What Is Focused Ultrasound?

Focused ultrasound uses high-frequency sound waves directed toward a specific area of the brain. The waves converge at a targeted point, producing controlled effects on the tissue without requiring a surgical incision.

Depending on the technique, focused ultrasound may be used to:

Destroy Targeted Tissue

Concentrated energy can heat and ablate selected tissue associated with neurological symptoms.

Modify Brain Activity

Lower-intensity ultrasound may influence activity in specific brain regions without intentionally destroying tissue.

Target Abnormal Tissue

Focused ultrasound techniques may be used to investigate or treat selected abnormalities, depending on the condition and clinical indication.

Unlike radiosurgery, focused ultrasound uses sound waves rather than ionizing radiation. Imaging technologies, particularly MRI, can help guide treatment and monitor its effects on the targeted area.

Focused Ultrasound Techniques We Offer

We offer different focused ultrasound techniques using varying levels of ultrasound energy and imaging guidance. Their applications depend on the intended treatment effect and the patient's diagnosis.

MRI-guided Focused Ultrasound (MRgFUS)

MRI-guided focused ultrasound combines concentrated ultrasound energy with magnetic resonance imaging to guide treatment of selected brain regions. MRI helps the treatment team visualize the treatment area, monitor tissue temperature, and assess treatment delivery.

Conditions Treated

MRgFUS is commonly used for the treatment of essential tremor, Parkinson's disease, and neuropathic pain. The precision offered by MRgFUS makes it a viable alternative to surgical resection or radiation therapy for treating benign and malignant tumors.

High-Intensity Focused Ultrasound (HIFU)

High-intensity focused ultrasound delivers concentrated sound-wave energy to generate heat and destroy precisely targeted tissue. This process is called thermal ablation.

Conditions Treated

In neurosurgery, HIFU is often utilized for the treatment of brain tumors, including glioblastomas and metastatic brain tumors. HIFU can also be employed in the treatment of certain movement disorders.

Low-Intensity Focused Ultrasound (LOFU)

Low-intensity focused ultrasound is a gentle form of focused ultrasound used for therapeutic purposes without causing significant heating or tissue destruction. Unlike thermal ablation, its primary purpose is to modify activity within targeted neural circuits.

Conditions Treated

LOFU has shown promise in the treatment of neurological conditions, such as neuropathic pain, depression, and obsessive-compulsive disorder (OCD).

Our Approach to Non-Invasive Neurological Treatment

Established in 1954, Haynes Neurosurgical Group brings decades of experience treating complex conditions affecting the brain, spine, and nervous system.

Our neurosurgeons apply their specialized knowledge of neurological anatomy and treatment techniques to evaluate how focused ultrasound may address specific brain regions involved in a patient's symptoms.

Our approach focuses on three important considerations:

Identifying the Treatment Target

Understanding the affected brain structures and how they contribute to symptoms helps guide targeted treatment.

Selecting the Appropriate Intervention

We consider the diagnosis, symptoms, prior treatments, imaging findings, and neurological health when assessing whether focused ultrasound or another treatment approach may be appropriate.

Considering Neurological Function

We evaluate the relationship between the targeted area and nearby structures responsible for movement, sensation, and other important functions when planning treatment.

We prioritize non-invasive treatment when clinically appropriate while recognizing that some neurological conditions may require other surgical or non-surgical interventions.

How Focused Ultrasound Treatment Works

Focused ultrasound delivers sound-wave energy through the skull toward a selected brain region. The exact procedure varies depending on the technique and condition being treated.

For MRI-guided focused ultrasound, treatment generally involves:

Patient Positioning

You lie on a treatment table with a specialized ultrasound transducer positioned around your head.

Focused Energy Delivery

Multiple ultrasound waves pass through the scalp and skull, converging at a precise target within the brain.

Real-Time Imaging

MRI guidance helps the treatment team visualize the target and monitor temperature changes during thermal treatment.

Treatment Monitoring & Adjustments

Ultrasound energy may be adjusted based on imaging findings and your neurological responses during the procedure.

Benefits of Focused Ultrasound Treatment

For suitable patients, focused ultrasound may provide several advantages over traditional open surgical procedures.

No Surgical Incisions

Treatment energy reaches targeted brain tissue without requiring an open surgical incision, avoiding incision-related risks such as wound infection.

Precise, Image-Guided Treatment

MRI guidance helps the treatment team identify the target, monitor treatment delivery, and limit unintended effects on surrounding brain structures.

Potentially Shorter Recovery

Since the procedure avoids an open surgical incision, some patients may experience less recovery time than they would after conventional surgery.

Although focused ultrasound is non-invasive, it is not risk-free. Depending on the treatment and targeted brain region, potential side effects may include headache, dizziness, numbness, tingling, balance difficulties, or other neurological changes. Our neurosurgeons consider the expected benefits, potential risks, and treatment limitations when evaluating whether focused ultrasound is appropriate for your condition.

Advanced Focused Ultrasound Treatment in Alabama

At Haynes Neurosurgical Group, we combine specialized neurosurgical experience with advanced treatment capabilities to help you explore appropriate options for complex neurological conditions. Our seasoned neurosurgeons use highly advanced technologies and employ a patient-centric ethos at Alabama’s premier neurosurgical practice.

To schedule a consultation with one of our experts, call us at (205) 787-8676 or request an appointment online.

Phone: (205) 787-8676
Fax: (205) 785-7944

801 Princeton Avenue, S.W.
Suite 310
Birmingham, AL 35211

Located on Floor 3 of Professional Office Building 1.

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