Laser preconditioning on cranial bone site: analysis of morphological vascular parameters.

ABSTRACT

BACKGROUND AND OBJECTIVES: Bone vascularization is a key factor in the bone healing process following X-ray irradiation. Preserving the vascular network from X-ray-induced injury is a relevant approach in the promotion of bone healing. Previously, we developed a protocol of laser preconditioning (810 nm diode laser, 36 J/cm²) prior to X-ray radiation (18.75 Gy) which protects the bone vascular network from deleterious effects of X-ray radiation. The aim of this present work is to characterize the effects of laser preconditioning on the bone through a morphological analysis of vascular parameters. MATERIALS AND METHODS: Digital images of the vascular plexus were taken through an optical bone chamber which was implanted onto the calvaria of rabbits. Bespoke software was used for the quantification of the vessels (classified in four groups according to their diameter), vessel length, and number of nodes at weeks 0, 4, and 8. Twenty rabbits were divided into four groups control group #1 (n = 5); laser group #2 (n = 5). X-ray radiation group #3 (n = 5), laser preconditioning 24 hours prior to X-ray radiation group #4 (n = 5). RESULTS: The bone vascular network was stable for groups #1 and #2. Statistical analysis showed a significant reduction of each observed vascular parameter for groups #3 and #4. In the laser preconditioned group #4 the loss was less marked than in the X-ray group #3, especially for large vessels (diameter >50 µm). DISCUSSION AND CONCLUSION: We provide in vivo microcirculatory evidence to support the concept of laser preconditioning of bone. A computer-based semi-automatic system is described to quantify superficial bone vascular network parameters that had been treated by laser preconditioning prior to X-ray radiation. Laser preconditioning significantly attenuates the deletion of the superficial bone vascular network irradiated by X-ray, especially concerning large diameter vessels.