磁共振引导的聚焦超声波用于基本震:一个前性的,单中心,单臂研究
Rui Zong1, Xuemei Li2, Chunyu Yin2
1Seniro Department of Neurosurgery, The First Medical Center of the PLA General Hospital, Beijing, China.
Neural regeneration research
|January 16, 2024
概括
磁共振引导聚焦超声波 (MRgFUS) 有效地治疗中国患者的基本震. 这项研究证实了MRgFUS的thalamotomy.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 磁共振引导的聚焦超声波 (MRgFUS) thalamotomy是一种有效的治疗基本震的方法.
- 中国大陆首个MRgFUS系统于2018年建立,使当地研究成为可能.
- 基本震是一种神经系统疾病,通常不耐药.
研究的目的:
- 确认MRgFUS治疗中国人基本震的安全性和有效性.
- 在一个前性的,单中心的,开放的标签研究中评估MRgFUS治疗结果.
主要方法:
- 这是一项前性,单臂的开放性研究,涉及10名耐药精髓震患者.
- 参与者经历了单边的thalamotomy,使用MRgFUS.US针对腹腔中间核.
- 使用临床震评分表来评估有效性;通过不良事件监测安全性.
主要成果:
- 临床评分表震总得分从基线58.3显著改善到23.1在12个月的随访.
- 总共有50个不良事件被记录下来,其中2个被认为是严重的;大多数是轻微的和短暂的.
- 常见的不良事件包括恶心,头痛,麻醉和平衡障碍.
结论:
- 在中国大陆的患者中,MRgFUS胸膜切除术在治疗本质震方面表现出显著的疗效.
- 该程序具有良好的安全性,大多数不良事件是轻微的和暂时的.
- 对于耐常规治疗的基本震,MRgFUS提供了一个可行的治疗选择.
更多相关视频
05:54MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
Published on: December 13, 2017
14.0K
13:41Magnetic Resonance-Guided High Intensity Focused Ultrasound Generated Hyperthermia: A Feasible Treatment Method in a Murine Rhabdomyosarcoma Model
Published on: January 13, 2023
2.3K
相关概念视频
Atomic Nuclei: Magnetic Resonance
The number of nuclear spins aligned in the lower energy state is slightly greater than those in the higher energy state. In the presence of an external magnetic field, as the spins precess at the Larmor frequency, the excess population results in a net magnetization oriented along the z axis. When a pulse or a short burst of radio waves at the Larmor frequency is applied along the x axis, the coupling of frequencies causes resonance and flips the nuclear spins of the excess population from the...
Atomic Nuclei: Nuclear Relaxation Processes
In the absence of an external magnetic field, nuclear spin states are degenerate and randomly oriented. When a magnetic field is applied, the spins begin to precess and orient themselves along (lower energy) or against (higher energy) the direction of the field. At equilibrium, a slight excess population of spins exists in the lower energy state. Because the direction of the magnetic field is fixed as the z-axis, the precessing magnetic moments are randomly oriented around the z-axis. This...
¹³C NMR: ¹H–¹³C Decoupling
The probability of having two carbon-13 atoms next to each other is negligible because of the low natural abundance of carbon-13. Consequently, peak splitting due to carbon-carbon spin-spin coupling is not observed in spectra. However, protons up to three sigma bonds away split the carbon signal according to the n+1 rule, resulting in complicated spectra.
A broadband decoupling technique is used to simplify these complex, sometimes overlapping, signals. Broadband decoupling relies on a...
A broadband decoupling technique is used to simplify these complex, sometimes overlapping, signals. Broadband decoupling relies on a...
NMR Spectrometers: Radiofrequency Pulses and Pulse Sequences
A pulse is a short burst of radio waves distributed over a range of frequencies that simultaneously excites all the nuclei in the sample. Upon passing a radio frequency pulse along the x-axis, the nuclei absorb energy corresponding to their Larmor frequencies and achieve resonance. This shifts the net magnetization vector from the z-axis toward the transverse plane. This angle of rotation of the magnetization vector, or the flip angle, is proportional to the duration and intensity of the pulse.
Double Resonance Techniques: Overview
Double resonance techniques in Nuclear Magnetic Resonance (NMR) spectroscopy involve the simultaneous application of two different frequencies or radiofrequency pulses to manipulate and observe two distinct nuclear spins. One important application of double resonance is spin decoupling, which selectively suppresses coupling with one type of nucleus while observing the NMR signal from another nucleus, simplifying the spectrum and enhancing resolution.
Spin decoupling is usually achieved by...
Spin decoupling is usually achieved by...
