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. 2022 Mar 28;23(3):647–657. doi: 10.1007/s11154-022-09718-9
Key points 5-AminoLevulinic Acid (5-ALA)
- 5-ALA is metabolized to PpIX and accumulates in tumor cells
- PpIX absorbs violet-blue light and transmits in the red spectrum of 600 nm to 650 nm with peak emission at 635 nm
- 5-ALA has been shown to improve glioma resection rates and progression-free survival rates
- Literature is sparse concerning 5-ALA usage during PitNET surgery. No strong added benefit for pituitary adenoma surgery has been proven yet