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MRC DiMeN Doctoral Training Partnership: Laser Interstitial Thermal Therapy for lesional epilepsy: clinical, surgical and imaging predictors of seizure control, quality of life and comorbidities

Funding
Funded
Study mode
Full-time
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Start date
Subject area
Biological and Biomedical Sciences

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Overview

Laser interstitial thermal therapy (LITT) is a novel minimally invasive brain surgical procedure used to treat epilepsy by destroying abnormal brain tissue causing seizures. There is limited information on the efficacy of LITT in lesional epilepsy, the associated comorbidities, and mechanisms / factors associated with treatment outcomes.

About this opportunity

The primary objective of the present project is to evaluate the role of LITT in the surgical treatment of deep-seated lesions in adults with refractory epilepsy, both in terms of seizure control (primary outcome) and quality of life and surgical co-morbidities (secondary outcomes). There are a series of secondary objectives that include:

  • Investigation of the relationship between abnormal brain physiology (from electroencephalography recordings) and brain connectivity (using diffusion MRI tractography)
  • Role of advanced brain MRI methods in LITT planning (anatomical brain reconstruction, diffusion MRI tractography and functional MRI)
  • Exploration of the relationships between neuropsychological impairment and MRI data
  • Exploration of adaptive deep brain stimulation as an alternative treatment technique in patients unsuitable for surgical resection

Environment and training

This clinically orientated programme of research offers a unique opportunity for a PhD student to perform exciting research under the guidance of leading University, hospital, and industrial partners.

You will be primarily based in the BRAIN lab at the University of Liverpool under the supervision of Professor Simon Keller. Here you will join other PhD students working on a range of neuroimaging projects. All PhD students working in the lab work with neuroimaging and patient data and as a lab we host lab meetings, journal clubs, presentations, discuss case studies, and share computer code in a stimulating, nurturing, and fun environment. It is not expected that you will have brain imaging experience as training will be provided. However, some experience may be beneficial.

This exciting opportunity also offers exposure to patient care, treatment, and research at the Walton Centre NHS Foundation Trust, the only NHS Trust specialising in neuroscience, under the co-supervision of Mr Jibril Osman Farah (consultant neurosurgeon) and Dr Antonella Macerollo (consultant neurologist). Mr Farah, Dr Macerollo, and Professor Keller work closely to deliver leading research programmes in brain surgery and stimulation for epilepsy and movement disorders.

Finally, this is an iCASE studentship that has industrial support from Medtronic, a company that develops and manufactures medical devices and therapies. Medtronic ranks top of all medical device companies according to annual revenues, R&D spending, and number of employees. You will have the opportunity to spend a dedicated period of time working at Medtronic.

Benefits of being in the DiMeN DTP:

This project is part of the Discovery Medicine North Doctoral Training Partnership (DiMeN DTP), a diverse community of PhD students across the North of England researching the major health problems facing the world today. Our partner institutions (Universities of Leeds, Liverpool, Newcastle, York and Sheffield) are internationally recognised as centres of research excellence and can offer you access to state-of-the-art facilities to deliver high impact research.

We are very proud of our student-centred ethos and committed to supporting you throughout your PhD. As part of the DTP, we offer bespoke training in key skills sought after in early career researchers, as well as opportunities to broaden your career horizons in a range of non-academic sectors.

Being funded by the MRC means you can access additional funding for research placements, training opportunities or internships in science policy, science communication and beyond.

iCASE industrial partner web link: https://www.medtronic.com/uk-en/index.html

Further information on the programme and instructions on how to apply, including a link to the application portal, can be found on our website https://www.dimen.org.uk/

Further reading

(1) NHS England News – https://www.england.nhs.uk/2024/05/nhs-patients-to-access-world-leading-laser-beam-surgery-to-prevent-epileptic-seizures/
(2) LITT at UT Southwestern Medical Center – https://www.youtube.com/watch?v=tytyAvcI4vc
(3) Prince E, et al. Laser Interstitial Thermal Therapy for Epilepsy. Curr Neurol Neurosci Rep, 2017;17(9):63. – https://link.springer.com/article/10.1007/s11910-017-0772-8
(4) Landazuri P, et al. Interstitial Thermal Therapy in Mesial Temporal Lobe Epilepsy. JAMA Neuro, 2025;82(9):915-924. – https://pmc.ncbi.nlm.nih.gov/articles/PMC12235534/

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Who is this for?

Institutional entry requirements for PhD: 

Applicants for postgraduate research study at Liverpool are normally expected to hold a UK first degree with a First Class or Upper Second Class degree classification, or a Second Class degree plus a Master’s degree. Equivalent international qualifications are also accepted, and their equivalence will be evaluated on the basis of the information provided by the European Network of Information Centres (ENIC) formerly NARIC as well as internal guidance based on our experience of a qualification’s suitability as a preparation for our programmes.

For applicants whose first language is not English, an IELTS score of 6.5 with no band score lower than 5.5, or an equivalent University of Liverpool acceptable English language qualification. For further details and other acceptable English language qualifications please see here: http://www.liv.ac.uk/study/international/countries/english-language/

This project would suit a candidate with a bachelors degree in a related subject area such as Neuroscience, Computer Science, Engineering, Physics, Mathematics, Psychology, Radiography, Professions Allied to Medicine etc. A relevant postgraduate qualification (e.g., MSc, MPhil, MRes) and research experience in an area related to the PhD project would be an advantage.

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How to apply

  1. 1. Contact supervisors

    Supervisors:

    • Prof Simon Keller
    • Mr Jibril Osman
    • Farah Dr Antonella Macerollo
  2. 2. Prepare your application documents

    All applications are made via the application form accessed on the DiMeN website at www.dimen.org.uk/ Please read the full application guidance on the website before submitting an application.

  3. 3. Apply

    Finally, register and apply online. You'll receive an email acknowledgment once you've submitted your application. We'll be in touch with further details about what happens next.

    You should only follow this step if you’ve successfully completed the DiMeN application process

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Funding your PhD

Studentships are fully funded by the MRC for 4yrs, including a minimum of 3 months working with an industry partner.   Funding will cover tuition fees and an enhanced stipend (£23,280 for 2024/2025) and project costs. We have a very small number of funded studentships for exceptional international applicants.   Please read additional guidance here: View Website

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Contact us

Have a question about this research opportunity or studying a PhD with us? Please get in touch with us, using the contact details below, and we’ll be happy to assist you.

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