Simulation studies on temperature distribution in laser ablation help predict ablation rates, laser settings, and thermal damage. Despite the limited number of reported numerical studies on the temperature distribution of kidney fluid, there is no simulation study for kidney stone temperature distribution. We employ a numerical approach to study the kidney stone temperature distribution and predict ablation rates, which is an important parameter for clinical lithotripsy. The study looked at how the thulium fiber laser and the Ho:YAG laser differ in terms of temperature profile and ablation depth of kidney stones like calcium oxide monohydrate. The ablation depth increased from 152.7µm to 489.7µm when the TFL laser (operated at 10Hz repetition rate and 1ms pulse width) fluence increased from 764J/cm2 to 1146J/cm2. Correspondingly, the depth increased from 21µm to 68µm for the Ho: YAG laser operated at 3Hz and 0.22ms pulse width. We attribute this to an increase in temperature with laser energy. We further investigated the effect of pulse width on ablation depth by considering three different TFL pulse widths: 0.5ms, 0.75ms, and 1ms. There was a decrease in ablation depths from 402.5µm to 242.6µm when the pulse width increased from 0.5ms to 1ms. Because of lower water absorption coefficients, the Ho:YAG laser (70mJ/10Hz) produced a smaller ablation depth and temperature profile than the thulium fiber laser (70mJ/10Hz). Experimental results from the literature validated the simulation. We found that the Ho:YAG laser worked better for ablation when it was set to 0.2J/100Hz for the Ho:YAG laser and 0.4J/50Hz for the TFL laser, which were clinical laser settings that we found in the literature. This indicates that, in addition to laser absorption by water, the laser parameters also significantly influence temperature distribution and ablation.
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