Neurosurgical applications of MRI guided laser interstitial thermal therapy (LITT)

Cancer Imaging

Dhiego Chaves de Almeida Bastos¹  Jeffrey S. Weinberg¹  Sujit S. Prabhu¹  Ganesh Rao¹  Vinodh A. Kumar²  John E. Madewell²  Donald F. Schomer²  Usama Salem³  Pascal O. Zinn⁴  Rivka R. Colen⁴ 

[1] Department of Neurosurgery, The University of Texas MD Anderson Cancer Center;Department of Radiology, The University of Texas MD Anderson Cancer Center;Department of Radiology, The University of Texas Medical Branch at Galveston;Department of Radiology, University of Pittsburgh Medical Center;

关键词: Laser interstitial thermal therapy;    Laser ablation;   

DOI  :  10.1186/s40644-019-0250-4

来源: DOAJ

【 摘 要 】

Abstract MRI-guided laser interstitial thermal therapy (LITT) is the selective ablation of a lesion or a tissue using heat emitted from a laser device. LITT is considered a less invasive technique compared to open surgery that provides a nonsurgical solution for patients who cannot tolerate surgery. Although laser ablation has been used to treat brain lesions for decades, recent advances in MRI have improved lesion targeting and enabled real-time accurate monitoring of the thermal ablation process. These advances have led to a plethora of research involving the technique, safety, and potential applications of LITT. LITT is a minimally invasive treatment modality that shows promising results and is associated with decreased morbidity. It has various applications, such as treatment of glioma, brain metastases, radiation necrosis, and epilepsy. It can provide a safer alternative treatment option for patients in whom the lesion is not accessible by surgery, who are not surgical candidates, or in whom other standard treatment options have failed. Our aim is to review the current literature on LITT and provide a descriptive review of the technique, imaging findings, and clinical applications for neurosurgery.

【 授权许可】

Unknown