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Burst-mode ultrafast laser treatments in biological tissues or in materials-processing use high-repetition-rate (⪆MHz) delivery of femtosecond laser pulses. This takes advantage of characteristically tiny residual heat left in a substrate through individual femtosecond-laser-matter interaction. At the same time, the approach opens the door to manipulating the accumulation of that same tiny heat during rapid pulse-repetition. This mode of fluence-delivery may, for instance, be able to denature the protein in the walls of a laser-cut wound and possibly improve infection rates in ultrashort-pulse laser surgery in certain contexts. Isolated intense sub-picosecond laser pulses typically do not rely on intrinsic chromophores for absorption, instead they first create a limited plasma via nonlinear ionization, then increase that plasma through collisional ionization. Used in burst-mode, plasma-mediated ablation can exploit some residual ionization which persists for a few nanoseconds, meaning that subsequent pulses need not re-initiate dielectric breakdown. In effect, the plasma is 'simmered' continuously throughout a burst, controlling the mode and amount of absorption and opening the door to particularly gentle laser cutting of tissues and dielectric materials. We describe pulse-by-pulse studies of the persistence of the plasma state within a burst of approximately 60 pulses, each of 300 fs duration, arriving with an intra-burst repetition rate of 200 MHz (5 ns separation). We also present the impact of these burst-mode treatments on cellular necrosis in a phantom of rat-glioma cells suspended in hydrogels and in porcine cartilage samples.
Marjoribanks et al. (Tue,) studied this question.