Laser Interstitial Thermal Therapy Technology, Physics of Magnetic Resonance Imaging Thermometry, and Technical Considerations for Proper Catheter Placement During Magnetic Resonance Imaging-Guided Laser Interstitial Thermal Therapy
Laser Interstitial Thermal Therapy Technology, Physics of Magnetic Resonance Imaging Thermometry, and Technical Considerations for Proper Catheter Placement During Magnetic Resonance Imaging-Guided Laser Interstitial Thermal Therapy
复制标题
DOI：
10.1227/neu.0000000000001440
复制
发表时间：
2016-12-01
期刊：
影响因子：
4.8
通讯作者：
Danish, Shabbar F.
中科院分区：
文献类型：
--
作者：
Patel, Nitesh V.;Mian, Matthew;Danish, Shabbar F.
激光热疗已成为神经外科的有力工具。激光治疗的物理学很复杂，但对这个主题的合理理解具有临床意义，因为许多中心已经将其纳入他们的治疗算法，受过教育的患者要求考虑将其用于他们的疾病。激光消融已被广泛应用于各种颅内病变。激光导管放置是由立体定向计划指导的；然而，随着该程序的普及，插入导管的方式也增加了。激光放置有许多技术上的细微差别，到目前为止，人们还不清楚是否有一种技术比另一种技术更好。在这篇综述中，我们描述了磁共振引导激光诱导热疗的基本物理原理，并描述了几种常用的精确放置Visualase激光导管的技术。
Laser-induced thermal therapy has become a powerful tool in the neurosurgical armamentarium. The physics of laser therapy are complex, but a sound understanding of this topic is clinically relevant, as many centers have incorporated it into their treatment algorithm, and educated patients are demanding consideration of its use for their disease. Laser ablation has been used for a wide array of intracranial lesions. Laser catheter placement is guided by stereotactic planning; however, as the procedure has popularized, the number of ways in which the catheter can be inserted has also increased. There are many technical nuances for laser placement, and, to date, there is not a clear understanding of whether any one technique is better than the other. In this review, we describe the basic physics of magnetic resonance-guided laser-induced thermal therapy and describe the several common techniques for accurate Visualase laser catheter placement in a stepwise fashion.