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High‐intensity focused ultrasound for noninvasive functional neurosurgery

2009; Wiley; Volume: 66; Issue: 6 Linguagem: Inglês

10.1002/ana.21801

1531-8249

Ernst Martin, Daniel Jeanmonod, Anne Morel, Eyal Zadicario, Beat Werner,

Infrared Thermography in Medicine

Abstract Transcranial magnetic resonance (MR)‐guided high‐intensity focused ultrasound (tcMRgHIFU) implies a novel, noninvasive treatment strategy for various brain diseases. Nine patients with chronic neuropathic pain were treated with selective medial thalamotomies. Precisely located thermal ablations of 4mm in diameter were produced at peak temperatures of 51°C to 60°C under continuous visual MR guidance and MR thermometry. The resulting lesions are clearly visible on follow‐up MR imaging. All treatments were well tolerated, without side effects or neurological deficits. This is the first report on successful clinical application of tcMRgHIFU in functional brain disorders, portraying it as safe and reliable for noninvasive neurosurgical interventions. Ann Neurol 2009;66:858–861