{"id":2445,"date":"2024-09-09T09:44:23","date_gmt":"2024-09-09T13:44:23","guid":{"rendered":"https:\/\/www.med.unc.edu\/focused-ultrasound\/?page_id=2445"},"modified":"2024-09-12T10:33:22","modified_gmt":"2024-09-12T14:33:22","slug":"dr-vibhor-krishna","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/focused-ultrasound\/publications\/dr-vibhor-krishna\/","title":{"rendered":"Dr. Vibhor Krishna"},"content":{"rendered":"<section class=\"widget directory rss-2 widget_rss amr_widget\"><h3><a class=\"rsswidget rss-widget-feed\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/rss\/search\/1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k\/?limit=15&#038;utm_campaign=pubmed-2&#038;fc=20240909105633\"><img decoding=\"async\" class=\"rss-widget-icon\" style=\"border:0\" width=\"14\" height=\"14\" src=\"https:\/\/www.med.unc.edu\/focused-ultrasound\/wp-includes\/images\/rss.png\" alt=\"RSS\" loading=\"lazy\" \/><\/a> <a class=\"rsswidget rss-widget-title\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/rss-feed\/?feed_id=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;v=2.20.0&#038;ff=20260615075502&#038;utm_source=WordPress&#038;utm_campaign=pubmed-2&#038;utm_medium=rss&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k\">Dr. Vibhor Krishna PubMed Publications<\/a><\/h3><ul><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/42275264\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Exploring the Patient Pathway to Focused Ultrasound Ablation for Essential Tremor: A Mixed-Method Approach<\/a><div class=\"rssSummary\">Introduction Focused ultrasound ablation (FUSA) is an emerging treatment for Essential Tremor (ET). While disparities in access to deep brain stimulation for ET have been identified, potential barriers to FUSA remains understudied. Methods A single tertiary-care center, mixed methods study was completed of medication-refractory ET patients presenting for FUSA consultation. Baseline demographics and tremor scores [&hellip;]<\/div> <cite>Nicole A Silva<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/42107848\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Focused Ultrasound Ablation for Neurological Disorders<\/a><div class=\"rssSummary\">Focused ultrasound (FUS) was explored for neurological indications more than half a century ago, but only recent technological advances have enabled its practical transcranial use for movement and neuropsychiatric disorders. FUS can produce stereotactic thermal lesions via focused ultrasound ablation (FUSA), while non-thermal lesioning (e.g., FUS histotripsy) and non-ablative approaches such as neuromodulation and blood-brain [&hellip;]<\/div> <cite>Haiden S Berton<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/41996720\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Focused ultrasound thalamotomy for essential tremor in octogenarians<\/a><div class=\"rssSummary\">CONCLUSIONS: Unilateral MRgHIFU thalamotomy is a safe and effective noninvasive treatment for ET in patients \u2265 80 years of age. It results in significant improvements in tremor and disability, with a low complication rate. These findings support its consideration for older patients who are ineligible for invasive procedures and highlight the importance of age-specific metrics [&hellip;]<\/div> <cite>Suhrud Panchawagh<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/41200451\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Unilateral magnetic resonance-guided focused ultrasound for medication-refractory essential tremor: 5-year continued access study<\/a><div class=\"rssSummary\">CONCLUSION: MRgFUS thalamotomy is a safe and effective long-term treatment for patients with medication-refractory ET and is associated with improved QoL.<\/div> <cite>Pejman Ghanouni<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39869356\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Cognitive Effects of MR-Guided Focused Ultrasound Thalamotomy-Time to Evaluation-Reply<\/a><div class=\"rssSummary\">No abstract<\/div> <cite>Michael G Kaplitt<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39322354\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>The Use of Focused Ultrasound Ablation for Movement Disorders<\/a><div class=\"rssSummary\">Focused ultrasound ablation achieves selective thermal lesioning of the thalamic and basal ganglia targets using real-time MR imaging guidance. It is US Food and Drug Administration-approved to treat essential tremor and Parkinson&#039;s disease tremor, fluctuations, and dyskinesias. Patients often seek focused ultrasound treatment because symptom relief is immediate, and hardware implantation is not required. This [&hellip;]<\/div> <cite>Nicole Silva<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39217630\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Brain targeting for focused ultrasound essential tremor ablation: proceedings from the 2023 Focused Ultrasound Foundation workshop<\/a><div class=\"rssSummary\">Essential tremor (ET) is the most common movement disorder globally and has negative impacts on quality of life. While medical treatments exist, approximately 50% of patients have tremor that is refractory to medication or experience intolerable medication side effects. Magnetic resonance-guided focused ultrasound (MRgFUS) thalamotomy is an option for these patients and while incisionless, it [&hellip;]<\/div> <cite>Melissa M J Chua<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39217633\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Introduction. Focused ultrasound: current and future indications<\/a><div class=\"rssSummary\">No abstract<\/div> <cite>Rees Cosgrove<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39120112\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Probabilistic Refinement of Focused Ultrasound Thalamotomy Targeting for Parkinson&#039;s Disease Tremor<\/a><div class=\"rssSummary\">CONCLUSION: We demonstrated that the most effective MRgFUS thalamotomy target in TDPD is in the ventral intermediate nucleus\/ventralis oralis posterior border region. This finding offers new insights into the thalamic regions instrumental in tremor control, with pivotal implications for improving treatment outcomes. \u00a9 2024 The Author(s). Movement Disorders published by Wiley Periodicals LLC on behalf [&hellip;]<\/div> <cite>Cletus Cheyuo<\/cite><\/li><li><a class='rsswidget' href='https:\/\/pubmed.ncbi.nlm.nih.gov\/39073822\/?utm_source=WordPress&#038;utm_medium=rss&#038;utm_campaign=pubmed-2&#038;utm_content=1tYbWOIP0tIRreXDpNAlhJaYnsA8-S0fQ36Uzo3a-PZSh8Wg_k&#038;fc=20240909105633&#038;ff=20260615075502&#038;v=2.20.0'>Safety and Efficacy of Staged, Bilateral Focused Ultrasound Thalamotomy in Essential Tremor: An Open-Label Clinical Trial<\/a><div class=\"rssSummary\">CONCLUSIONS AND RELEVANCE: Staged, bilateral focused ultrasound thalamotomy significantly reduced tremor severity and functional disability scores. Adverse events for speech, swallowing, and ataxia were mostly mild and transient.<\/div> <cite>Michael G Kaplitt<\/cite><\/li><\/ul><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":44955,"featured_media":0,"parent":2371,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2445","page","type-page","status-publish","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dr. Vibhor Krishna - Focused Ultrasound @ UNC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/focused-ultrasound\/publications\/dr-vibhor-krishna\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr. Vibhor Krishna - 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