Evidence map›Paper›PMID 28412948›Full record

Trial reportBMC neurology2017

A computerized tablet system for evaluating treatment of essential tremor by magnetic resonance guided focused ultrasound.

Fred Tam, Yuexi Huang, Michael L Schwartz, Tom A Schweizer, Kullervo Hynynen, Simon J Graham

Abstract readClinical Trial
In one paragraph

Trial report in BMC neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Ultrasound-Informed State Estimation of Wrist Tremor Dynamics via Koopman Operator for Personalized Sensory Peripheral Nerve Stimulation.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Fred TamPhysical Sciences Platform, Sunnybrook Research Institute, Mailroom S604, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada. fred.tam@sri.utoronto.ca.ORCID http://orcid.org/0000-0002-6509-6387
Yuexi HuangPhysical Sciences Platform, Sunnybrook Research Institute, Mailroom S604, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Michael L SchwartzDepartment of Surgery (Neurosurgery), Sunnybrook Health Sciences Centre, Toronto, Canada.
Tom A SchweizerDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, Canada.
Kullervo HynynenPhysical Sciences Platform, Sunnybrook Research Institute, Mailroom S604, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.
Simon J GrahamPhysical Sciences Platform, Sunnybrook Research Institute, Mailroom S604, 2075 Bayview Avenue, Toronto, ON, M4N 3M5, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTranscranial magnetic resonance guided focused ultrasound is an emerging technology under evaluation for treatment of essential tremor, a prevalent movement disorder. A qualitative evaluation is performed by a clinician periodically during the procedure to maximize treatment effects and minimize adverse effects. The present work demonstrates a magnetic resonance-compatible method to enable more precise, quantitative measurement of tremor severity.

methodsTremor severity was measured in 12 patients pre-, post-, and intra-operatively, using a magnetic resonance-compatible tablet and a computerized adaptation of drawing tasks from the widely-used Fahn-Tolosa-Marin Tremor Rating Scale. Tremor metrics based on spectral analysis were calculated for each drawing and compared using Wilcoxon signed rank tests.

resultsTremor metrics in the dominant (treated) hand were significantly and consistently lower post-operatively compared to pre-operatively, but there was no significant difference in the non-dominant (untreated) hand, as expected. Intra-operative metrics were intermediate between pre- and post-operative metrics.

conclusionsUse of the tablet for quantitative tremor measurement was demonstrated pre-, post-, and intra-operatively during treatment of essential tremor, complementing standard qualitative assessment. With additional work, the system has potential to add objectivity to clinical trials and to aid treatment decision-making by providing a metric for optimization during the procedure, which may eventually lead to more optimal treatment. Enhancements and further studies are suggested, and extensions to fMRI studies of essential tremor and Parkinson's disease are also likely.

Indexed as

Computers, HandheldAgedEssential TremorFemaleHumansMaleMiddle AgedUltrasonography, Doppler, TranscranialDrawingEssential tremorMagnetic resonance guided focused ultrasoundMagnetic resonance imagingMovement disordersTablet

Identifiers

PMID28412948
PMCPMC5392935

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.