Tag Archives: lasers

Laser test for breast cancer

An instant laser test for breast cancer is being developed by scientists.

It is hoped that by quickly determining whether a suspicious lump is cancerous, the test will spare women time and worry, as well as cutting the cost for the NHS.

More than 1.5million British women have breast X-rays, or mammograms, each year.

If their result is abnormal, the patient will often have a sample of cells withdrawn via a needle. Up to 90 per cent of these needle biopsies come back negative.

In contrast, a technique developed by the Science and Technology Facilities Council in Oxfordshire uses a laser to pinpoint dangerous changes without breaking the skin.

Carried out at the same time as the mammogram, the test would remove the need for a second hospital appointment, as well as the nerve-shredding wait for a result.

Nicholas Stone, of the University of Exeter, the project’s lead scientist, said: ‘This technique, if applied at mammography, could have a huge impact on those 75,000 patients a year having to return for biopsies, with associated anxiety, when they are found to have nothing wrong.’

The test involves shining a laser on the suspicious area and analysing the reflected light.

Breast cancer

Breast cancer

The pattern and colour of the light that is bounced back depends on the chemical composition of the breast – with cancerous lumps producing a different ‘signature’ to benign ones.

Tests on pieces of pork have produced promising results and work on human breast tissue is due to start.

However, the need to prove the test to be highly accurate, as well as safe, means it will be a decade before it is routinely used in hospitals. The laser could also be used in airport security checks to spot liquid explosives and in quality control tests for drugs and medicines.


Scientist Marleen Kerssens, who proved that the so-called Spatially Offset Raman Spectroscopy, or SORS, technique could be used to detect if a lump is malignant or benign, said: ‘It is an exciting field of research and translation of the SORS technique to a clinical setting has the potential to reduce the amount of false positives and therefore reduce patient anxiety.’

Professor Pavel Matousek, who pioneered the technique with the STFC, said: ‘It is very gratifying to see this technology, originally developed on our large facilities, being applied in so many different ways that will have such an impact on society.’

Dr Laura McCallum, of Cancer Research UK, said: ‘If the researchers can prove this technology can tell what is cancer and what’s not, it could save some women from an invasive test and an anxious wait.

‘This is the beginning of a long research journey, but shows how revolutions in technology could help improve medicine in the future.’

Eluned Hughes, of Breakthrough Breast Cancer, said: ‘Accurate diagnosis of breast cancer is crucial so we are encouraged to see the development of new techniques which help identify the disease.

‘We look forward to the results of this study to see how successful the laser technique proves to be.

‘We welcome all research that moves us even closer to providing better diagnosis and treatment for breast cancer patients.’

Women aged between 47 and 73 are entitled to a mammogram every three years, and it is estimated that the screening programme saves 1,400 lives a year. Breast cancer is Britain’s most common form of the disease and almost 50,000 cases are diagnosed each year.

Most are in women aged 50-plus but younger women, and men, are also affected and the disease claims almost 1,000 lives a month.

Presbyopia may be treated with laser surgery

Laser surgery has helped more than a million people in Britain to throw away their glasses since its introduction two decades ago.

New developments mean many more could be tempted to try it, including thousands who suffer with presbyopia, age-related sight loss.

Laser treatment generally involves reshaping the cornea — the clear, spherical tissue on the front of the eyeball. Light passes through this and on to the retina at the back of the eye, where the image is interpreted. With short-sightedness, the cornea is too steeply curved, or the eyeball itself too long, meaning light falls short of the retina. Lasers can treat the problem by flattening the cornea.

They can also help people with long-sightedness, where the cornea is too flat, by steepening it. And used to treat astigmatism, where the cornea is oval, by making it into a rounder shape.

The most popular technique in the UK is Laser In Situ Keratomileusis (LASIK). Costing around £1,000 per eye, this involves cutting a flap from the top of the cornea, then lasering off thin layers of it to alter its shape. The process takes less than a minute, correcting moderate sight imperfections almost instantly.

But around 5 per cent of people suffer side-effects such as dry eyes, often because the nerves that stimulate production of tears are damaged.

Another side-effect is halos — rings of light that can appear at night if the treatment is not customised correctly for the cornea.

However, newer techniques may avoid these setbacks. It’s also now possible to use lasers to treat presbyopia, where the lens of the eye slowly stiffens, affecting near vision.

Here, we outline some of the latest laser techniques that could help you, and Professor David Gartry, consultant ophthalmic surgeon at Moorfields Eye Hospital, London, explains their pros and cons?.?.?.

The human eye

The human eye

Until now, laser therapy could not be used for presbyopia, the age-related sight loss which leaves you needing reading glasses. However there are now two options.

INTRACOR: In this treatment, a laser makes five concentric rings in the cornea. This makes it bulge a little in the middle, creating a slight bifocal effect. The central cornea sees better for close work, but distance vision is unaffected. The treatment takes seconds and the effects are virtually instant, says the developer.

SUPRACOR: As with Lasik, a thin flap is created on the top of the eye to allow access to the cornea, explains Sheraz Daya, a consultant ophthalmologist at Centre For Sight. ‘I laser to leave a small raised area in the middle of the cornea to give better focusing on near objects, and flatten or steepen the outer section,’ he adds.

ADVANCE ZYOPTIX WAVEFRONT TECHNOLOGY: Like most current techniques, this uses wavefront, where computer software scans the eye to map the defect before treatment.

But with this procedure, the eye is scanned many more times, meaning greater detail, explains Chidambara Pillai, a consultant refractive surgeon at Advanced Vision Care in Harley Street. A flap is opened on the cornea and the laser corrects the problem.


RELEX (Refractive Lenticule Extraction): Less invasive for short-sightedness. Instead of cutting a flap into the cornea, a laser reshapes it with micro pulses. These outline the tissue that’s to be removed. Then a small appliance a bit like tiny tweezers is inserted through a 3mm incision made in the centre of the cornea using a laser. This removes the tissue.

This takes four to five minutes. Vision is 80 per cent better instantly and reaches 100 per cent within a few days, according to trials in the UK, Germany and Denmark.

TOPOGRAPHY-GUIDED LASIK/LASEK: Designed for problems caused by an irregular, misshapen cornea as a result of illness such as keratoconus, trauma or surgery.

‘This causes sight issues that glasses may not fully rectify and it can also make it impossible to wear contact lenses,’ says David Anderson, a consultant ophthalmic surgeon at Optegra.

The cornea is scanned to give a 3D image (that looks like the line on a map, hence the name ‘topography’).

The outer layer of cells of the cornea are gently pushed aside before a short burst of laser reshapes it. The patient may then see perfectly or be able to wear normal glasses. Vision should be clear within a week.

Most suitable for? Patients with injuries to their corneas or people who have had corneal transplants.