Light technology for efficient and effective photodynamic therapy: A critical review

Photodynamic therapy (PDT) is a cancer treatment with strong potential over well-established standard therapies in certain cases. Non-ionising radiation, localisation, possible repeated treatments, and stimulation of immunological response are some of the main beneficial features of PDT. Despite the...

Descripción completa

Detalles Bibliográficos
Autores: Algorri Genaro, José Francisco|||0000-0002-2654-583X, Ochoa Gómez, Mario|||0000-0003-4870-7390, Roldán Varona, Pablo, Rodríguez Cobo, Luis|||0000-0002-2068-2956, López Higuera, José Miguel|||0000-0002-8615-8487
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/22277
Acceso en línea:http://hdl.handle.net/10902/22277
Access Level:acceso abierto
Palabra clave:Photodynamic therapy
Cancer
Lasers
Optical devices
Descripción
Sumario:Photodynamic therapy (PDT) is a cancer treatment with strong potential over well-established standard therapies in certain cases. Non-ionising radiation, localisation, possible repeated treatments, and stimulation of immunological response are some of the main beneficial features of PDT. Despite the great potential, its application remains challenging. Limited light penetration depth, non-ideal photosensitisers, complex dosimetry, and complicated implementations in the clinic are some limiting factors hindering the extended use of PDT. To surpass actual technological paradigms, radically new sources, light-based devices, advanced photosensitisers, measurement devices, and innovative application strategies are under extensive investigation. The main aim of this review is to highlight the advantages/pitfalls, technical challenges and opportunities of PDT, with a focus on technologies for light activation of photosensitisers, such as light sources, delivery devices, and systems. In this vein, a broad overview of the current status of superficial, interstitial, and deep PDT modalities - and a critical review of light sources and their effects on the PDT process - are presented. Insight into the technical advancements and remaining challenges of optical sources and light devices is provided from a physical and bioengineering perspective.