MR‐guided focused ultrasound surgery, present and future. Issue 8 (11th July 2013)

• Record Type: Journal Article
• Authors: Schlesinger, David; Benedict, Stanley; Diederich, Chris; Gedroyc, Wladyslaw; Klibanov, Alexander; Larner, James
• Is Part Of: Medical physics. Volume 40:Issue 8(2013)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2013-07-11
• Subjects: Therapeutic applications -- Ultrasonographic imaging -- Magnetic resonance imaging; biomedical MRI -- biomedical ultrasonics -- bone -- surgery -- ultrasonic therapy; high‐intensity ultrasound -- focused ultrasound surgery -- HIFU -- minimally invasive therapy -- thermal therapy -- neuromodulation -- ablative therapy; Involving electronic [emr] or nuclear [nmr] magnetic resonance, e.g. magnetic resonance imaging -- Diagnosis using ultrasonic, sonic or infrasonic waves -- Surgical instruments, devices or methods, e.g. tourniquets -- Ultrasound therapy; Ultrasonography -- Tissues -- Medical imaging -- Cancer -- Transducers -- Cavitation -- Radiation treatment -- Tissue ablation -- Ultrasonic transducers -- Ultrasonic effects; Medical physics -- Periodicals; Medical physics; Geneeskunde; Natuurkunde; Toepassingen; Biophysics; Periodicals; Periodicals; Electronic journals; 610.153
• DOI: 10.1118/1.4811136
• Languages: English
• ISSNs: 0094-2405

Abstract

Abstract : MR‐guided focused ultrasound surgery (MRgFUS) is a quickly developing technology with potential applications across a spectrum of indications traditionally within the domain of radiation oncology. Especially for applications where focal treatment is the preferred technique (for example, radiosurgery), MRgFUS has the potential to be a disruptive technology that could shift traditional patterns of care. While currently cleared in the United States for the noninvasive treatment of uterine fibroids and bone metastases, a wide range of clinical trials are currently underway, and the number of publications describing advances in MRgFUS is increasing. However, for MRgFUS to make the transition from a research curiosity to a clinical standard of care, a variety of challenges, technical, financial, clinical, and practical, must be overcome. This installment of the Vision 20/20 series examines the current status of MRgFUS, focusing on the hurdles the technology faces before it can cross over from a research technique to a standard fixture in the clinic. It then reviews current and near‐term technical developments which may overcome these hurdles and allow MRgFUS to break through into clinical practice.