Gas plasmas in biology and medicine

It is my great pleasure to introduce this special cluster devoted to recent developments in biomedical plasma technology. It is an even greater pleasure to behold the enormous progress which has been made in this area over the last five years. Research on biomedical plasma applications proceeds hand in hand with the development of new material processing technologies, based on atmospheric plasma sources. In the beginning, major research effort was invested in the development and control of new plasma sources—in this laborious process, novel devices were constructed and characterized, and also new plasma physical phenomena were discovered. Self-constriction of micro-plasmas, pattern formation, filamentation of glow discharges and various mode transitions are just a few examples. It is a real challenge for theorists to gain an understanding of these complex phenomena. Later, the devices had to be thoroughly tested and automated, and various safety issues had to be addressed. At present, many atmospheric plasma sources are ready to use, but not all fundamental and technical problems have been resolved by far. There is still plenty of room for improvement, as in any dynamic area of research. The recent trends are clear: the application area of plasmas expands into processing of unconventional materials such as biological scaffolds, and eventually living human, animal and plant tissues. The gentle, precise and versatile character of cold plasmas simply invites this new application. Firstly, non-living surfaces have been plasma-treated to attain desired effects in biomedical research; tissue engineering will soon fully profit from this powerful technique. Furthermore, studies on cultured plant and animal cells have provided many findings, which are both fundamentally interesting and potentially applicable in health care, veterinary medicine and agriculture. The most important and hitherto unique property of plasma treatment is that it can evade accidental cell death and its attendant complications, such as inflammation and scarring. Another substantial research direction makes use of the bactericidal properties of the plasma. The number of findings on plasma inactivation of bacteria and spores is growing; plasma sterilization has already achieved some commercial success. In future, bacteriostatic properties of cold plasmas will even facilitate non-contact disinfection of human tissues. At this moment, one cannot explicitly list all the medical procedures in which cold plasmas will be involved. My personal intuition predicts widespread use of plasma treatment in dentistry and dermatology, but surely more applications will emerge in the course of this multi-disciplinary research. In fact, some plasma techniques, such as coagulation and coblation, are already used in clinical practice—this is another image of plasma science, which is so far unfamiliar to plasma physicists. Therefore, this particular topic forms a perfect platform for contacts between physicists and medical experts. Our colleagues from the medical scientific community will continue giving us feedback, suggestions or even orders. Biomedical plasmas should not become an isolated research area—we must grow together with medical research, listen to criticism, and eventually serve the physicians. Only then will this new field grow, flourish and bear fruit. All the above-mentioned topics meet in this issue of Journal of Physics D: Applied Physics, comprising the most significant examples of modern biomedical plasma research. Browsing through the contributions, the reader can trace back the progress in this field: from fundamental physical (numerical) studies, through phenomenology and physics of new discharges, studies on plasma–surface modification, bacterial inactivation tests, fundamental cell biological investigations, to final in vivo applications. One may ask why this selection has found its place in a purely physical journal—many contributions are concerned with (micro)-biology rather than physics. To me, the answer is clear: it is important to maintain the visibility of this fascinating and growing cross-disciplinary field within the (plasma) physical community. This is not the `physics we are used to', but one we will eventually get used to and accept.