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The role of MRgFUS in the treatment of neuropsychiatric disorders: a state of the art.

Authors :
Campisi BM
Costanzo R
Noto M
Cipollina GP
Marino S
DI Lorenzo G
Bonosi L
Brunasso L
Iacopino DG
Maugeri R
Source :
Journal of neurosurgical sciences [J Neurosurg Sci] 2024 Aug 05. Date of Electronic Publication: 2024 Aug 05.
Publication Year :
2024
Publisher :
Ahead of Print

Abstract

Introduction: Magnetic resonance-guided focused ultrasound (MRgFUS) is a contemporary non-invasive ablative procedure that utilizes high- or low-intensity ultrasound, guided and monitored by magnetic resonance imaging (MRI). While MRgFUS has been established as an effective treatment for conditions like essential tremor and tremor-dominant Parkinson's disease, it has recently emerged as a safe and promising ablative minimally invasive procedure for the management of treatment-resistant psychiatric disorders. Indeed, despite the availability of various pharmacological and behavioral therapies, a subset of psychiatric patients remains refractory to conventional treatments.<br />Evidence Acquisition: To assess the feasibility and safety of MRgFUS in psychiatric disorders, a comprehensive literature search in PubMed and Scopus databases was conducted, resulting in the inclusion of five relevant articles in this review.<br />Evidence Synthesis: While data on this innovative procedure are still limited, MRgFUS demonstrates potential as a safer and less invasive surgical technique for treating these disorders.<br />Conclusions: Continued research efforts and data validation are imperative to establish MRgFUS as an additional, minimally invasive procedure for treatment-resistant psychiatric patients in the near future.

Details

Language :
English
ISSN :
1827-1855
Database :
MEDLINE
Journal :
Journal of neurosurgical sciences
Publication Type :
Academic Journal
Accession number :
39101216
Full Text :
https://doi.org/10.23736/S0390-5616.24.06306-9