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特发性震颤外科治疗的研究重点与前沿

The research focus and frontiers in surgical treatment of essential tremor.

作者信息

Zhang Linlin, Cui Shifang, Bi Hongyan, Chen Qiang, Kan Mengfan, Wang Cheng, Pu Yu, Cheng Hongxia, Huang Bin

机构信息

Nantong Fourth People's Hospital, Nantong, China.

Heilongjiang University of Chinese Medicine, Harbin, China.

出版信息

Front Neurol. 2024 Dec 11;15:1499652. doi: 10.3389/fneur.2024.1499652. eCollection 2024.

DOI:10.3389/fneur.2024.1499652
PMID:39722689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11668671/
Abstract

BACKGROUND

Essential tremor (ET) is one of the most prevalent neurodegenerative disorders, with surgery serving as the principal treatment option. This paper presents a bibliometric analysis of research in the field of ET surgery from 2004 to 2024, aiming to identify current research hotspots and inform future research directions.

METHODS

This study employs CiteSpace to analyze publication trends, countries/institutions, authors, keywords, and co-cited references in ET surgery, using the Web of Science core database from 2004 to 2024 to delineate the research pathways.

RESULTS

A total of 1,362 publications were included in this study. The number of publications has shown steady growth over the analyzed period from 2004 to 2024. Research in this field was carried out in 58 countries and by 371 institutions. The United States had the highest volume of publications, with the University of California System identified as the most prolific institution. Dr. Michael S. Okun from the University of Florida was the most prolific author, also based in the United States. This study identified 879 keywords, with significant citation bursts noted in areas such as the caudal zona incerta, ventral intermediate nucleus, location, and MR-guided focused ultrasound. Among the top ten highly cited articles, five pertained to MR-guided focused ultrasound thalamotomy, two addressed localization techniques, and one focused on surgical targets.

CONCLUSION

This study employs comprehensive bibliometric and visualization analyses to elucidate the evolution of research and identify emerging hotspots. The identified hotspots are as follows: First, deep brain stimulation (DBS), the most advanced technology in ET surgery, has room for improvement, especially in neuromodulation automation. Second, MR-guided focused ultrasound thalamotomy is a new surgical approach that requires further research on efficacy, safety, and side effect management. Third, novel surgical targets have demonstrated some efficacy, yet further research is essential to validate their effectiveness and safety. Lastly, localization techniques are fundamental to ET surgery, with ongoing efforts directed towards achieving more precise, individualized, and intelligent localization.

摘要

背景

特发性震颤(ET)是最常见的神经退行性疾病之一,手术是主要的治疗选择。本文对2004年至2024年ET手术领域的研究进行文献计量分析,旨在确定当前的研究热点并为未来的研究方向提供参考。

方法

本研究采用CiteSpace分析ET手术的发表趋势、国家/机构、作者、关键词和共被引参考文献,使用2004年至2024年的Web of Science核心数据库来描绘研究路径。

结果

本研究共纳入1362篇出版物。在2004年至2024年的分析期内,出版物数量呈稳步增长。该领域的研究由58个国家的371个机构开展。美国的出版物数量最多,加利福尼亚大学系统被确定为最多产的机构。来自美国佛罗里达大学的迈克尔·S·奥昆博士是最多产的作者。本研究确定了879个关键词,在尾侧未定带、腹中间核、定位和磁共振引导聚焦超声等领域出现了显著的引文爆发。在前十篇高被引文章中,五篇与磁共振引导聚焦超声丘脑切开术有关,两篇涉及定位技术,一篇关注手术靶点。

结论

本研究采用全面的文献计量和可视化分析来阐明研究的演变并识别新出现的热点。确定的热点如下:第一,深部脑刺激(DBS)是ET手术中最先进的技术,仍有改进空间,特别是在神经调节自动化方面。第二,磁共振引导聚焦超声丘脑切开术是一种新的手术方法,需要进一步研究其疗效、安全性和副作用管理。第三,新的手术靶点已显示出一定疗效,但进一步研究对于验证其有效性和安全性至关重要。最后,定位技术是ET手术的基础,目前正在努力实现更精确、个性化和智能化的定位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/812be49a5655/fneur-15-1499652-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/1e6bbf5f261b/fneur-15-1499652-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/3d33882c25f8/fneur-15-1499652-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/4bfd6c121af1/fneur-15-1499652-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/2c8f6cd7b8c2/fneur-15-1499652-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/146895d5cd78/fneur-15-1499652-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/cdceb54b8a2a/fneur-15-1499652-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/13798a3f11cb/fneur-15-1499652-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/bcfb61f59499/fneur-15-1499652-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/812be49a5655/fneur-15-1499652-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/1e6bbf5f261b/fneur-15-1499652-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/3d33882c25f8/fneur-15-1499652-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/4bfd6c121af1/fneur-15-1499652-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/2c8f6cd7b8c2/fneur-15-1499652-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/146895d5cd78/fneur-15-1499652-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/cdceb54b8a2a/fneur-15-1499652-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/13798a3f11cb/fneur-15-1499652-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/bcfb61f59499/fneur-15-1499652-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a133/11668671/812be49a5655/fneur-15-1499652-g009.jpg

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Tremor Other Hyperkinet Mov (N Y). 2024 Aug 21;14:42. doi: 10.5334/tohm.925. eCollection 2024.
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Research hotspots and frontiers of essential tremor from 2013 to 2023: a visualization analysis based on CiteSpace.2013年至2023年特发性震颤的研究热点与前沿:基于CiteSpace的可视化分析
Front Aging Neurosci. 2024 Jul 23;16:1380851. doi: 10.3389/fnagi.2024.1380851. eCollection 2024.
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Magnetic Resonance-Guided Focused Ultrasound (MRgFUS)-Thalamotomy for Essential Tremor: Lesion Location and Clinical Outcomes.
磁共振引导聚焦超声(MRgFUS)丘脑切开术治疗原发性震颤:病灶位置与临床疗效。
Mov Disord. 2024 Jun;39(6):1015-1025. doi: 10.1002/mds.29801. Epub 2024 Apr 14.
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Updates in essential tremor.特发性震颤的最新进展。
Parkinsonism Relat Disord. 2024 May;122:106086. doi: 10.1016/j.parkreldis.2024.106086. Epub 2024 Mar 12.
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Management of essential tremor deep brain stimulation-induced side effects.特发性震颤深部脑刺激引起的副作用的管理。
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J Neurol Neurosurg Psychiatry. 2024 Jan 11;95(2):180-183. doi: 10.1136/jnnp-2022-330795.
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Mapping Essential Tremor to a Common Brain Network Using Functional Connectivity Analysis.利用功能连接分析将特发性震颤映射到常见的大脑网络。
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Whole-brain network transitions within the framework of ignition and transfer entropy following VIM-MRgFUS in essential tremor patients.VIM-MRgFUS 治疗原发性震颤患者后,基于点火和转移熵的全脑网络转变。
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