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Related Experiment Video

Updated: Jun 25, 2025

Neuronavigation-guided Repetitive Transcranial Magnetic Stimulation for Aphasia
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Neuronavigation-Guided Transcranial Histotripsy (NaviTH) System.

Sang Won Choi1, Mahmoud Komaiha1, Dave Choi1

  • 1Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI, USA.

Ultrasound in Medicine & Biology
|May 24, 2024
PubMed
Summary
This summary is machine-generated.

The first neuronavigation-guided transcranial histotripsy (NaviTH) system was developed for non-invasive brain ablation. Initial tests in human cadavers showed promising results, with targeting errors reduced to 2.5 mm after system improvements.

Keywords:
BrainHistotripsyNeuronavigation guidanceTranscranial

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Area of Science:

  • Neurosurgery
  • Medical Devices
  • Acoustic Medicine

Background:

  • Transcranial histotripsy offers a non-invasive approach for brain tissue ablation.
  • Accurate targeting is crucial for effective and safe transcranial procedures.
  • Existing neuronavigation systems require adaptation for transcranial applications.

Purpose of the Study:

  • To develop the first neuronavigation-guided transcranial histotripsy (NaviTH) system.
  • To establish an associated workflow for transcranial ablation procedures.
  • To investigate and characterize targeting errors in the NaviTH system.

Main Methods:

  • A 360-element transcranial histotripsy array was integrated with a clinical neuronavigation system.
  • A workflow including patient-to-array co-registration and pre-treatment aberration correction was developed.
  • The system was tested in human cadavers and excised human skullcaps to assess targeting accuracy.

Main Results:

  • The NaviTH system successfully created ablations in cadaver brains, confirmed by MRI.
  • Initial targeting errors were significant but reduced to 2.5 mm after workflow and instrument improvements.
  • Skull-induced focal shifts were minimized to 0.3 mm with aberration correction.

Conclusions:

  • The feasibility of the NaviTH system in a human cadaver model was demonstrated.
  • The system shows potential for transcranial histotripsy without active MRI guidance.
  • Further improvements are needed to enhance targeting accuracy for clinical application.