Laser interstitial thermal therapy using the Leksell Stereotactic System and a diagnostic MRI suite: how I do it
Margret Jensdottir1, Ulrika Sandvik2, Michael Fagerlund3
1Department of Clinical Neuroscience, Section for Neurosurgery, Karolinska Institute and Department of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden. margret.jensdottir@regionstockholm.se.
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.
