Transcranial magnetic resonance-guided focused ultrasound surgery at 1.5T: a technical note

Neuroradiol J. 2019 Apr;32(2):132-138. doi: 10.1177/1971400918818743. Epub 2018 Dec 18.

Abstract

Magnetic resonance-guided focused ultrasound is one of the emerging non-invasive technologies offering both image guidance and thermal monitoring. In recent years transcranial application of this technology is starting to impact heavily the neuroscience field. We present here the imaging protocol and the technological methods successfully used with a transcranial magnetic resonance-guided focused ultrasound system certified for clinical treatments of functional neurological disorders, integrated for the first time with a 1.5T magnetic resonance scanner. Compared to the body radiofrequency coil (the one commonly used with transcranial magnetic resonance-guided focused ultrasound system integrated with 3T magnetic resonance scanners), the use of a dedicated two channel coil enabled a signal-to-noise ratio gain up to five times higher.

Keywords: Brain; high-intensity focused ultrasound ablation; interventional magnetic resonance imaging; minimally invasive surgical procedures; stereotactic techniques.

MeSH terms

  • Aged
  • Female
  • High-Intensity Focused Ultrasound Ablation / instrumentation
  • High-Intensity Focused Ultrasound Ablation / methods*
  • Humans
  • Magnetic Resonance Imaging, Interventional* / instrumentation
  • Male
  • Neurosurgical Procedures / instrumentation
  • Neurosurgical Procedures / methods*
  • Signal-To-Noise Ratio
  • Tomography, X-Ray Computed
  • Treatment Outcome