AUTHOR=Allam Anthony K. , Larkin M. Benjamin , Katlowitz Kalman A. , Shofty Ben , Viswanathan Ashwin TITLE=Case report: MR-guided laser induced thermal therapy for palliative cingulotomy JOURNAL=Frontiers in Pain Research VOLUME=3 YEAR=2022 URL=https://www.frontiersin.org/journals/pain-research/articles/10.3389/fpain.2022.1028424 DOI=10.3389/fpain.2022.1028424 ISSN=2673-561X ABSTRACT=

In end-stage cancer, oncologic pain refractory to medical management significantly reduces patients' quality of life. In recent years, ablative surgery has seen a resurgence in treating diffuse and focal cancer pain in terminal patients. The anterior cingulate gyrus has been a key focus as it plays a role in the cognitive and emotional processing of pain. While radiofrequency ablation of the dorsal anterior cingulate is well described for treating cancer pain, MRI-guided laser-induced thermal therapy (LITT) is novel. Our paper describes a patient treated with an MRI-guided LITT therapy of the anterior cingulate gyrus for intractable debilitating pain secondary to terminal metastatic cancer.