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ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Magnetic Resonance-guided Laser interstitial thermal therapy (MR-gLiTT) in Pediatric Neurosurgery: italian perspective and literature review.

Francesca Vitulli, Domenico Tortora, Mattia Pacetti, Barbara Spacca, Rina Agushi, Gianpiero Tamburrini, Lino Nobili, Erica Cognolato, Lorenzo Genitori, Flavio Giordano and 2 more

Abstract read
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In one paragraph

Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. 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
    Article
  2. Treatment of pediatric epilepsy.Pediatric investigation · 2026
    Review
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

12 authors.

Francesca Vitulli *Neurosurgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Domenico Tortora *Neuroradiology Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Mattia PacettiNeurosurgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Barbara SpaccaNeurosurgery Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Rina AgushiNeurosurgery Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Gianpiero TamburriniPediatric Neurosurgery Unit, Fondazione Policlinico Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Lino NobiliChild Neuropsychiatry Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Erica CognolatoDINOGMI, University of Genoa, Genoa, Italy.
Lorenzo GenitoriNeurosurgery Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Flavio GiordanoNeurosurgery Unit, Meyer Children's Hospital IRCCS, Florence, Italy.
Gianluca PiatelliNeurosurgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.
Alessandro ConsalesNeurosurgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy. alessandroconsales@gaslini.org.ORCID http://orcid.org/0000-0002-4354-6906

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMagnetic Resonance-guided Laser interstitial Thermal Therapy (MR-gLiTT) has established itself as a minimally invasive neurosurgical approach for the treatment of various pediatric brain lesions, including tumors and epilepsy. RESEARCH QUESTION: The work is likely to focus on evaluating the efficacy, safety and applicability of MR-gLiTT while investigating its potential to minimize surgical risks, shorten recovery time and improve patient outcomes. MATERIAL AND

methodsThis paper presents the results of a survey conducted in three leading italian pediatric hospitals to investigate the use of MR-gLiTT in pediatric patients with neurosurgical conditions. Data on patient demographics, primary diagnoses, MR-gLiTT parameters, perioperative complications and postoperative outcomes were collected and analysed.

resultsA total of 29 pediatric patients were included in the analysis. The median age at diagnosis was 36 months, with a predominance of males (58.6%). The most common indications were hypothalamic hamartomas (41.4%) and focal cortical dysplasia (24.1%). Perioperative complications were transient in nature (17.2%), with focal muscle weakness being the most frequent, while only one patient experienced a permanent hypoadrenocorticism. The average hospital stay was 6.48 days, with a mean follow-up duration of 23.12 months. DISCUSSION AND

conclusionsThe adoption of MR-gLiTT in pediatric neurosurgery offers a promising minimally invasive approach with favorable outcomes. The efficacy in treating various pediatric neurological conditions is evident, suggesting its potential to reduce surgical risks, shorten hospital stays, and improve patient quality of life. Further clinical trials and prospective studies are required to fully understand the advantages of MR-gLiTT in pediatric neurosurgery.

Indexed as

Brain DiseasesLaser TherapyMagnetic Resonance ImagingNeurosurgical ProceduresAdolescentChildChild, PreschoolFemaleHumansInfantItalyMaleTreatment OutcomeHypothalamic HamartomaLaser interstitial thermal therapyMinimally invasive treatmentMR-gLiTTNeurosurgical survey

Identifiers

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Registered trials

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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.