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An Overview of MR-Guided Laser Interstitial Thermal Therapy (MRg-LITT) in Disrupting the Blood-Brain Barrier: Efficacy and Duration.
Bakrbaldawi, Ahmed Abdulsalam Ali; Zhu, Zhoule; Zheng, Zhe; Zhu, Junming; Jiang, Hongjie.
Afiliación
  • Bakrbaldawi AAA; Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 310009 Hangzhou, Zhejiang, China.
  • Zhu Z; Clinical Research Centre for Neurological Diseases of Zhejiang Province, 310009 Hangzhou, Zhejiang, China.
  • Zheng Z; Epilepsy Centre, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 310009 Hangzhou, Zhejiang, China.
  • Zhu J; Department of Neurosurgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University, 310009 Hangzhou, Zhejiang, China.
  • Jiang H; Clinical Research Centre for Neurological Diseases of Zhejiang Province, 310009 Hangzhou, Zhejiang, China.
J Integr Neurosci ; 23(7): 130, 2024 Jul 11.
Article en En | MEDLINE | ID: mdl-39082289
ABSTRACT
The blood-brain barrier (BBB) is a selectively semi-permeable layer, crucial in shielding the brain from external pathogens and toxic substances while maintaining ionic homeostasis and sufficient nutrient supply. However, it poses a significant challenge for drugs to penetrate the BBB in order to effectively target brain tumors. Magnetic resonance-guided laser interstitial thermal therapy (MRg-LITT) is a minimally invasive technique that employs thermal energy to cauterize intracranial lesions with the potential to temporarily disrupt the BBB. This further opens a possible therapeutic window to enhance patient outcomes. Here, we review the impact of MRg-LITT on BBB and blood tumor barrier (BTB) and the duration of the BBB disruption. Studies have shown that MRg-LITT is effective due to its minimally invasive nature, precise tumor targeting, and low complication rates. Although the disruption duration varies across studies, the average peak disruption is within the initial two weeks post-ablation period and subsequently exhibits a gradual decline. However, further research involving larger groups with extended follow-up periods is required to determine disruption duration more accurately. In addition, evaluating toxicity and glymphatic system disruption is crucial to circumvent potential risks associated with this procedure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Barrera Hematoencefálica / Terapia por Láser Límite: Animals / Humans Idioma: En Revista: J Integr Neurosci Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Singapur
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Encefálicas / Barrera Hematoencefálica / Terapia por Láser Límite: Animals / Humans Idioma: En Revista: J Integr Neurosci Asunto de la revista: NEUROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Singapur