Burn paper serves as a critical diagnostic interface between the laser equipment and the clinical operator. It is utilized to perform a quantitative analysis of the laser spot diameter and the resulting energy distribution by capturing the scorch pattern created at various distances from the handpiece.
By correlating the physical size of the burn mark with the distance of the handpiece, clinicians can mathematically determine the precise suspension height required to achieve the correct energy density for safe, low-energy irradiation.
Analyzing Beam Characteristics
Mapping Energy Distribution
The burn paper provides a physical record of how the laser's energy is distributed across the beam.
By observing the scorched area, operators can visualize the intensity and uniformity of the beam profile, which is invisible to the naked eye.
Quantifying Spot Diameter
The primary metric gathered from burn paper is the laser spot diameter.
Clinical staff measure the physical width of the scorch mark. This measurement is not static; it is taken at various distances to understand how the beam diverges or converges as it leaves the handpiece.
Establishing Operational Parameters
Calculating Energy Density
The raw data regarding spot diameter is used to calculate the energy density (fluence).
Because energy density is inversely related to the area of irradiation, understanding the exact spot size is a prerequisite for determining how much energy is actually being delivered to the tissue.
Setting the Suspension Height
The ultimate goal of this calibration is to determine the optimal suspension height of the handpiece.
For effective low-energy irradiation, the handpiece must be held at a specific distance where the energy density is therapeutic but safe. The burn paper calibration provides the "exact relationship" needed to define this distance.
Critical Considerations for Accuracy
Measurement Precision
The reliability of this calibration method depends entirely on the accuracy of the scorched area measurement.
If the measurement of the burn mark is imprecise, the calculated relationship between energy density and irradiation area will be flawed.
Variable Distance Sensitivity
Operators must recognize that slight changes in distance can significantly alter the irradiation area.
This method highlights that energy distribution is dynamic; therefore, the handpiece height cannot be approximated—it must be exact based on the burn paper data.
Optimizing Procedure Setup
Based on the calibration data derived from the burn paper, you can effectively tailor your setup.
- If your primary focus is safety during low-energy protocols: rigorously adhere to the calculated suspension height to prevent inadvertent increases in energy density.
- If your primary focus is dosimetric accuracy: use the quantitative analysis of the spot diameter to verify that the equipment's output matches the theoretical parameters for the specific procedure.
This process transforms the variable of distance into a controlled, constant parameter for reliable treatment.
Summary Table:
| Calibration Metric | Function & Purpose | Clinical Importance |
|---|---|---|
| Scorch Pattern | Visualizes invisible beam profile and intensity | Ensures uniform energy distribution |
| Spot Diameter | Measures physical width of the beam at varying distances | Foundation for calculating energy density |
| Suspension Height | Determines exact handpiece distance from tissue | Prevents accidental high-energy irradiation |
| Energy Density | Calculates fluence (Energy/Area) | Guarantees therapeutic accuracy and patient safety |
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References
- Motoko Nakata. Treatment of Melasma with Low Fluence Q-switched Alexandrite Laser. DOI: 10.2530/jslsm.jslsm-39_0015
This article is also based on technical information from Belislaser Knowledge Base .