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Technical Principles and Clinical Workflow of Transcranial MR-Guided Focused Ultrasound

Ying Meng, Ryan M. Jones, Benjamin Davidson, Yuexi Huang, Christopher B. Pople, Shanan Surendrakumar, Clement Hamani, Kullervo Hynynen, Nir Lipsman
2020 Stereotactic and Functional Neurosurgery  
Transcranial MR-guided focused ultrasound (MRgFUS) is a rapidly developing technology in neuroscience for manipulating brain structure and function without open surgery. The effectiveness of transcranial MRgFUS for thermoablation is well established, and the technique is actively employed worldwide for movement disorders including essential tremor. A growing number of centers are also investigating the potential of microbubble-mediated focused ultrasound-induced opening of the blood-brain
more » ... e blood-brain barrier (BBB) for targeted drug delivery to the brain. Here, we provide a technical overview of the principles, clinical workflow, and operator considerations of transcranial MRgFUS procedures for both thermoablation and BBB opening.
doi:10.1159/000512111 pmid:33302282 fatcat:fz6d5mmmrnampmg4i7myqu623e