{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:16:07Z","timestamp":1787008567871,"version":"build-2736575974"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T00:00:00Z","timestamp":1666656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Magnetic resonance\u2013guided high-intensity focused ultrasound thalamotomy is a Food and Drug Administration\u2013approved treatment for essential tremor. The target, the ventral intermediate nucleus of the thalamus, is not visualized on standard, anatomic MRI sequences. Several recent reports have used diffusion tensor imaging to target the dentato-rubro-thalamic-tract. There is considerable variability in fibre tracking algorithms and what fibres are tracked. Targeting discrete white matter tracts with magnetic resonance\u2013guided high-intensity focused ultrasound is an emerging precision medicine technique that has the promise to improve patient outcomes and reduce treatment times. We provide a technical overview and clinical benefits of our novel, easily implemented advanced tractography method: four-tract tractography. Our method is novel because it targets both the decussating and non-decussating dentato-rubro-thalamic-tracts while avoiding the medial lemniscus and corticospinal tracts. Our method utilizes Food and Drug Administration-approved software and is easily implementable into existing workflows. Initial experience using this approach suggests that it improves patient outcomes by reducing the incidence of adverse effects.<\/jats:p>","DOI":"10.1093\/braincomms\/fcac273","type":"journal-article","created":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T14:25:57Z","timestamp":1666707957000},"source":"Crossref","is-referenced-by-count":38,"title":["Focused ultrasound using a novel targeting method four-tract tractography for magnetic resonance\u2013guided high-intensity focused ultrasound targeting"],"prefix":"10.1093","volume":"4","author":[{"given":"Fabricio S","family":"Feltrin","sequence":"first","affiliation":[{"name":"Focused Ultrasound Lab and Program, Department of Radiology, UTSW Medical Center , Dallas, TX 75235 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajiv","family":"Chopra","sequence":"additional","affiliation":[{"name":"Focused Ultrasound Lab and Program, Department of Radiology, UTSW Medical Center , Dallas, TX 75235 , 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Lanford","sequence":"additional","affiliation":[{"name":"Focused Ultrasound Lab and Program, Department of Radiology, UTSW Medical Center , Dallas, TX 75235 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Dauer","sequence":"additional","affiliation":[{"name":"O\u2019Donnell Brain Institute, UTSW Medical Center , Dallas, TX 75235 , USA"},{"name":"Department of Neurology, UTSW Medical Center , Dallas, TX 75235 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0058-6174","authenticated-orcid":false,"given":"Bhavya R","family":"Shah","sequence":"additional","affiliation":[{"name":"Focused Ultrasound Lab and Program, Department of Radiology, UTSW Medical Center , Dallas, TX 75235 , USA"},{"name":"Department of Neurological Surgery, UTSW Medical Center , Dallas, TX 75235 , USA"},{"name":"O\u2019Donnell Brain 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