{"id":9328,"date":"2023-10-16T17:35:35","date_gmt":"2023-10-16T21:35:35","guid":{"rendered":"https:\/\/www.med.unc.edu\/neurosurgery\/?page_id=9328"},"modified":"2025-08-26T12:12:50","modified_gmt":"2025-08-26T16:12:50","slug":"focused-ultrasound","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/focused-ultrasound\/","title":{"rendered":"Focused Ultrasound"},"content":{"rendered":"<h2><strong>What is focused ultrasound ablation?<\/strong><\/h2>\n<p>Focused ultrasound (FUS) is an incision-less treatment for patients with movement disorders. Like deep brain stimulation, FUS can be an effective treatment option for patients who either do not respond to medication or initially respond to medication that eventually becomes ineffective. FUS is an outpatient procedure, and many patients walk away from the procedure tremor-free.<\/p>\n<p>Guided by real-time MR imaging, FUS can achieve precise and targeted ablation in the brain. Patients are awake and participate in testing during FUS treatment. A functional neurosurgeon first delivers ultrasound at low power to test whether ablation of the targeted area is safe. Once the safety is established, the target area is ablated for sustained improvement in patient symptoms.<\/p>\n<p>UNC Health is the only hospital in the country to offer an interdisciplinary clinic for focused ultrasound patients.<\/p>\n<h2><strong>Who is eligible for focused ultrasound?\u00a0<\/strong><\/h2>\n<p>Patients who have been diagnosed with movement disorders, such as essential tremor, or who do not receive acceptable tremor relief from medications such as primidone and propanolol may be a candidate and should be seen for a FUS consultation.<\/p>\n<p>Patients who receive FUS treatment must be able to fit into an MRI and have no metallic implants. During a consultation, our physicians evaluate a patient&#8217;s health history to determine if any underlying health conditions exclude a patient from being a candidate.<\/p>\n<h2><strong>Carolina Consortium for Ultrasound Brain Imaging and Therapeutics (CCUBIT)<\/strong><\/h2>\n<p>The <a href=\"https:\/\/www.med.unc.edu\/focused-ultrasound\">Carolina Consortium for Ultrasound Brain Imaging and Therapeutics (CCUBIT)<\/a> boasts a remarkable assembly of physicians and scientists who bring together expertise in focused ultrasound, brain function, and brain pathologies. This convergence uniquely positions UNC to emerge as a national and international leader in ultrasound for brain imaging and therapy. UNC Health provides comprehensive care to patients undergoing focused ultrasound treatment through collaborative teams in neurosurgery, neurology, and the Biomedical Research Medical Imaging Center.<\/p>\n<p>You can learn more about focused ultrasound and Dr. Vibhor Krishna\u2019s research on the <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/krishnalab\/\">Krishna Lab<\/a> website.<\/p>\n<p><strong>A referral from your PCP or Neurologist is required.<\/strong> Referrals can be faxed to 984-974-6741<\/p>\n<p>To schedule a focused ultrasound consultation, please call <a href=\"tel:984.974.4175\">984-974-4175<\/a>\u00a0to schedule.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Focused Ultrasound Resources:<\/strong><\/h2>\n<div class=\"entry-content-asset\"><iframe loading=\"lazy\" title=\"Focused Ultrasound Treatment for Essential Tremor - UNC Neurosurgery\" width=\"1140\" height=\"641\" src=\"https:\/\/www.youtube.com\/embed\/I4-uhn13vrc?start=46&#038;feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<div class=\"entry-content-asset\"><iframe loading=\"lazy\" title=\"Focused Ultrasound Treatment at UNC Health Enables Musician to Play Guitar Again\" width=\"1140\" height=\"641\" src=\"https:\/\/www.youtube.com\/embed\/W5CDwVVqE7w?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<div class=\"entry-content-asset\"><iframe loading=\"lazy\" title=\"Focused Ultrasound Treatment Helps North Carolina Veteran with Essential Tremor\" width=\"1140\" height=\"641\" src=\"https:\/\/www.youtube.com\/embed\/fV_SbOEbPPE?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<h3><strong>Our Team<\/strong><\/h3>\n<div class=\"container-fluid divisions-container multi-column\">\n    \n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Krishna-791x1024.jpg\" alt=\"Vibhor Krishna, MD\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2025\/12\/Krishna-791x1024.jpg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/vibhor-krishna-md\/\" rel=\"bookmark\">\n                            Vibhor Krishna, MD                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Vice Chair, Inpatient Operations<br \/>\nService Line Leader<br \/>\nAssociate Professor<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/10\/Screenshot-2023-10-16-at-3.08.31-PM.png\" alt=\"Daniel Roque, MD - UNC Health\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/10\/Screenshot-2023-10-16-at-3.08.31-PM.png\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/daniel-roque-md\/\" rel=\"bookmark\">\n                            Daniel Roque, MD                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Director, UNC Movement Disorders Neuromodulation Program<br \/>\nAssociate Professor, Movement Disorders<br \/>\nVice Chair, Ambulatory Affairs<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/Matthew-Harris.jpeg\" alt=\"Matthew Harris, PhD, ABPP(CN)\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2023\/11\/Matthew-Harris.jpeg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/matthew-harris-phd-abppcn\/\" rel=\"bookmark\">\n                            Matthew Harris, PhD, ABPP(CN)                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Assistant Professor, Neuropsychology<\/p>\n                            <\/div>\n        <\/article>\n\n            <article class=\"row post entry\">\n            <div class=\"directory-gallery-thumbnail\">\n                                                                                                \t\t\n                    <div class=\"upd-image\">\n                        <img loading=\"lazy\" decoding=\"async\" class=\"upd_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2024\/02\/Kelsey-Wertman-1-791x1024.jpg\" alt=\"Kelsey Wertman BSN, RN, SCRN\u00a0\" height=\"160\" width=\"120\" \/>\n                        <img decoding=\"async\" class=\"print_img\" src=\"https:\/\/www.med.unc.edu\/neurosurgery\/wp-content\/uploads\/sites\/460\/2024\/02\/Kelsey-Wertman-1-791x1024.jpg\" alt=\"\" \/>\n                    <\/div>\t\t\t\t\t\t\t\t\t\n                            <\/div>\n            <div class=\"directory-gallery-content\">\n                <h2 class=\"entry-title\">                                            <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/directory\/kelsey-wertman-bsn-rn-scrn\/\" rel=\"bookmark\">\n                            Kelsey Wertman BSN, RN, SCRN\u00a0                        <\/a>\n                                    <\/h2> \n                \n                                                                    <p>Functional Neurosurgery Nurse Coordinator<\/p>\n                            <\/div>\n        <\/article>\n\n    \n    <script type=\"text\/javascript\">\n        (function($){\n            var entries = $('.entry-content');\n                entries.each(function(index, entry ){\n                    if( $(entry).find('.post-author').length === 0 ) {\n                        $(entry).parents('article.post.entry').css('min-height', '110px');\n                    }\n                });\n        })(jQuery);\n    <\/script>\n\n<\/div>\n\n\n<h3><strong>Videos<\/strong><\/h3>\n<ul>\n<li><a href=\"https:\/\/www.wral.com\/video\/new-tech-reduces-tremors-quickly-and-without-surgery\/21346721\/\">WRAL: New Tech Reduces Tremor Quickly Without Surgery<\/a><\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=I4-uhn13vrc&amp;t=46s\">Focused Ultrasound Treatment for Essential Tremor<\/a><\/li>\n<li><a href=\"https:\/\/youtu.be\/DQXdeXebFYk\">Essential Tremor Treatment Options at UNC Health<\/a><\/li>\n<li><a href=\"https:\/\/youtu.be\/HHefWmtGpXY?si=Odhjxy_j_DPCf_6g\">Focused Ultrasound Webinar Series Recap &#8211; UNC Neurosurgery<\/a><\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=qF_DAWvOUfY&amp;t=2s\">Parkinson&#8217;s disease: Focused Ultrasound used to treat Parkinson&#8217;s Symptoms at UNC Health<\/a><\/li>\n<\/ul>\n<p><strong style=\"color: inherit;font-size: 24px\">Research<\/strong><\/p>\n<p>To learn more about ongoing focused ultrasound research at UNC Health, please visit the <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/krishnalab\/\">Krishna Lab website<\/a>.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>What is focused ultrasound ablation? Focused ultrasound (FUS) is an incision-less treatment for patients with movement disorders. Like deep brain stimulation, FUS can be an effective treatment option for patients who either do not respond to medication or initially respond to medication that eventually becomes ineffective. FUS is an outpatient procedure, and many patients walk &hellip; <a href=\"https:\/\/www.med.unc.edu\/neurosurgery\/services\/movement-disorders\/focused-ultrasound\/\" aria-label=\"Read more about Focused Ultrasound\">Read more<\/a><\/p>\n","protected":false},"author":44955,"featured_media":0,"parent":8125,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-9328","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>Focused Ultrasound | Department of Neurosurgery<\/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\/neurosurgery\/services\/movement-disorders\/focused-ultrasound\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Focused Ultrasound | Department of Neurosurgery\" \/>\n<meta property=\"og:description\" content=\"What is focused ultrasound ablation? 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