Focused Ultrasound: Relevant History and Prospects for the Addition of Mechanical Energy to the Neurosurgical Armamentarium

Although the concept of focused ultrasonography emerged more than 70 years ago, the need for a craniectomy obviated its development as a noninvasive technology. Since then advances in phased array transducers and magnetic resonance imaging technology have resurrected the ultrasound as a noninvasive...

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Bibliographic Details
Published in:World neurosurgery 2014-09, Vol.82 (3), p.354-365
Main Authors: Christian, Eisha, Yu, Cheng, Apuzzo, Michael L.J
Format: Article
Language:English
Subjects:
Central Nervous System Diseases - surgery
Essential tremor
High frequency ultrasound
High-Intensity Focused Ultrasound Ablation - history
High-Intensity Focused Ultrasound Ablation - instrumentation
High-Intensity Focused Ultrasound Ablation - trends
History, 18th Century
History, 19th Century
History, 20th Century
History, Ancient
Humans
Neurosurgery
Neurosurgery - history
Neurosurgery - instrumentation
Neurosurgery - trends
Neurosurgical Procedures - methods
Pain
Sonoembolism
Stroke
Targeted tumor therapy
Tumor ablation
Ultrasound
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Summary:Although the concept of focused ultrasonography emerged more than 70 years ago, the need for a craniectomy obviated its development as a noninvasive technology. Since then advances in phased array transducers and magnetic resonance imaging technology have resurrected the ultrasound as a noninvasive therapeutic for a plethora of neurological conditions ranging from embolic stroke and intracranial hemorrhage to movement disorders and brain neoplasia. In the same way that stereotactic radiosurgery has fundamentally changed the scope and treatment paradigms of tumor and specifically skull base surgery, focused ultrasound has a similar potential to revolutionize the field of neurological surgery. In addition, focused ultrasound comes without the general complexity or the risks of ionizing radiation that accompany radiosurgery. As the quest for minimally invasive and noninvasive therapeutics continues to define the new neurosurgery, the focused ultrasound evolves to join the neurosurgical armamentarium.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2014.06.021