Magnetic resonance-guided focused ultrasound (MRgFUS)

  • 5,204

    Total downloads

  • 20k

    Total views and downloads

About this Research Topic

Submission closed

Background

Magnetic Resonance-guided Focused Ultrasound (MRgFUS) is an innovative method of brain surgery that doesn't require opening the skull or penetrating the brain. Since the first study using MRgFUS in functional neurosurgery for neuropathic pain was published in 2009, there has been significant progress worldwide. The European CE mark for using the transcranial focused ultrasound system, ExAblate Neuro (Insightec Ltd), to treat neurological disorders in the brain, including essential tremor, Parkinson’s disease-related tremor, and neuropathic pain, was awarded in 2012. In 2016, the US Food and Drug Administration (FDA) approved it for the treatment of medically refractory essential tremors or Parkinson-related tremors. Since then, the worldwide adoption of MRgFUS, as a new treatment modality against tremors, has been incredibly fast indeed.

Compared to other techniques that involve cerebral penetration, MRgFUS has high targeting accuracy and a low side-effect profile. With targeting accuracy within one millimeter and no brain shift, this technique reduces the risk of placing a thermolesion away from the intended target. Additionally, intraoperative clinical assessments can be performed on awake patients to assess the clinical efficacy and potential side effects.

Motor thalamotomy, with the ventralis intermedius (VIM) nucleus as a target, is now routinely performed and has been adopted by many centers. However, MRgFUS remains a tool to perform therapeutic lesions accurately and safely. In this context, other clinical indications and, of necessity, other targets still need to be investigated to advantageously increase the neurosurgical armamentarium. Various targets are under investigation or in routine use in Parkinson's disease (pallidotomy, STN lesion, pallidothalamic tractotomy). In Essential tremor, the cerebellothalamic tract is known as an alternative target since the 1970s. Neuropathic pain is also treated routinely and is currently being investigated in several international studies. Preliminary results have also been published for obsessive-compulsive disorders. Pilot projects have already addressed the issue of dystonia.

As most neurological disorders affect both brain hemispheres, the issue of bilateral treatments needs to be investigated.
At a technical level, many points remain to be elucidated. What are the best targeting methods? How to control the best target coverage? How to overcome difficult skull morphologies?

The potential of MRgFUS is not limited to stereotactic lesions. The ability to temporarily open the blood-brain barrier to allow drugs to pass through will offer incredible treatment prospects for many neurological diseases. Additionally, many other applications of focused ultrasound are being conceptualized or investigated, such as sonoporation, controlled cavitation, immunomodulation, sensitization to radiotherapy, sonodynamic therapy, or liquid biopsy.

This Research Topic includes contributions from researchers and authors worldwide to better address this innovative issue.

Research Topic Research topic image

Keywords: Magnetic resonance-guided focused ultrasound, MRgFUS, tremors, Parkinson's disease

Important note: All contributions to this Research Topic must be within the scope of the section and journal to which they are submitted, as defined in their mission statements. Frontiers reserves the right to guide an out-of-scope manuscript to a more suitable section or journal at any stage of peer review.

Frequently asked questions

  • Frontiers' Research Topics are collaborative hubs built around an emerging theme.Defined, managed, and led by renowned researchers, they bring communities together around a shared area of interest to stimulate collaboration and innovation.

    Unlike section journals, which serve established specialty communities, Research Topics are pioneer hubs, responding to the evolving scientific landscape and catering to new communities.

  • The goal of Frontiers' publishing program is to empower research communities to actively steer the course of scientific publishing. Our program was implemented as a three-part unit with fixed field journals, flexible specialty sections, and dynamically emerging Research Topics, connecting communities of different sizes and maturity.

    Research Topics originate from the scientific community. Many of our Research Topics are suggested by existing editorial board members who have identified critical challenges or areas of interest in their field.

  • As an editor, Research Topics will help you build your journal, as well as your community, around emerging, cutting-edge research. As research trailblazers, Research Topics attract high-quality submissions from leading experts all over the world.

    A thriving Research Topic can potentially evolve into a new specialty section if there is sustained interest and a growing community around it.

  • Each Research Topic must be approved by the specialty chief editor, and it falls under the editorial oversight of our editorial boards, supported by our in-house research integrity team. The same standards and rigorous peer review processes apply to articles published as part of a Research Topic as for any other article we publish.

    In 2023, 80% of the Research Topics we published were edited or co-edited by our editorial board members, who are already familiar with their journal's scope, ethos, and publishing model. All other topics are guest edited by leaders in their field, each vetted and formally approved by the specialty chief editor.

  • Publishing your article within a Research Topic with other related articles increases its discoverability and visibility, which can lead to more views, downloads, and citations. Research Topics grow dynamically as more published articles are added, causing frequent revisiting, and further visibility.

    As Research Topics are multidisciplinary, they are cross-listed in several fields and section journals – increasing your reach even more and giving you the chance to expand your network and collaborate with researchers in different fields, all focusing on expanding knowledge around the same important topic.

    Our larger Research Topics are also converted into ebooks and receive social media promotion from our digital marketing team.

  • Frontiers offers multiple article types, but it will depend on the field and section journals in which the Research Topic will be featured. The available article types for a Research Topic will appear in the drop-down menu during the submission process.

    Check available article types here 

  • Yes, we would love to hear your ideas for a topic. Most of our Research Topics are community-led and suggested by researchers in the field. Our in-house editorial team will contact you to talk about your idea and whether you’d like to edit the topic. If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. 

    Suggest your topic here 

  • A team of guest editors (called topic editors) lead their Research Topic. This editorial team oversees the entire process, from the initial topic proposal to calls for participation, the peer review, and final publications.

    The team may also include topic coordinators, who help the topic editors send calls for participation, liaise with topic editors on abstracts, and support contributing authors. In some cases, they can also be assigned as reviewers.

  • As a topic editor (TE), you will take the lead on all editorial decisions for the Research Topic, starting with defining its scope. This allows you to curate research around a topic that interests you, bring together different perspectives from leading researchers across different fields and shape the future of your field. 

    You will choose your team of co-editors, curate a list of potential authors, send calls for participation and oversee the peer review process, accepting or recommending rejection for each manuscript submitted.

  • As a topic editor, you're supported at every stage by our in-house team. You will be assigned a single point of contact to help you on both editorial and technical matters. Your topic is managed through our user-friendly online platform, and the peer review process is supported by our industry-first AI review assistant (AIRA).

  • If you’re an early-stage researcher, we will offer you the opportunity to coordinate your topic, with the support of a senior researcher as the topic editor. This provides you with valuable editorial experience, improving your ability to critically evaluate research articles and enhancing your understanding of the quality standards and requirements for scientific publishing, as well as the opportunity to discover new research in your field, and expand your professional network.

  • Yes, certificates can be issued on request. We are happy to provide a certificate for your contribution to editing a successful Research Topic.

  • Research Topics thrive on collaboration and their multi-disciplinary approach around emerging, cutting-edge themes, attract leading researchers from all over the world.

  • As a topic editor, you can set the timeline for your Research Topic, and we will work with you at your pace. Typically, Research Topics are online and open for submissions within a few weeks and remain open for participation for 6 – 12 months. Individual articles within a Research Topic are published as soon as they are ready.

    Find out more about our Research Topics

  • Our fee support program ensures that all articles that pass peer review, including those published in Research Topics, can benefit from open access – regardless of the author's field or funding situation.

    Authors and institutions with insufficient funding can apply for a discount on their publishing fees. A fee support application form is available on our website.

  • In line with our mission to promote healthy lives on a healthy planet, we do not provide printed materials. All our articles and ebooks are available under a CC-BY license, so you can share and print copies.

Impact

  • 20kTopic views
  • 13kArticle views
  • 5,204Article downloads
View impact