Laser interstitial thermal therapy using the Leksell Stereotactic System and a diagnostic MRI suite: how I do it

Acta Neurochir (Wien). 2023 Feb;165(2):549-554. doi: 10.1007/s00701-022-05461-x. Epub 2022 Dec 31.

Abstract

Background: Laser interstitial thermal therapy (LITT) is a stereotactic neurosurgical procedure used to treat neoplastic and epileptogenic lesions in the brain. A variety of advanced technological instruments such as frameless navigation systems, robotics, and intraoperative MRI are often described in this context, although the surgical procedure can also be performed using a standard stereotactic setup and a diagnostic MRI suite.

Methods: We report on our experience and a surgical technique using a Leksell stereotactic frame and a diagnostic MRI suite to perform LITT.

Conclusion: LITT can be safely performed using the Leksell frame and a diagnostic MRI suite, making the technique available even to neuro-oncology centers without advanced technological setup.

Keywords: LITT; Laser interstitial thermal therapy; Minimally invasive neurosurgery; Neurosurgery; Stereotactic frame; Stereotactic laser ablation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Neoplasms* / diagnostic imaging
  • Brain Neoplasms* / surgery
  • Humans
  • Laser Therapy* / methods
  • Lasers
  • Magnetic Resonance Imaging / methods
  • Neurosurgical Procedures / methods