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Laser Interstitial Thermal Therapy (LITT)

Laser interstitial thermal therapy (LITT) uses focused heat delivered through a small laser probe to treat certain brain lesions or tumors with minimally invasive techniques.

  • Brain & Spine Tumors

    We have decades of experience caring for patients with brain & spine tumors, pioneering minimally invasive treatments and leading research for new treatments to improve patient outcomes.

What Is Laser Interstitial Thermal Therapy (LITT)?

Laser interstitial thermal therapy (LITT) is a minimally invasive treatment that uses a thin laser probe to deliver controlled heat to a targeted area in the brain. The heat is used to destroy abnormal tissue while helping protect nearby healthy structures. LITT may be considered for some brain tumors, recurrent tumors or other carefully selected brain lesions.

Why Choose Baptist Health?

At Baptist Health Brain & Spine Care, patients receive care from physicians who focus on complex neurological conditions and advanced treatment planning. For people being evaluated for LITT, care often involves a multidisciplinary team that may include neurosurgery, neuro-oncology, radiation oncology, neuroradiology and supportive care services.

Because LITT is not the right treatment for every patient, the care team start with a careful review of imaging, symptoms, overall health and treatment goals.

Why Choose Baptist Health?

How It Works

LITT is performed by placing a small laser applicator into the target area through a tiny opening in the skull. Using advanced imaging guidance, physicians deliver thermal energy to heat and destroy selected tissue. Temperature monitoring helps the team track treatment in real time.

Who May Benefit

LITT may be considered for some patients with:

  • Certain brain tumors or recurrent brain tumors
  • Lesions that are difficult to reach with open surgery
  • Symptoms that continue despite other treatment
  • A need for a less invasive treatment approach

A full evaluation is needed to decide whether LITT is appropriate. The size and location of the lesion, prior treatments, neurological symptoms and overall health all matter.

Benefits and Risks

Potential Benefits

Potential benefits of LITT may include:

  • A minimally invasive approach
  • A smaller incision than open surgery
  • Targeted treatment of selected tissue
  • A shorter hospital stay for some patients

Possible risks depend on the area being treated and the patient’s overall condition. Risks may include bleeding, infection, swelling, seizures, neurological changes, anesthesia-related risks or the need for additional treatment later.

Your physician will explain the risks and expected benefits for your situation.

What to Expect

  • Before LITT, patients usually have imaging studies, such as MRI, and a detailed review of symptoms, medicines and prior treatments. Your care team will explain how to prepare, including eating, drinking and medication instructions.

  • During the procedure, the physician places the laser probe with imaging guidance and treats the targeted tissue with controlled heat. Anesthesia may be used based on the treatment plan. The exact steps can vary depending on the location being treated.

  • After LITT, patients are monitored closely for neurological changes, pain control and recovery from anesthesia. Follow-up imaging may be used to assess the treated area. Some patients go home quickly, while others need a longer stay based on their condition.

Recovery

Recovery after LITT varies. Some people return to light activities sooner than they would after a more invasive procedure, but recovery depends on the diagnosis, the area treated and any symptoms present before treatment. Follow-up visits and imaging are important to monitor healing and next steps.

Frequently Asked Questions

  • LITT is considered a minimally invasive surgical treatment. It uses a small opening and a thin laser probe rather than a larger open operation, but it still requires careful planning, imaging guidance and specialist care.

  • LITT may be used for certain brain tumors, recurrent tumors, radiation-related tissue injury or other selected brain lesions. Whether it is appropriate depends on the location, size, symptoms and your overall treatment plan.

  • Some patients may be candidates when a lesion is small, in a hard-to-reach area or when a less invasive option is being considered. Candidacy can only be determined after imaging review and evaluation by a physician.

  • LITT may reduce tissue disruption because it is minimally invasive, but no procedure is risk-free. The safest option depends on the exact diagnosis, where the lesion is located and what treatment goals need to be achieved.

  • Recovery time varies from person to person. Some patients recover faster than they would after open surgery, but the timeline depends on the condition being treated, the area of the brain involved and whether additional therapy is needed.

  • Possibly. Some patients need follow-up imaging, medicines, rehabilitation, radiation therapy, chemotherapy or another procedure. LITT is often one part of a broader care plan rather than the only treatment.

  • LITT is typically planned and performed with detailed imaging guidance. During treatment, temperature monitoring helps physicians see how heat is affecting the target area in real time.

  • Risks can include bleeding, infection, swelling, seizures, neurological symptoms or anesthesia-related complications. The exact risks depend on the treatment area and your medical history, so your physician will review the details with you.

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