Evidence map›Paper›PMID 39572202›Full record

GuidelineAJNR. American journal of neuroradiology2025

State of Practice on Transcranial MR-Guided Focused Ultrasound: A Report from the ASNR Standards and Guidelines Committee and ACR Commission on Neuroradiology Workgroup.

Bhavya R Shah, Jody Tanabe, John E Jordan, Drew Kern, Stephen C Harward, Fabricio S Feltrin, Padraig O'Suilliebhain, Vibhash D Sharma, Joseph A Maldjian, Alexandre Boutet and 11 more

Abstract readPractice Guideline
In one paragraph

Guideline in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Focused ultrasound for brain metastases.Neuro-oncology advances · 2026
    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

21 authors.

Bhavya R ShahFrom the Transcranial Focused Ultrasound Laboratory (B.R.S., F.S.F.), University of Texas Southwestern Medical Center, Dallas, Texas Bhavya.shah@utsouthwestern.edu.ORCID 0000-0002-0058-6174
Jody TanabeAmerican Society of Neuroradiology Standards and Guidelines Committee (J.T., J.E.J., S.H., L.M.S.), Oak Brook, Illinois.ORCID 0000-0002-7110-8444
John E JordanAmerican Society of Neuroradiology Standards and Guidelines Committee (J.T., J.E.J., S.H., L.M.S.), Oak Brook, Illinois.ORCID 0000-0002-5779-7538
Drew KernDepartments of Neurology and Neurosurgery (D.K.), University of Colorado School of Medicine, Aurora, Colorado.ORCID 0000-0001-7317-3787
Stephen C HarwardDepartment of Neurosurgery (S.C.H., S.L.), Duke University Medical Center, Durham, North Carolina.
Fabricio S FeltrinFrom the Transcranial Focused Ultrasound Laboratory (B.R.S., F.S.F.), University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0001-6783-7655
Padraig O'SuilliebhainDepartment of Neurology (P.O., V.D.S.), Movement Disorder Section, University of Texas Southwestern Medical Center, Dallas, Texas.
Vibhash D SharmaDepartment of Neurology (P.O., V.D.S.), Movement Disorder Section, University of Texas Southwestern Medical Center, Dallas, Texas.
Joseph A MaldjianDepartment of Radiology (B.R.S., F.S.F., J.A.M.), University of Texas Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-6384-1072
Alexandre BoutetDepartment of Neuroradiology (A.B.), University of Toronto Medical Center, Toronto, Ontario, Canada.ORCID 0000-0001-6942-5195
Raghav MattayDepartment of Radiology and Biomedical Imaging (R.M., L.P.S., K.N., S.H.), University of California San Francisco, San Francisco, California.ORCID 0000-0002-8506-9503
Leo P SugrueDepartment of Radiology and Biomedical Imaging (R.M., L.P.S., K.N., S.H.), University of California San Francisco, San Francisco, California.ORCID 0000-0001-7315-4519
Kazim NarsinhDepartment of Radiology and Biomedical Imaging (R.M., L.P.S., K.N., S.H.), University of California San Francisco, San Francisco, California.ORCID 0000-0002-2019-5461
Steven HettsAmerican Society of Neuroradiology Standards and Guidelines Committee (J.T., J.E.J., S.H., L.M.S.), Oak Brook, Illinois.ORCID 0000-0001-5885-7259
Lubdha M ShahAmerican Society of Neuroradiology Standards and Guidelines Committee (J.T., J.E.J., S.H., L.M.S.), Oak Brook, Illinois.ORCID 0000-0003-1303-3533
Jason DruzgalDepartment of Radiology (J.D.), University of Virginia, Charlottesville, Virginia.ORCID 0000-0001-7240-9487
Vance T LehmanDepartment of Radiology (V.T.L., T.J.K.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-8713-8293
Kendall LeeDepartment of Neurosurgery (K.L., T.J.K.), Mayo Clinic, Rochester, Minnesota.
Shekhar KhanparaDepartment of Neuroradiology (S.K.), University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-9127-196X
Shivanand LadDepartment of Neurosurgery (S.C.H., S.L.), Duke University Medical Center, Durham, North Carolina.
Timothy J KaufmannDepartment of Neurosurgery (K.L., T.J.K.), Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-7483-1569

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Improving Focused Ultrasound Mediated Viral Gene Therapy DeliveryR01NS127900 · NINDS · UT SOUTHWESTERN MEDICAL CENTER · PI Bhavya Ramesh Shah · 2024 to 2026
$2.4M
NIGMS NIH HHS T32 GM145449NINDS NIH HHS R01 NS127900
6 · The paper itself

Abstract

Transcranial focused ultrasound (FUS) is a versatile, MR-guided, incisionless intervention with diagnostic and therapeutic applications for neurologic and psychiatric diseases. It is currently FDA-approved as a thermoablative treatment of essential tremor and Parkinson disease. However, other applications of FUS including BBB opening for diagnostic and therapeutic applications, sonodynamic therapy, histotripsy, and low-intensity focused ultrasound neuromodulation are all in clinical trials. While FUS targeting for essential tremor and Parkinson disease has classically relied on an indirect, landmark-based approach, development of novel, advanced MR imaging techniques such as DTI tractography and fast gray matter acquisition T1 inversion recovery has the potential to improve individualized targeting and thus potentially enhance treatment response, decrease treatment times, and avoid adverse effects. As the technology advances and the number of clinical applications increases, the role of the neuroradiologist on a multidisciplinary team will be essential in pairing advanced structural and functional imaging to further this image-guided procedure via a precision medicine approach. This multi-institutional report, written by an experienced team of neuroradiologists, neurosurgeons, and neurologists, summarizes current practices, the use of advanced imaging techniques for transcranial MR-guided high-intensity FUS, recommendations for clinical implementation, and emerging clinical indications.

Indexed as

High-Intensity Focused Ultrasound AblationEssential TremorHumansMagnetic Resonance Imaging, InterventionalSurgery, Computer-AssistedUnited States

Identifiers

PMID39572202
PMCPMC11735448

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.