Evidence map›Paper›PMID 32777090›Full record

ArticleEpilepsia2020

Stereotactic MRI-guided laser interstitial thermal therapy for extratemporal lobe epilepsy.

Kunal Gupta, Brian Cabaniss, Ammar Kheder, Satyanarayana Gedela, Paul Koch, Kelsey C Hewitt, Abdulrahman Alwaki, Christopher Rich, Supriya Ramesha, Ranliang Hu and 3 more

Open access · greenAbstract read
In one paragraph

Article in Epilepsia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Pooled it
  2. Laser interstitial thermal therapy in pediatric neurosurgery: a prospective nationwide study on indications, safety, and early outcomes.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  5. Magnetic Resonance-guided Laser interstitial thermal therapy (MR-gLiTT) in Pediatric Neurosurgery: italian perspective and literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 1 institution in 1 country.

Kunal GuptaDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-9847-0099
Brian CabanissDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA.
Ammar KhederDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA.
Satyanarayana GedelaDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, USA.
Paul KochDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Kelsey C HewittDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA.
Abdulrahman AlwakiDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA.
Christopher RichDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Supriya RameshaDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Ranliang HuDepartment of Radiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Daniel L DraneDepartment of Neurology, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-8747-672X
Robert E GrossDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Jon T WillieDepartment of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0001-9565-4338
Emory University · US

Funding

National Neuropsychological Network (NNN)R01MH118514 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DANIEL L DRANE, David W. Loring · 2019 to 2026
$9.4M
Dissecting the Cognitive Roles of Hippocampus, Other Temporal Lobe StructuresR01NS088748 · NINDS · EMORY UNIVERSITY · PI DRANE, DANIEL L · 2014 to 2024
$6.4M
Semantic Deficits in Temporal Lobe Epilepsy Surgical Patients May Represent A StrK02NS070960 · NINDS · EMORY UNIVERSITY · PI DRANE, DANIEL L · 2011 to 2015
$827k
NIMH NIH HHS R01 MH118514NINDS NIH HHS K02 NS070960NINDS NIH HHS L30 NS080215NINDS NIH HHS R01 NS088748
6 · The paper itself

Abstract

objectiveMagnetic resonance imaging (MRI)-guided laser interstitial thermal therapy (MRg-LITT) is an alternative to open epilepsy surgery. We assess safety and effectiveness of MRg-LITT for extratemporal lobe epilepsy (ETLE) in patients who are considered less favorable for open resection.

methodsWe retrospectively reviewed sequential cases of patients with focal ETLE who underwent MRg-LITT between 2012 and 2019. Epileptogenic zones were determined from standard clinical and imaging data ± stereoelectroencephalography (SEEG). Standard stereotactic techniques, MRI thermometry, and a commercial laser thermal therapy system were used for ablations. Anatomic MRI was used to calculate ablation volumes. Clinical outcomes were determined longitudinally.

resultsThirty-five patients with mean epilepsy duration of 21.3 ± 12.2 years underwent MRg-LITT for focal ETLE at a mean age 36.4 ± 12.7 years. A mean 2.59 ± 1.45 trajectories per patient were used to obtain ablation volumes of 8.8 ± 7.5 cm SIGNIFICANCE: MRI-guided laser interstitial thermal therapy (or MRg-LITT) was well-tolerated and yielded good outcomes in a heterogeneous group of ETLE patients. Lesional epilepsy and favorable seizure-onset patterns on SEEG predicted higher likelihoods of success.

Indexed as

AdultDrug Resistant EpilepsyEpilepsies, PartialEpilepsy, Frontal LobeFemaleGyrus CinguliHumansHypothalamusLaser TherapyMagnetic Resonance ImagingMaleMiddle AgedOccipital LobeParietal LobeStereotaxic TechniquesSurgery, Computer-AssistedEngel classificationepilepsy surgeryextratemporal lobe epilepsylaser interstitial thermal therapylow voltage fast activitystereoelectroencephalography

Identifiers

PMID32777090
PMCPMC8019400
OpenAlexW3048926007

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.