Magnetic resonance imaging-guided laser interstitial thermal therapy for glioblastoma of the corpus callosum

Thomas L. Beaumont, Alireza M. Mohammadi, Albert H. Kim, Gene H. Barnett, Eric C. Leuthardt

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

Background: Glioblastoma of the corpus callosum is particularly difficult to treat, as the morbidity of surgical resection generally outweighs the potential survival benefit. Laser interstitial thermal therapy (LITT) is a safe and effective treatment option for difficult to access malignant gliomas of the thalamus and insula. Objective: To assess the safety and efficacy of LITT for the treatment of glioblastoma of the corpus callosum. Methods: We performed a multicenter retrospective analysis of prospectively collected data. The primary endpoint was the safety and efficacy of LITT as a treatment for glioblastoma of the corpus callosum. Secondary endpoints included tumor coverage at thermal damage thresholds, median survival, and change in Karnofsky Performance Scale score 1 mo after treatment. Results: The study included patients with de novo or recurrent glioblastoma of the corpus callosum (n = 15). Mean patient age was 54.7 yr. Mean pretreatment Karnofsky Performance Scale score was 80.7 and there was no significant difference between subgroups. Mean tumor volume was 18.7 cm 3 . Hemiparesis occurred in 26.6% of patients. Complications were more frequent in patients with tumors >15 cm 3 (RR 6.1, P = .009) and were associated with a 32% decrease in survival postLITT.Median progression-free survival, survival postLITT, and overall survival were 3.4, 7.2, and 18.2 mo, respectively. Conclusion: LITT is a safe and effective treatment for glioblastoma of the corpus callosum and provides survival benefit comparable to subtotal surgical resection with adjuvant chemoradiation. LITT-associated complications are related to tumor volume and can be nearly eliminated by limiting the procedure to tumors of 15 cm 3 or less.

Original languageEnglish
Pages (from-to)556-565
Number of pages10
JournalClinical neurosurgery
Volume83
Issue number3
DOIs
StatePublished - Jan 1 2018

Keywords

  • Corpus callosum
  • Glioblastoma
  • Glioma
  • LITT
  • Laser
  • Monteris

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