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Several techniques and changes have been implemented in an attempt to reduce the number of complications associated with LITT. The use of intraoperative image guidance, computer assistance, and frameless Surgical Navigation System has revolutionised and advanced the treatment of many intracranial pathologies, and it has been linked to lower complication rates. 108,109 In addition to preoperative CT/MR images for trajectory planning, it has been suggested that magnetic resonance angiography (CTA) and diffusion tensor imaging with fibre tracking be included in preoperative imaging. 34,107 This could improve trajectory planning by avoiding vital structures like vessels and cerebrospinal fluid (CSF) while navigating the catheter or laser to the target lesion, potentially reducing haemorrhage and motor deficits.

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