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磁共振引导聚焦超声治疗肌张力障碍:一项范围综述

Magnetic resonance-guided focused ultrasound in dystonia: a scoping review.

作者信息

Guinal Safrollah M, Jamora Roland Dominic G, Khu Kathleen Joy O, Aguilar Jose A

机构信息

Division of Adult Neurology, Department of Neurosciences, College of Medicine, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.

Section of Neurology, Department of Internal Medicine, Cardinal Santos Medical Center, San Juan City, Philippines.

出版信息

Neurol Sci. 2025 Mar;46(3):1121-1130. doi: 10.1007/s10072-024-07882-1. Epub 2024 Nov 20.

DOI:10.1007/s10072-024-07882-1
PMID:39562491
Abstract

BACKGROUND

Magnetic resonance guided focused ultrasound (MRgFUS) is a non-invasive therapeutic technique that utilizes focused ultrasound waves to generate heat at specific tissue targets within the brain. This emerging technology holds promise for its precision and potential benefits in comparison to traditional surgical interventions. This investigation involves a scoping review, summarizing insights from various studies that explore the advantages, limitations, and outcomes associated with MRgFUS in the treatment of dystonia.

METHODS

This scoping review was conducted using the Preferred Reporting Items for Systematic reviews and Meta-analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines. Data available on MRgFUS use in the management of different types of dystonia were extracted.

RESULTS

There is limited data available (n = 11). In the surveyed literature, MRgFUS has consistently shown clinical benefit in patients with dystonia. It is an emerging avenue of treatment and has its challenges.

CONCLUSION

This scoping review highlighted the early but encouraging applications of MRgFUS in dystonia management. While data was limited, existing studies consistently demonstrated positive clinical outcomes. The non-invasive and precise nature of MRgFUS positions it as a promising avenue for further research, despite the challenges associated with its emergent status. This review sets the stage for future inquiries, emphasizing its potential as a valuable tool in dystonia treatment.

摘要

背景

磁共振引导聚焦超声(MRgFUS)是一种非侵入性治疗技术,利用聚焦超声波在脑内特定组织靶点产生热量。与传统手术干预相比,这项新兴技术因其精准性和潜在益处而具有前景。本调查涉及一项范围综述,总结了各种研究中关于MRgFUS治疗肌张力障碍的优势、局限性和结果的见解。

方法

本范围综述按照系统评价和Meta分析扩展的范围综述首选报告项目(PRISMA-ScR)指南进行。提取了关于MRgFUS用于管理不同类型肌张力障碍的可用数据。

结果

可用数据有限(n = 11)。在所调查的文献中,MRgFUS在肌张力障碍患者中一直显示出临床益处。它是一种新兴的治疗途径,也面临挑战。

结论

本范围综述突出了MRgFUS在肌张力障碍管理中的早期但令人鼓舞的应用。虽然数据有限,但现有研究一致显示出积极的临床结果。MRgFUS的非侵入性和精确性使其成为一个有前景的进一步研究途径,尽管其新兴地位带来了挑战。本综述为未来的研究奠定了基础,强调了其作为肌张力障碍治疗中一种有价值工具的潜力。

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本文引用的文献

1
Establishing and developing a magnetic resonance-guided focused ultrasound program in a resource-limited setting: the Philippine experience.在资源有限的环境中建立和发展磁共振引导聚焦超声项目:菲律宾的经验。
Neurosurg Rev. 2024 Jul 30;47(1):372. doi: 10.1007/s10143-024-02624-5.
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Bilateral Simultaneous Magnetic Resonance-Guided Focused Ultrasound Pallidotomy for Life-Threatening Status Dystonicus.双侧同期磁共振引导聚焦超声苍白球切开术治疗危及生命的肌张力障碍状态。
Mov Disord. 2024 Aug;39(8):1408-1412. doi: 10.1002/mds.29811. Epub 2024 Apr 19.
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Outcomes of Focused Ultrasound Thalamotomy in Tremor Syndromes.
聚焦超声丘脑切开术治疗震颤综合征的疗效。
Mov Disord. 2024 Jan;39(1):173-182. doi: 10.1002/mds.29658. Epub 2023 Nov 14.
4
Consistency is key: influence of skull density ratio distribution on the formation of clinically effective lesions and long-term tremor suppression following treatment with MR-guided focused ultrasound.一致性是关键:颅骨密度比分布对 MR 引导聚焦超声治疗后形成临床有效病变和长期震颤抑制的影响。
J Neurosurg. 2023 Sep 1;140(3):648-656. doi: 10.3171/2023.6.JNS231153. Print 2024 Mar 1.
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The Dystonias.《肌张力障碍》
Continuum (Minneap Minn). 2022 Oct 1;28(5):1435-1475. doi: 10.1212/CON.0000000000001159.
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Focused ultrasound and other lesioning in the treatment of tremor.聚焦超声及其他损毁术治疗震颤。
J Neurol Sci. 2022 Apr 15;435:120193. doi: 10.1016/j.jns.2022.120193. Epub 2022 Feb 19.
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Classification of Dystonia.肌张力障碍的分类
Life (Basel). 2022 Jan 29;12(2):206. doi: 10.3390/life12020206.
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Consensus Statement on High-Intensity Focused Ultrasound for Functional Neurosurgery in Switzerland.瑞士关于高强度聚焦超声在功能性神经外科应用的共识声明。
Front Neurol. 2021 Sep 22;12:722762. doi: 10.3389/fneur.2021.722762. eCollection 2021.
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Corrigendum to: Comparative connectivity correlates of dystonic and essential tremor deep brain stimulation.
Brain. 2021 Sep 4;144(8):e71. doi: 10.1093/brain/awab192.
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Magnetic Resonance-Guided Focused Ultrasound Thalamotomy for Focal Hand Dystonia: A Pilot Study.磁共振引导聚焦超声丘脑切开术治疗局限性手部肌张力障碍:一项初步研究。
Mov Disord. 2021 Aug;36(8):1955-1959. doi: 10.1002/mds.28613. Epub 2021 May 29.