Evidence map›Paper›PMID 35126300›Full record

ArticleFrontiers in neurology2021

Technical Comparison of Treatment Efficiency of Magnetic Resonance-Guided Focused Ultrasound Thalamotomy and Pallidotomy in Skull Density Ratio-Matched Patient Cohorts.

Abdul-Kareem Ahmed, Sijia Guo, Nathaniel Kelm, Ryan Clanton, Elias R Melhem, Rao P Gullapalli, Alexander Ksendzovsky, Howard M Eisenberg, Timothy R Miller, Dheeraj Gandhi

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
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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

10 authors at 3 institutions in 2 countries.

Abdul-Kareem AhmedDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States.
Sijia GuoDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Nathaniel KelmInsightec, Tirat Carmel, Israel.
Ryan ClantonInsightec, Tirat Carmel, Israel.
Elias R MelhemDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Rao P GullapalliDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United States.
Alexander KsendzovskyDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States.
Howard M EisenbergDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States.
Timothy R MillerDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States.
Dheeraj GandhiDepartment of Neurosurgery, University of Maryland School of Medicine, Baltimore, MD, United States.
University of Maryland, Baltimore · USCarmel (Israel) · ILInSightec (Israel) · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMR-guided focused ultrasound (MRgFUS) is increasingly being used to treat patients with essential tremor (ET) and Parkinson's disease (PD) with thalamotomy and pallidotomy, respectively. Pallidotomy is performed off-center within the cranium compared to thalamotomy and may present challenges to therapeutic lesioning due to this location. However, the impact of target location on treatment efficiency and ability to create therapeutic lesions has not been studied. This study aimed to compare the physical efficiency of MRgFUS thalamotomy and pallidotomy.

methodsTreatment characteristics were compared between patients treated with thalamotomy (

resultsLower SDR values were associated with greater energy requirement for thalamotomy (R

conclusionThe centrally located VIM offers a more efficient location for therapeutic lesioning compared to GPi pallidotomy in SDR matched cohort of patients. The impact on therapeutic lesioning with lower SDR may be greater for pallidotomy patients. As newer off-center targets are investigated, these findings can inform patient selection and treatment requirements for lesion production.

Indexed as

focused ultrasound (MRgFUS)movement disordersskull density ratiostereotactic ablationthalamotomy pallidotomy

Identifiers

PMID35126300
PMCPMC8813961
OpenAlexW4205319506

What OpenQuestion holds

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LicenceCC BY
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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.