West Islip, NY

Long Island Brain & Spine

Smithtown, NY

St. Catherine of Siena Medical Building

West Islip, NY

The Cancer Institute at Good Samaritan

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5-ALA Imaging
  • The appearance of 5-ALA in the OR. On the left is an intraoperative picture of a brain tumor resection using normal light. On the right, the same view when UV light is applied. The area of the tumor is seen as a fluorescent pink color.

    • Administration of an oral dose of this medicine leads to the production of fluorescent molecules within the glioma cells
    • Glioma cells have an increased metabolism and absorb higher doses of this chemical
    • A special fluorescent filter attached to the microscope allows the visualization of the glioma tumor which is seen as bright pink when UV light is shone upon it
    • Using 5-ALA guidance for the resection of high grade gliomas has been shown to increase extent of resection and improve outcomes.
Neuronavigation 2

The appearance of 5-ALA in the OR. On the left is an intraoperative picture of a brain tumor resection using normal light. On the right, the same view when UV light is applied. The area of the tumor is seen as a fluorescent pink color. 

Dr. Symeon Missios, MD