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=<p>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.</p>