Performance of a light applicator for photodynamic therapy in the oral cavity: calculations and measurements.

Photodynamic therapy (PDT) is an experimental therapy for the treatment of superficial cancer using laser light. In PDT a uniform light distribution is usually required for an optimal therapeutic effect. To irradiate part of the oral cavity uniformly for PDT, two prototype applicators were built, each for a different lower jaw. The applicators made use of the light transmitted through the wall of a cavity of diffusely reflecting material. The radiant exitance of the applicators was measured at 632.8 nm. For the radiant exitance of M of the two applicators, a uniformity ratio, UR = Mmax/Mmin < 2 was found, which was considered reasonable for clinical applications. Calculations predict that the UR can be improved by decreasing the thickness of the cavity wall.