OPTIMIZATION OF LASER MEDIATED CARTILAGE RESHAPING

这项有指导的临床科学家发展奖(MCSDA)建议的目的是为申请者提供足够的指导和培训，以发展成为生物医学光学领域成功的独立研究者。拟议的研究和伴随的职业发展计划侧重于激光重塑过程中软骨的生物物理变化，以及开发非侵入性光学和热学技术以优化临床疗效和安全性。在激光照射过程中，机械变形的软骨经历了一个温度相关的相变，这导致了加速的应力松弛。临床上，重塑的软骨组织可用于重建头部和颈部结构的底层软骨框架，如耳朵、鼻子、喉部和气管。利用激光辐射的主要优点是精确控制时空温度分布和随时间变化的热变性动力学。为了优化软骨组织的重塑过程(热应力松弛)，将检测软骨组织对激光照射的热光响应以及伴随重塑过程的相变，并对其进行数学建模，并与软骨细胞活性相关联。该热光模型和相变模型将被用于设计安全的软骨重塑的反馈控制系统，并使用兔鼻中隔软骨进行体内测试。该提案和随附的职业发展计划涉及激光与组织相互作用的三个基本过程：1)光传播；2)热传递；3)相变(结构修改)。在拟议的五年培训期内，申请者将获得研究这些生物物理过程所需的先进工程、数学技术和物理方法。申请者还将通过拟议的职业发展计划发展激光-组织相互作用领域的专业知识，该计划的结构包括：1)正式课程指导；2)与物理、电气工程和生物物理学教师进行教学会议；3)参加加州大学欧文分校Beckman激光研究所和医学诊所的每周小组会议/部门研讨会。申请者是一名获得董事会认证的头颈外科医生和工程师，在生物医学光学方面拥有广泛的研究背景，涵盖了他的学术和临床培训的所有阶段。MCSDA将为申请者提供成为生物医学光学独立研究员所需的基本技能，并允许进一步发展为基础科学家。

The purpose of this Mentored Clinical Scientist Development Award (MCSDA) proposal is to provide the applicant with the adequate instruction and training needed to develop into a successful independent investigator in the field of biomedical optics. The proposed research and accompanying career development plan focuses on the biophysical changes in cartilage during laser mediated reshaping, and the development of non-invasive optical and thermal techniques to optimize clinical efficacy and safety. During laser irradiation, mechanically deformed cartilage undergoes a temperature dependent phase transformation which results in accelerated stress relaxation. Clinically, reshaped cartilage tissue can be used to recreate the underlying cartilaginous framework of structures in the head and neck such as the ear, nose, larynx, and trachea. The principal advantages of using laser radiation are precise control of both the space- time temperature distribution and time-dependent thermal denaturation kinetics. In order to optimize the reshaping process (thermally mediated stress relaxation), the thermo-optical response of cartilage tissue to laser irradiation and the phase transformation accompanying the reshaping process will be examined and mathematically modeled and correlated with chondrocytes viability. The thermo-optical and phase transformation models will be used to design a feedback-control system for safe cartilage reshaping, and tested in-vivo using a rabbit nasal septal cartilage. The proposal and accompanying career development plan address the three fundamental processes of laser-tissue interactions: 1) light propagation; 2) heat transfer; and 3) phase transformations (structural modification). Over the proposed five year training period, the applicant will acquire the requisite advanced engineering and mathematical techniques and physical methods necessary to study these biophysical processes. The applicant will also develop expertise in the field of laser-tissue interactions via the proposed career development plan structured around: 1) formal course instruction; 2) didactic sessions with faculty in physics, electrical engineering, and biophysics; and 3) attendance at weekly group meetings/departmental seminars at the Beckman Laser Institute and Medical Clinic at the University of California, Irvine. The applicant is a board-certified head and neck surgeon and engineer with an extensive research background in biomedical optics spanning all phases of his academic and clinical training. The MCSDA will provide the applicant with the fundamental skills needed to become an independent investigator in biomedical optics, and allow further development as a basic scientist.