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Published in: Journal of Neuro-Oncology 3/2021

01-02-2021 | Glioblastoma | Topic Review

Laser interstitial thermotherapy (LITT) for the treatment of tumors of the brain and spine: a brief review

Authors: Clark Chen, Ian Lee, Claudio Tatsui, Theresa Elder, Andrew E. Sloan

Published in: Journal of Neuro-Oncology | Issue 3/2021

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Abstract

Introduction

Laser Interstitial Thermotherapy (LITT; also known as Stereotactic Laser Ablation or SLA), is a minimally invasive treatment modality that has recently gained prominence in the treatment of malignant primary and metastatic brain tumors and radiation necrosis and studies for treatment of spinal metastasis has recently been reported.

Methods

Here we provide a brief literature review of the various contemporary uses for LITT and their reported outcomes.

Results

Historically, the primary indication for LITT has been for the treatment of recurrent glioblastoma (GBM). However, indications have continued to expand and now include gliomas of different grades, brain metastasis (BM), radiation necrosis (RN), other types of brain tumors as well as spine metastasis. LITT is emerging as a safe, reliable, minimally invasive clinical approach, particularly for deep seated, focal malignant brain tumors and radiation necrosis. The role of LITT for treatment of other types of tumors of the brain and for spine tumors appears to be evolving at a small number of centers. While the technology appears to be safe and increasingly utilized, there have been few prospective clinical trials and most published studies combine different pathologies in the same report.

Conclusion

Well-designed prospective trials will be required to firmly establish the role of LITT in the treatment of lesions of the brain and spine.
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Metadata
Title
Laser interstitial thermotherapy (LITT) for the treatment of tumors of the brain and spine: a brief review
Authors
Clark Chen
Ian Lee
Claudio Tatsui
Theresa Elder
Andrew E. Sloan
Publication date
01-02-2021
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 3/2021
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-020-03652-z

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