wall damage and formation of aneurysms in the atherosclerotic rabbit, Amer.J.Cardiol., 53:290.
Lux, G., Ell, Ch., Hochberger, J., 1986, The first endoscopic retrograde laser lithotripsy of common bile duct stones in man using a pulsed Nd:YAG laser, Endoscopy, 18:144.
MacRobert, A.J., Bown, S.G. and Phillips, D., 1989, What are the ideal properties for a photosensitizer, in “Photosensitizing compounds: their chemistry, biology and clinical use,” Ciba Foundation Symposium 146, John Wiley & Sons, Chichester.
Selzer, P.M., Murphy-Chutorian, D., Ginsburg, R. and Wexler, L., 1985, Optimizing strategies for laser angioplasty, Invest Radiol., 20:860.
Steger, A.C., Lees, W.R., Walmsley, K. and Bown, S.G.,1989, Interstitial laser hyperthermia: a new approach to local; destruction of tumours, Brit. Med. J., 299:362–365.
Swain, C.P., Kirkham, J.S., Salmon, P.R., Bown, S.G.,Northfield, T.C.,1986, Controlled trial of Nd:YAG laser photocoagulation in bleeding peptic ulcers, Lancet, i:1113–7.
Watson, G.M., Wickham, J.E.A.,1986, Initial experience with a pulsed dye laser for ureteric calculi, Lancet,i,: 1357–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media New York
About this chapter
Cite this chapter
Barr, H., Bown, S.G. (1991). The Role of the Neodymium Yttrium Aluminium Garnet (Nd:YAG) Laser in Medicine. In: Pratesi, R. (eds) Optronic Techniques in Diagnostic and Therapeutic Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3766-3_16
Download citation
DOI: https://doi.org/10.1007/978-1-4615-3766-3_16
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4613-6678-2
Online ISBN: 978-1-4615-3766-3
eBook Packages: Springer Book Archive