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Clinical Reference Library · Member Resource

Clinical Practice Guidelines

Fourteen evidence-graded protocols governing the safe, effective use of photobiomodulation, UV phototherapy, photodynamic therapy, and laser-assisted wound care — authored by clinicians, peer-reviewed on a rolling 24-month cycle, and cited in dermatology and wound-care policy documents from Boston to Geneva.

Active CPGs
14
Review cycle
24 mo
Citing bodies
AAD · NHS · WHO
Dermatologist operating a narrowband UVB phototherapy unit in a clinical treatment room
Evidence at the bedside · MLA Guideline CPG-04 (Narrowband UVB)

CPG Index · 2009–present

The canonical reference index

Fourteen active guidelines, organized by therapeutic area. Each entry shows evidence grade, last evidence-review date, current status, and access tier. Full PDF access is included with MLA membership; abstracts and scope statements are open to all clinicians.

I Photobiomodulation

CPG-01

PBM in Dermatology: Inflammatory & Autoimmune Dermatoses

Wavelength, fluence, and dosing parameters for low-level laser therapy in psoriasis, vitiligo, lichen planus, and alopecia areata.

Grade
A
Last review
Mar 2025
Next review
Mar 2027
Status
Active
CPG-02

PBM for Oral Mucositis in Oncology Supportive Care

Intraoral and extraoral protocols for prevention and management of chemotherapy- and radiotherapy-induced mucositis.

Grade
A
Last review
Sep 2024
Next review
Sep 2026
Status
Active
CPG-03

PBM in Neurorehabilitation: Peripheral Nerve & Spinal Indications

Transcutaneous and transcranial PBM dosing for peripheral neuropathy, post-stroke recovery adjuncts, and traumatic nerve injury.

Grade
B
Last review
Jan 2024
Next review
Jan 2026
Status
Active
CPG-04

PBM Safety & Ocular Hazard Mitigation in Clinical Settings

Mandatory eye-safety parameters, signage, and protective-equipment specifications for Class 3B and Class 4 therapy lasers.

Grade
A
Last review
Jul 2025
Next review
Jul 2027
Status
Active

II UV Phototherapy

CPG-05

Narrowband UVB for Psoriasis & Atopic Dermatitis

311 nm TL-01 dosing, escalation schemes, and maintenance protocols for adult and pediatric populations.

Grade
A
Last review
Feb 2025
Next review
Feb 2027
Status
Active
CPG-06

PUVA: Psoralen–UVA Therapy

Systemic, bath, and topical PUVA protocols, ocular protection, and long-term carcinogenicity surveillance intervals.

Grade
A
Last review
Oct 2024
Next review
Oct 2026
Status
Active
CPG-07

UVA1 Therapy for Sclerosing & Inflammatory Dermatoses

Medium- and high-dose UVA1 protocols for morphea, scleroderma, and atopic dermatitis; thermal-load management.

Grade
B
Last review
May 2024
Next review
May 2026
Status
Active

III Photodynamic Therapy

CPG-08

Daylight-PDT for Actinic Keratosis

Methyl aminolevulinate and 5-aminolevulinic acid protocols using natural daylight exposure; climate-adaptive dosing.

Grade
A
Last review
Apr 2025
Next review
Apr 2027
Status
Active
CPG-09

Conventional PDT for Non-Melanoma Skin Cancer

Superficial and nodular basal cell carcinoma, Bowen disease; lesion preparation, illumination parameters, and follow-up.

Grade
A
Last review
Nov 2024
Next review
Nov 2026
Status
Active
CPG-10

Antimicrobial PDT in Periodontology & Wound Care

Photosensitizer selection, light delivery, and adjunctive use in chronic infected wounds and peri-implantitis.

Grade
B
Last review
Aug 2024
Next review
Aug 2026
Status
Active

IV Medical Laser & Wound Care

CPG-11

Low-Level Laser Therapy for Chronic Wound Healing

Diabetic foot ulcers, venous leg ulcers, pressure injuries; dosing matrix, frequency, and outcome measurements.

Grade
A
Last review
Jun 2025
Next review
Jun 2027
Status
Active
CPG-12

Fractional Laser in Burn Scarring & Post-Surgical Rehabilitation

Ablative and non-ablative fractional protocols for hypertrophic scarring; timing, energy density, and combination with PBM.

Grade
B
Last review
Dec 2024
Next review
Dec 2026
Status
Active
CPG-13

Intravascular Laser Therapy & Photopheresis

Extracorporeal photopheresis protocols for cutaneous T-cell lymphoma, graft-versus-host disease, and solid-organ rejection.

Grade
B
Last review
Mar 2024
Next review
Mar 2026
Status
Active
CPG-14

Device Calibration, Output Verification & Quality Assurance

Annual output verification, irradiance spot-checks, and documentation standards required of every MLA-affiliated light-medicine service.

Grade
A
Last review
Aug 2025
Next review
Aug 2027
Status
Active

Methodology · Since 2009

How an MLA guideline earns its citation

Every Clinical Practice Guideline is built under the MLA Development Manual — a GRADE-aligned process supervised by the Standards & Compliance Council and externally reviewed by an independent methods panel before publication.

Evidence synthesis

A standing Evidence Review Group, comprising six full-time clinical research methodologists and two in-house biostatisticians, runs a structured search of PubMed, Cochrane, Embase, and the MLA adverse-event registry for every CPG topic. Eligible studies are scored using GRADE; recommendations are mapped to one of four strength categories.

  • PubMed-indexed since 2009 — 19,400+ citations cross-referenced
  • GRADE evidence profiles published with each CPG
  • Conflicts of interest disclosed per ICEMJE standards

External review & update cycle

Draft recommendations are circulated to specialty societies (American Academy of Dermatology, European Society for Photobiology, International Photodynamic Association) and posted for a 45-day public comment window. Final approval rests with the MLA Standards & Compliance Council, which has reviewed 480+ phototherapy devices for FDA 510(k) and EU MDR submission readiness.

  • Rolling 24-month evidence-review cycle on every active CPG
  • Triggered mid-cycle update for any Grade A safety finding
  • Retired versions archived with annotated change log

Evidence base · The numbers behind the recommendations

Empirically grounded, not opinion

The MLA guidelines are anchored in the world's largest adverse-event registry for light-based medical devices — a longitudinal dataset that grows every week and is available to guideline authors under controlled data-use agreements.

312,000+ patient outcomes tracked since 2016 Adverse-event registry · MLA Standards & Compliance Council
19,400+ PubMed-indexed papers citing MLA guidance 5× growth across the past decade
47 countries covered by MLA protocols 11,400+ clinicians · 240+ institutions
19,000+ citations of MLA guidance in 2023 alone #LightTherapyWorks · peer-reviewed literature

Adoption & recognition

Cited by the bodies that set the standard

MLA guidelines are referenced in clinical policy documents maintained by major dermatology and wound-care authorities — closing the loop from internal canon to bedside practice worldwide.

  1. American Academy of Dermatology

    "MLA guidelines serve as a primary reference for narrowband UVB and PBM dosing across our clinical policy library."

    — AAD Phototherapy Committee, cited reference list

  2. National Health Service · UK

    "MLA protocols are referenced in NHS dermatology commissioning documents for adult and pediatric phototherapy services."

    — NHS England Clinical Commissioning Policy, dermatology

  3. World Health Organization · European Society for Photobiology

    "The MLA adverse-event registry and 24-month review cycle provide a model for international light-medicine governance."

    — Joint ESP / WHO Photobiology Working Group statement

Member-gated access

Full guidelines are a member benefit.

Abstracts and scope statements on this page are open to every clinician. The complete PDF, the 24-month evidence-update feed, the citation toolkit, and the adverse-event registry query interface are reserved for MLA members — the same clinicians who author, review, and update the recommendations.

11,400+ clinician members across 47 countries · Membership dues fund 71% of the Association's operating budget, keeping guidelines independent of device-industry sponsorship.