Magnetic Resonance–Guided Focused Ultrasound Thalamotomy in a Prospective Cohort of 52 Patients with Parkinson's Disease: A Possible Critical Role of Age and Lesion Volume for Predicting Tremor Relapse Article Swipe
Arianna Braccia
,
Nico Golfrè Andreasi
,
Francesco Ghielmetti
,
Domenico Aquino
,
Anna Paola Savoldi
,
Roberto Cilia
,
Roberta Telese
,
Fabiana Colucci
,
Gianfranco Gaudiano
,
Luigi Romito
,
Antonio Emanuele Elia
,
Valentina Leta
,
Vincenzo Levi
,
Nicolò Castelli
,
Grazia Devigili
,
Sara Rinaldo
,
Mario Stanziano
,
Valentina Caldiera
,
Marina Grisoli
,
Elisa Ciceri
,
Roberto Eleopra
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/mds.30093
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/mds.30093
Background Magnetic resonance–guided focused ultrasound (MRgFUS) thalamotomy of ventral intermediate (Vim) nucleus is useful to treat drug‐resistant tremor‐dominant Parkinson's disease (TdPD), but tremor relapse may occur. Predictors of relapse have been poorly investigated so far. Objective The aim of this study is to evaluate the role of clinico‐demographic, procedural, and neuroradiological variables in determining clinical response, relapse, and adverse events (AEs) in TdPD after MRgFUS Vim‐thalamotomy. Methods Fifty‐two TdPD patients who consecutively underwent unilateral MRgFUS Vim‐thalamotomy were prospectively evaluated at baseline and after 24 hours, 1 month, 6 months, and 12 months using MDS‐UPDRS‐III in off and on medication conditions. AEs were collected at each evaluation. Lesion volume was calculated at 24‐hour magnetic resonance imaging (MRI). Patients with tremor improvement <30% in off medication were considered nonresponders (when detected after 24 hours) or relapsers (if detected from 1‐month visit onward). Results All patients showed tremor improvement >30% at 24 hours. Tremor relapse occurred in 12 patients (23%), exclusively during the first month after thalamotomy. Relapse was associated with younger age ( P = 0.030) and smaller lesion volume ( P = 0.030). At 1 month, 22 patients (42%) had AEs; at 6 and 12 months, AEs persisted in 19% and 6% of cases. AEs at 6 months were associated with larger lesions ( P = 0.018). All AEs were mild. Conclusions MRgFUS Vim‐thalamotomy is effective in treating tremor in TdPD. Relapse is associated with younger age and smaller lesion volume, but larger lesions make AEs more likely to persist. We suggest that a lesion volume between 145 and 220 mm 3 on T1‐weighted MRI may be the therapeutic window that ensures tremor control without long‐lasting AEs. © 2025 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf of International Parkinson and Movement Disorder Society.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/mds.30093
- OA Status
- hybrid
- Cited By
- 6
- References
- 58
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4406574489
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4406574489Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/mds.30093Digital Object Identifier
- Title
-
Magnetic Resonance–Guided Focused Ultrasound Thalamotomy in a Prospective Cohort of 52 Patients with Parkinson's Disease: A Possible Critical Role of Age and Lesion Volume for Predicting Tremor RelapseWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-01-18Full publication date if available
- Authors
-
Arianna Braccia, Nico Golfrè Andreasi, Francesco Ghielmetti, Domenico Aquino, Anna Paola Savoldi, Roberto Cilia, Roberta Telese, Fabiana Colucci, Gianfranco Gaudiano, Luigi Romito, Antonio Emanuele Elia, Valentina Leta, Vincenzo Levi, Nicolò Castelli, Grazia Devigili, Sara Rinaldo, Mario Stanziano, Valentina Caldiera, Marina Grisoli, Elisa Ciceri, Roberto EleopraList of authors in order
- Landing page
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https://doi.org/10.1002/mds.30093Publisher landing page
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1002/mds.30093Direct OA link when available
- Concepts
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Thalamotomy, Medicine, Essential tremor, Magnetic resonance imaging, Lesion, Parkinson's disease, Adverse effect, Prospective cohort study, Radiology, Surgery, Disease, Internal medicine, Deep brain stimulation, Physical medicine and rehabilitationTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
6Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 6Per-year citation counts (last 5 years)
- References (count)
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58Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.medication | 99, 124 |
| abstract_inverted_index.ultrasound | 5 |
| abstract_inverted_index.unilateral | 74 |
| abstract_inverted_index.Conclusions | 221 |
| abstract_inverted_index.Fifty‐two | 68 |
| abstract_inverted_index.Parkinson's | 19 |
| abstract_inverted_index.Periodicals | 286 |
| abstract_inverted_index.conditions. | 100 |
| abstract_inverted_index.determining | 54 |
| abstract_inverted_index.evaluation. | 106 |
| abstract_inverted_index.exclusively | 158 |
| abstract_inverted_index.improvement | 120, 146 |
| abstract_inverted_index.procedural, | 49 |
| abstract_inverted_index.thalamotomy | 7 |
| abstract_inverted_index.therapeutic | 268 |
| abstract_inverted_index.intermediate | 10 |
| abstract_inverted_index.investigated | 33 |
| abstract_inverted_index.thalamotomy. | 164 |
| abstract_inverted_index.International | 291 |
| abstract_inverted_index.T1‐weighted | 263 |
| abstract_inverted_index.consecutively | 72 |
| abstract_inverted_index.nonresponders | 127 |
| abstract_inverted_index.prospectively | 78 |
| abstract_inverted_index.long‐lasting | 275 |
| abstract_inverted_index.drug‐resistant | 17 |
| abstract_inverted_index.MDS‐UPDRS‐III | 94 |
| abstract_inverted_index.Vim‐thalamotomy | 76, 223 |
| abstract_inverted_index.neuroradiological | 51 |
| abstract_inverted_index.tremor‐dominant | 18 |
| abstract_inverted_index.Vim‐thalamotomy. | 66 |
| abstract_inverted_index.resonance–guided | 3 |
| abstract_inverted_index.clinico‐demographic, | 48 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 98 |
| corresponding_author_ids | https://openalex.org/A5073546644 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 21 |
| corresponding_institution_ids | https://openalex.org/I4210164485 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7200000286102295 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.98956081 |
| citation_normalized_percentile.is_in_top_1_percent | True |
| citation_normalized_percentile.is_in_top_10_percent | True |