Evidence map›Paper›PMID 31407957›Full record

ArticleThe neuroradiology journal2019

Targeting of the dentato-rubro-thalamic tract for MR-guided focused ultrasound treatment of essential tremor.

Timothy R Miller, Jiachen Zhuo, Howard M Eisenberg, Paul S Fishman, Elias R Melhem, Rao Gullapalli, Dheeraj Gandhi

Open access · bronzeAbstract read
In one paragraph

Article in The neuroradiology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 8% of its field
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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Timothy R MillerDepartment of Diagnostic Radiology, University of Maryland Medical Center, USA.ORCID https://orcid.org/0000-0003-1784-3402
Jiachen ZhuoDepartment of Diagnostic Radiology, University of Maryland Medical Center, USA.
Howard M EisenbergDepartment of Neurosurgery, University of Maryland Medical Center, USA.
Paul S FishmanDepartment of Neurology, University of Maryland Medical Center, USA.
Elias R MelhemDepartment of Diagnostic Radiology, University of Maryland Medical Center, USA.
Rao GullapalliDepartment of Diagnostic Radiology, University of Maryland Medical Center, USA.
Dheeraj GandhiDepartment of Diagnostic Radiology, University of Maryland Medical Center, USA.
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMagnetic resonance-guided focused ultrasound ablation of the thalamic ventral intermediate nucleus is a safe and effective treatment for medically refractory essential tremor. However, indirect targeting of the ventral intermediate nucleus using stereotactic coordinates from normal neuroanatomy can be inefficient. We therefore evaluated the feasibility of supplementing this method with direct targeting of the dentato-rubro-thalamic tract.

methodsWe retrospectively identified four patients undergoing magnetic resonance-guided focused ultrasound ablation for essential tremor in which preoperative diffusion tractography imaging of the dentato-rubro-thalamic tract was fused with T2 weighted-imaging and utilized for intra-procedural targeting. The size and location of the dentato-rubro-thalamic tract and 24-hour lesion, as well as the center of the stereotactic coordinates, was evaluated. Finally, the amount of overlap between the dentato-rubro-thalamic tract and the lesion was calculated.

resultsThe 24-hour lesion size was homogeneous in the cohort (mean 31.3 mm

conclusionDirect targeting of the dentato-rubro-thalamic tract using diffusion tractography imaging fused to T2 weighted-imaging may be a useful strategy for focused ultrasound treatment of essential tremor. Further investigation of the technique is warranted.

Indexed as

Cerebellar NucleiDiffusion Magnetic Resonance ImagingDiffusion Tensor ImagingEssential TremorHumansMagnetic Resonance ImagingNeural PathwaysRed NucleusSurgery, Computer-AssistedThalamusUltrasonic Surgical Proceduresdiffusion tensor imagingessential tremorMR-guided high frequency ultrasound ablation

Identifiers

PMID31407957
PMCPMC6856993
OpenAlexW2968798979

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.