A Novel Use of the Intraoperative MRI for Metastatic Spine Tumors: Laser Interstitial Thermal Therapy for Percutaneous Treatment of Epidural Metastatic Spine Disease

Jonathan G. Thomas, Wajd N. Al-Holou, Dhiego Chaves de Almeida Bastos, Amol J. Ghia, Jing Li, Andrew J. Bishop, Behrang Amini, Laurence D. Rhines, Claudio E. Tatsui

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations

Abstract

Spinal laser interstitial thermal therapy (LITT) appears to be a promising novel modality for treatment of epidural metastatic spine disease in patients who are poor candidates for larger-scale oncologic spinal surgery and can act synergetically with spinal stereotactic radiosurgery to maximize local control and palliate pain. This technique is ideally suited for the intraoperative MRI suite to monitor the extent of the ablation in the epidural space. As percutaneous navigation, imaging, and LITT technology improve, broader applicability of this minimally invasive technique in spinal oncology is foreseen.

Original languageEnglish (US)
Pages (from-to)513-524
Number of pages12
JournalNeurosurgery clinics of North America
Volume28
Issue number4
DOIs
StatePublished - Oct 2017

Keywords

  • Laser interstitial thermal therapy
  • Metastatic spine tumors
  • Spinal stereotactic radiosurgery

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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