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Brain metastases treatment with MRI-guided laser ablation (500915) | Medipol Mega University Hospital Istanbul - BookingHealth
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After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI scan with obtaining 3D images and creating volumetric images of the whole brain. Based on the results of an additional examination, the physician will clarify the localization of brain metastases. After that, the preparation according to the preoperative standard will begin.<\/p>\n\n<p style=\"text-align:justify\"><strong>Laser ablation of metastases<\/strong>&nbsp;begins with the formation of access to the brain. When using a catheter with a laser fiber, a hole with a diameter of 3.2 mm is sufficient for this. The miniature size and flexibility of the catheter help preserve healthy brain tissue.<\/p>\n\n<p style=\"text-align:justify\">When the catheter reaches metastasis, energy is delivered through the laser fiber. Under the influence of high temperature, metastases are destroyed. The procedure is guided by real-time MRI. 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Brain metastases treatment with MRI-guided laser ablation in Medipol Mega University Hospital Istanbul

Medipol Mega University Hospital Istanbul

Istanbul, Turkey
Program id # 500915
Doctor photo
Assoc. Prof. Dr. med. Cem Dinç
Department of Adult and Pediatric Neurosurgery
Specialized in: adult and pediatric neurosurgery

The program includes:

  • Initial presentation in the clinic
  • clinical history taking
  • review of medical records
  • physical examination
  • laboratory tests:
    • complete blood count
    • general urine analysis
    • biochemical analysis of blood
    • inflammation indicators (CRP, ESR)
    • indicators of blood coagulation
  • neurological examination
  • CT/MRI scan
  • neuropsychological tests (if indicated):
    • ENMG (electroneuromyography)
    • EEG (electroencephalography)
    • SEPs (somatosensory evoked potentials)
    • VEPs (visually evoked potentials)
    • BAEP tests (brainstem auditory evoked potentials)
  • preoperative care
  • MRI-guided laser ablation of brain metastases
  • postoperative MRI control
  • symptomatic treatment
  • control examinations
  • the cost of essential medicines and materials
  • nursing services
  • full hospital accommodation
  • developing of further guidance by specialists
    in oncology and radiotherapy

How program is carried out

During the first visit, the physician will conduct a clinical examination and neurological examination, and go through the results of the available diagnostic tests. After that, you will undergo the necessary additional examination, such as the laboratory blood and urine tests, MRI scan with obtaining 3D images and creating volumetric images of the whole brain. Based on the results of an additional examination, the physician will clarify the localization of brain metastases. After that, the preparation according to the preoperative standard will begin.

Laser ablation of metastases begins with the formation of access to the brain. When using a catheter with a laser fiber, a hole with a diameter of 3.2 mm is sufficient for this. The miniature size and flexibility of the catheter help preserve healthy brain tissue.

When the catheter reaches metastasis, energy is delivered through the laser fiber. Under the influence of high temperature, metastases are destroyed. The procedure is guided by real-time MRI. Surgeons also assess the temperature of healthy brain tissue using thermographic images to avoid overheating.

After the completion of the operation, you will be transferred to the ward, under the round-the-clock supervision of doctors and nurses. In several days, the attending physician will evaluate the results of the postoperative MRI scans, schedule the date of discharge from the hospital and give you detailed recommendations for further follow-up and treatment.

Required documents

  • Medical records
  • MRI/CT scan (not older than 3 months)
  • Biopsy results (if available)

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About the department

The Department of Adult and Pediatric Neurosurgery at the Medipol Mega University Hospital Istanbul offers the full range of surgical treatment of diseases of the brain and spinal cord in patients of all age groups. To provide emergency medical care, the department operates a specialized Intensive Care Unit. The department has in its arsenal state-of-the-art equipment for surgical navigation and intraoperative imaging, particularly, StealthStation navigation system with 3D imaging of anatomical structures, the O-arm intraoperative computed tomography scanner, the intraoperative magnetic resonance imaging scanner and the Gamma Knife for stereotactic radiosurgical interventions. The Chief Physician of the department is Assoc. Prof. Dr. med. Cem Dinç.

One of the most important places in clinical practice is given to neurosurgical oncology, which is engaged in the surgical treatment of malignant tumors of the nervous system. In both adults and children, the interventions are performed using the very latest microsurgical and endoscopic techniques. Prior to the treatment, the council of doctors, which consists of a neurosurgeon, a radiation therapist, an oncologist and other experts, accurately plan each stage of therapy and the sequence of therapeutic measures (surgery, radiation therapy and chemotherapy).

The field of ​​competence of the department's specialists also includes surgery for traumatic, congenital and degenerative spinal diseases. The department includes the specialized Center for Minimally Invasive Spinal Surgery, which performs microsurgical and endoscopic operations (particularly, for the treatment of spinal disc herniation). After surgery, the patient will be prescribed a course of physiotherapy and rehabilitation (in collaboration with the Department of Physiotherapy and Rehabilitation).

The experts in functional surgery carry out the implantation of baclofen pumps to patients with spastic syndrome and chronic pain. To treat epilepsy, the doctors implant vagus nerve stimulators.

An integral part of clinical practice is pediatric neurosurgery. The department treats congenital and acquired cerebro-cranial and spinal pathologies in children using microsurgical and endoscopic techniques. The most common diseases, which occur in the department’s patients, include oncological and vascular pathologies, hydrocephalus and spinal dysraphia.

The main activities of the department include:

  • Surgical treatment of vascular pathologies of the nervous system
  • Surgical treatment of cerebral aneurysms
  • Surgical treatment of arteriovenous malformations
  • Carotid endarterectomy (surgery to restore patency of the internal carotid artery)
  • Bypass surgeries
  • Surgical treatment of intracerebral hematoma
  • Surgical treatment of ischemic stroke
  • Indirect cerebral revascularization
  • Decompressive craniectomy
  • Other surgical services

Curriculum vitae

Education and Professional Career

  • 2016 - 2017 University of Wisconsin.
  • 2012 - 2018 Düzce University.
  • 2000 - 2006 Department of Neurosurgery, Okmeydanı Training and Research Hospital.
  • 1999 Istanbul University, Cerrahpaşa Faculty of Medicine.

Photo of the doctor: (c) Medipol Mega University Hospital Istanbul 


About hospital

Accommodation in hospital

Hospital accommodation

The patients and their families can stay at the Medipol Guest House, which is a 1-minute walk from the Medipol Mega University Hospital Istanbul.