Dynamic analysis of laser ablation of biological tissue using a real-time OCT

Author(s):  
Makoto Ohnishi ◽  
Daisuke Takada ◽  
Masato Ohmi ◽  
Masamitsu Haruna
2010 ◽  
Author(s):  
Masato Ohmi ◽  
Makoto Ohnishi ◽  
Daisuke Takada ◽  
Masamitsu Haruna

2015 ◽  
Vol 12 (1) ◽  
pp. 39-48 ◽  
Author(s):  
D Jay McCracken ◽  
Jon T Willie ◽  
Brad A Fernald ◽  
Amit M Saindane ◽  
Daniel L Drane ◽  
...  

Abstract BACKGROUND Surgery is indicated for cerebral cavernous malformations (CCMs) that cause medically refractory epilepsy. Real-time magnetic resonance thermography (MRT)-guided stereotactic laser ablation (SLA) is a minimally invasive approach to treating focal brain lesions. SLA of CCM has not previously been described. OBJECTIVE To describe MRT-guided SLA, a novel approach to treating CCM-related epilepsy, with respect to feasibility, safety, imaging, and seizure control in 5 consecutive patients. METHODS Five patients with medically refractory epilepsy undergoing standard presurgical evaluation were found to have corresponding lesions fulfilling imaging characteristics of CCM and were prospectively enrolled. Each underwent stereotactic placement of a saline-cooled cannula containing an optical fiber to deliver 980-nm diode laser energy via twist drill craniostomy. MR anatomic imaging was used to evaluate targeting before ablation. MR imaging provided evaluation of targeting and near real-time feedback regarding the extent of tissue thermocoagulation. Patients maintained seizure diaries, and remote imaging (6-21 months postablation) was obtained in all patients. RESULTS Imaging revealed no evidence of acute hemorrhage following fiber placement within presumed CCM. MRT during treatment and immediate postprocedure imaging confirmed the desired extent of ablation. We identified no adverse events or neurological deficits. Four of 5 (80%) patients achieved freedom from disabling seizures after SLA alone (Engel class 1 outcome), with follow-up ranging 12 to 28 months. Reimaging of all subjects (6-21 months) indicated lesion diminution with surrounding liquefactive necrosis, consistent with the surgical goal of extended lesionotomy. CONCLUSION Minimally invasive MRT-guided SLA of epileptogenic CCM is a potentially safe and effective alternative to open resection. Additional experience and longer follow-up are needed.


2020 ◽  
Vol 317 ◽  
pp. 106782
Author(s):  
Nathan H. Williamson ◽  
Rea Ravin ◽  
Teddy X. Cai ◽  
Dan Benjamini ◽  
Melanie Falgairolle ◽  
...  

1993 ◽  
Author(s):  
I. Itzkan ◽  
D. Albagli ◽  
B. J. Banish ◽  
M. Dark ◽  
C. von Rosenberg ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document