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Visibly Transparent, Near-Infrared Absorbing Nanofluids Enable High-Efficiency and Safe Laser Lithotripsy.

Qingsong Fan1, Junqin Chen2, Arpit Mishra2

  • 1Pritzker School of Molecular Engineering, University of Chicago.

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Summary

A novel nanofluid irrigation strategy significantly enhances laser lithotripsy (LL) efficiency for urinary stone management. This approach improves stone ablation by over 200% while maintaining safety and endoscopic visibility.

Keywords:
CavitationHo:YAG laserITO@SiO2 nanoparticlesLaser lithotripsyNanofluidPhotothermal ablationUrinary stones

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Area of Science:

  • Biomedical Engineering
  • Materials Science
  • Urology

Background:

  • Laser lithotripsy (LL) is a primary treatment for urinary stones.
  • Optimizing LL efficiency and safety remains a clinical challenge.

Purpose of the Study:

  • To develop a novel nanofluid irrigation strategy to enhance LL efficiency and safety.
  • To investigate the mechanism of enhanced ablation and thermal safety.

Main Methods:

  • Development of a visibly transparent, near-infrared (NIR)-absorbing Indium Tin Oxide/Silica (ITO@SiO2) nanofluid.
  • Spectrally matching nanofluid absorption with Holmium:YAG laser wavelength.
  • Evaluation of ablation efficiency in bench-top and hydrogel kidney models.
  • Assessment of thermal effects and biocompatibility in vitro and in vivo (porcine models).

Main Results:

  • Ablation efficiency increased by >200% in spot treatments and >100% in a hydrogel kidney model.
  • Nanofluid enhanced photothermal/microexplosion effects and cavitation damage by modifying bubble dynamics.
  • Demonstrated a significant thermal safety margin (<35 °C) and acute biocompatibility in porcine models.
  • No thermal tissue injury was observed.

Conclusions:

  • The ITO@SiO2 nanofluid irrigation strategy significantly boosts LL efficiency safely.
  • This approach offers a translatable, effective platform for advanced endoscopic lithotripsy without pretreatment.
  • The strategy enhances stone ablation while ensuring procedural safety and visibility.