Experience with Radiofrequency Termoablation of Brain Tumors


Authors: J. Chrastina 1;  Z. Novák 1;  V. Feitová 2;  I. Říha 1,3
Authors‘ workplace: Neurochirurgická klinika LF MU, FN u sv. Anny v Brně, přednosta: prof. MUDr. Z. Novák, CSc. 1;  Klinika zobrazovacích metod LF MU, FN u sv. Anny v Brně 2;  UBMI, FEKT VUT, Brno 3
Published in: Rozhl. Chir., 2008, roč. 87, č. 7, s. 338-343.
Category: Monothematic special - Original

Overview

Together with tissue sampling stereotaxy in neurooncology makes also targeted intervention such as brain tumor radiofrequency thermoablation possible. In the paper authors present their experience with navigated radiofrequency thermoablation in 18 patients. Cerebral metastasis was the treated lesion in 5 patients, 8 patients were operated on for brain glioma and 3 for pituitary adenoma. In 2 patients radiofrequency thermoablation of pituitary gland was undertaken to treat malignant pain or refractory diabetes. Presurgical planning using stereotactic software was utilised in all patient. In one patient it was necessary to perform tumor debulking because the local oedema of pituitary adenoma was threatening both optic nerves. Radiofrequency thermoablation is advantageous technique in circumscribed lesions, not exceeding 3 cm diameter, deeply seated. Perilesional oedema with intracranial hypertension is surgical limitation. Good tolerance of minimally invasive surgery and the possibility of biopsy sampling before radiofrequency thermoablation is an advantageous feature. Infiltrative growth of glial neoplasm together with irregular shape is the limitation of radiofrequency thermoablation in brain gliomas

Key words:
radiofrequency thermoablation – stereotactic navigation – brain tumor


Sources

1. Nádvorník, P. Stereotaktická neurochirurgia. Martin: Osveta, 1973.

2. Vladyka, V. Stereotaxe v neurochirurgii. SZdN, Praha, 1966.

3. Anzai, Y., Lufkin, R., DeSalles, A., Hamilton, D. R., Farahani, K., Black, K. L. Preliminary experience with MR – guided thermal ablation of brain tumors. AJNR Am. J. Neuroradiol., 1995, roč. 16, č. 1, s. 39–48.

4. Dufková, E., Novák, Z. Objemová elektrotermokoagulace: Experimentální studie k nukleotomii meziobratlové ploténky. Česká a slovenská neurologie a neurochirurgie, 1999, roč. 62/95, č. 4, s. 209–211.

5. Mia, Y., Nia, Y., Zhang, H., Marchal, G. J. Evaluation of radio- frequency ablation as an alternative for the treatment of brain tumors in rabbits. J. Neurooncol., 2002., roč. 56, č. 2, s. 119–126.

6. Gananadha, S., Wulf, S., Morris, D. L. Safety and efficiacy of radiofrequency ablation of brain: a potentially minimally invasive treatment for brain tumours. Minim. Invas. Neurosurgery, 2004, roč. 47, č. 6, s. 325–328.

7. Novák, Z., Chrastina, J., Říha, I., Jančálek, R., Nádvorník, P. Navigovaná termoablace tumorů mozku ČSIR 2006 XI. pracovní sympozium ČSIR při RS ČLS JEP. Čes. Radiol. Příloha, 2006, roč. 60, č. 3, s. 9.

8. Sutnar, A., Třeška, V., Skalický, T. Radiofrekvenční ablace v současné chirurgii – naše zkušenosti. Rozhl. Chir., 2004, roč. 83, č. 10, s. 518–522.

9. Válek, V., Kala, Z., Kiss, I., Tomášek, J. Perkutánní radiofrekvenční ablace (RFA) – současný stav a první klinické zkušenosti s multipolárním systémem. Čes. Radiol., 2006, roč. 60, č. 3, s. 164–170.

10. Homma, J., Kameyama, S., Masuda, H., Ueno, T., Fujimoto, A., Oishi, M., Fukuda, M. Stereotactic radiofrequency thermocoagulation for hypothalamic hamartoma with intractable gelastic seizures. Epilepsy Res., 2007, roč. 76, č. 3, s. 15–21.

11. Leopardi, M. A., Lumenta, C. B., Gumprecht, H. K., von Einsiedel, G. H., Wilhelm, T. Stereotactic guided laser - induced in-trestitial thermotherapy (SLITT) in gliomas with intraoperative morphological monitoring in an open MR-unit. Minim. Invasive Neurosurg., 2001, roč. 44, č. 1, s. 37–42.

12. Schwarzmeier, H. J., Eickmeyer, F., von Tempelhoff, W., Fiedler, W. U., Niehoff, H., Ulrich, S., Yang, Q., Ulrich, F. MR- guided laser induced interstitial themotherapy of recurrent glio-blastoma multiforme: preliminary results in 16 patients. Eur. J. Radiol., 2006, roč. 59, č. 2, s. 208–215.

13. Jordan, A., Schulz, R., Maier-Hauff, K., van Landeghem, F. K.,Waldoefner, N., Teichgraeber, U., Pirkernelle, J., Bruhn, H., Neumann, F., Thiesen, B., von Deimling, A., Felix, R. The effect of thermotherapy using magnetic nanoparticles on rat malignant glioma. J. Neurooncol., 2006, roč. 78, č. 1, s. 7–14.

14. Alexander, E. III, Moriarty, T. M., Kikinis, R., Black, P., Jolesz, F. M. The prezent and future role of intraoperative MRI in neurosurgical procedures. Stereotactic Funct. Neurosurg., 1997, roč. 68, č. 1, s. 10–17.

15. McNichols, R. J., Kangasniemi, M., Gowda, A., Bankson, J. A., Price, B. E., Hazle, J. D. Technical development for cerebral thermal treatment: Water cooled diffusing laser fiber tips and temperature - sensitive MRI using intersecting image planes. Int. J. Hyperthermia, 2004, roč. 20, č. 1, s. 45–56.

16. Vladyka, V., Šubrt, O., Liščák, R. Radiosurgery with the gamma knife. Rozhl Chir, 1994, roč. 73, č. 7, s. 348–355.

17. Jaaskelainen, J. Non invasive transcranial high intensity focused ultrasound(HIFUS) under MRI thermometry and guidance in the treatment of brain lesions. Acta Neurochir. Suppl., 2003 ,roč. 88, č. 1, s. 57–60.

Labels
Surgery Orthopaedics Trauma surgery
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account