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Objective: Polarized light can be used to obtain images of superficial tissue layers such as skin, and some example images are presented. This study presents a study of the transition of linearly polarized light into randomly polarized light during light propagation through tissues., Study Design/materials and Methods: The transition of polarization was studied in polystyrene microsphere solutions, in chicken muscle (breast) and liver, and in porcine muscle and skin. The transition is discussed in terms of a diffusion process characterized by an angular diffusivity (radians(2)/mean free path) for the change in angular orientation of linearly polarized light per unit optical path traveled by the light., Results: Microsphere diffusivity increased from 0.031 to 0.800 for diameters decreasing from 6.04 microm to 0.306 microm, respectively. Tissue diffusivity varied from a very low value (0.0004) for chicken liver to an intermediate value (0.055) for chicken and porcine muscle to a very high value (0.78) for pig skin., Conclusion: The results are consistent with the hypothesis that birefringent tissues randomize linearly polarized light more rapidly than nonbirefringent tissues. The results suggest that polarized light imaging of skin yields images based only on photons backscattered from the superficial epidermal and initial papillary dermis because the birefringent dermal collagen rapidly randomizes polarized light. This anatomic region of the skin is where cancer commonly arises., (Copyright 2000 Wiley-Liss, Inc.)

With the recent increased popularity of laser use in neurosurgery, there arises the question of the value and necessity of a "hands-on" laser workshop in preparing the surgeon for clinical use of the instrument. To find an answer, a questionnaire was recently circulated to those who had participated in such a workshop. Participants were asked whether they were actually using the laser clinically since attending the workshop and, if so, the type of laser they were using. Whether the course was influential in their decision to use a laser and whether they felt they could have used the instrument without such a course was also asked. In addition, the surgeons were asked how long it took them to become comfortable using the laser. The types of procedures, the percentage of operative cases and the mode (freehand or microlinked) in which the laser was used was also investigated. Finally, absolute indications for laser use in neurosurgery and methods to improve laser education were sought. The answers were varied and interesting, but it is our conclusion that a "hands-on" workshop is both a valuable and necessary means of preparing a neurosurgeon for clinical use of a laser, and participation in such a course should be encouraged.