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Focused ultrasound therapy in movement disorders: management roadmap toward optimal pathway organization.

Authors :
Rinaldo, Sara
Cilia, Roberto
Leta, Valentina
Gammone, Mariarosaria
Golfrè Andreasi, Nico
Colucci, Fabiana
Braccia, Arianna
Telese, Roberta
Fusar Poli, Marco
Levi, Vincenzo
Antonio Romito, Luigi Michele
Ghilemetti, Francesco
De Martin, Elena
Fumagalli, Maria Luisa
Epifani, Francesca
Prioni, Sara
Amami, Paolo
Piacentini, Sylvie
Elia, Antonio Emanuele
Devigili, Grazia
Source :
Frontiers in Neurology; 2024, p01-10, 10p
Publication Year :
2024

Abstract

MRI-guided focused ultrasound (MRgFUS) lesioning is an innovative, safe and effective treatment which provides an innovative development in the field of minimally invasive stereotactic neurosurgery. Based on the application of focused ultrasound energy under full MR planning and thermal imaging control, unilateral lesioning of the thalamus, subthalamic nucleus, and globus pallidus is indicated for the treatment of movement disorders, including essential tremor, Parkinson's disease, and dystonia. We started to apply this technique in February 2019 for the treatment of patients with movement disorders. The authors developed a diagnostic therapeutic care pathway, which is herewith proposed and applied as an explication of standard clinical practice in use. The project was the result of the application of different methods such as Health Technology Assessment (HTA), Strengths, Weaknesses, Opportunities and Threats analysis (SWOT) and Demin-Plan, Do, Check, Act (PDCA) cycle. The aim of this project was to standardize the MRgFUS diagnostic-therapeutic pathway (DTP), describe its application and the appropriateness of different phases (patient selection, intervention phase and follow-up). Here, we described in detail our experience in the DTP application from 2019 up to now in 610 patients with movement disorders. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
16642295
Database :
Complementary Index
Journal :
Frontiers in Neurology
Publication Type :
Academic Journal
Accession number :
176666110
Full Text :
https://doi.org/10.3389/fneur.2024.1356310