Laser Interstitial Thermal Therapy in Neurosurgery

​This book serves as a foundation for MRI guided laser interstitial thermal therapy (LITT) across neurosurgical diseases. It provides state-of-the-art information on the latest indications and results for LITT in CNS applications, as well as prerequisite

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Laser Interstitial Thermal Therapy in Neurosurgery

Veronica L. Chiang  •  Shabbar F. Danish Robert E. Gross Editors

Laser Interstitial Thermal Therapy in Neurosurgery

Editors Veronica L. Chiang Department of Neurosurgery Yale University School of Medicine New Haven, CT USA

Shabbar F. Danish Department of Neurosurgery Rutgers-RWJ Medical School New Brunswick, NJ USA

Robert E. Gross Department of Neurosurgery Emory University School of Medicine Atlanta, GA USA

ISBN 978-3-030-48046-2    ISBN 978-3-030-48047-9 (eBook) https://doi.org/10.1007/978-3-030-48047-9 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

Laser Interstitial Thermal Therapy (LITT), also known as Laser Induced Thermal Therapy, Stereotactic Laser Ablation, or, simply, Laser Ablation, for CNS disorders is not new. Pioneers in Germany and Boston, Massachusetts, set forth to try to treat brain tumors using various versions of laser-generated heat in the 1990s. Although there were some promising early results, it was clear that this was an idea that was ahead of its time due to the limitations of contemporary technologies. A decade later saw a new generation of LITT, with sophisticated, self-­ cooling laser probes that use near-infrared wavelength energy to heat and coagulate brain tissues, monitored in real time by magnetic resonance thermography. Whether or not used in conjunction with robotic probe-driving control and the choice of side-firing versus the more traditional diffuse radiant pattern, LITT systems today promise a new, minimally invasive approach to neurosurgery. LITT ablation of CNS tissue is currently used for the treatment of a number of brain disorders, includ