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density)","Suspected malignancy at target outside oncologic protocols","Active pelvic infection (for pelvic treatment)","Bleeding disorder or anticoagulation that cannot be safely managed (relative)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Typically same-day discharge (0 nights); overnight stay of 1 night occasionally used."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity soon after treatment; strenuous exercise after about a week, once pelvic or head discomfort settles."},"final_result_months":{"min":1,"max":6,"unit":"months","qualifier":"Tremor effect peaks around 3 months; fibroid symptoms improve over 1-3 months, shrinkage continues up to about 6 months."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"Travel usually reasonable after 1-3 days, once dizziness, unsteadiness or pelvic pain settles."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":1,"max":3,"unit":"days","qualifier":"Brief check or phone contact within 1-3 days after treatment."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Clinical review at 30-90 days, often with follow-up MRI or symptom scoring."}}],"indications":["Symptomatic uterine fibroids (and sometimes adenomyosis)","Medication-refractory essential tremor","Tremor-dominant Parkinson's disease","Painful bone metastases"],"main_risks":["Skin burns or heating of non-target tissue","Treatment-site pain or discomfort during sonication","Nerve irritation or numbness","Transient nausea or dizziness","Neurological effects such as gait unsteadiness or numbness (brain treatment)","Post-treatment pelvic pain or vaginal discharge (fibroid treatment)","Sedation-related effects"],"pain":"Usually mild to moderate. Heat or pressure during sonication can be uncomfortable and is managed with analgesia. Mild soreness may follow for a few days.","preparation":["Specialist consultation and MRI screening for suitability","Review of implants and metal devices for MRI safety","Fasting for several hours before sedation, if used","Hair removal over beam path (abdomen) or head shaving (brain)","Bowel preparation for pelvic treatment, per clinic protocol","Urinary catheter for pelvic treatment, if used","Arrangement of an escort home"],"recovery_timeline":[{"phase":"Day of treatment","description":"Observation after treatment, then discharge once stable. Mild discomfort is common.","restrictions":["No driving after sedation","Rest for the remainder of the day"]},{"phase":"First week","description":"Gradual return to normal activities as soreness settles. Report severe pain, fever, burns or new neurological symptoms.","restrictions":["Avoid strenuous exertion initially"]},{"phase":"1 to 3 months","description":"Symptom improvement is assessed and follow-up imaging is done where appropriate.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":7,"unit":"days","qualifier":"Ordinary recovery over 1-7 days; no formal rehabilitation program usually needed."},"result_longevity":"Tremor control often lasts years, with some recurrence possible. Fibroid symptom relief commonly lasts several years, but regrowth or retreatment can occur, especially in younger women.","revision_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Repeat treatment in 5-15 percent, mainly within 1-2 years for recurrence or incomplete response."},"scars":"No incision and no surgical scar. Rare skin burns may leave marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One treatment session is typical; repeat treatment is sometimes needed."},"stages":[{"code":"mrgfus_treatment","label":"MRI-guided focused ultrasound treatment session","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the initial procedure."}}],"qualifier":"Single-session standalone treatment; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Hand tremor score improvement after unilateral thalamotomy","value":47,"unit":"percent reduction","horizon":"3 months","population":"Adults with medication-refractory essential tremor, unilateral transcranial treatment","evidence_status":"limited"},"techniques":[{"name":"MRgFUS for uterine fibroids (non-invasive ablation)","suits_whom":"Premenopausal women with symptomatic fibroids who want to avoid surgery","recovery":"Return to normal activity in a few days"},{"name":"Transcranial MRgFUS thalamotomy","suits_whom":"Adults with medication-refractory essential tremor or tremor-dominant Parkinson's disease","recovery":"Usually same-day or next-day discharge; light activity within days"},{"name":"MRgFUS for bone metastasis pain palliation","suits_whom":"Patients with painful bone metastases not responding to radiotherapy or analgesics","recovery":"Rapid return to usual activity; pain relief builds over days to weeks"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Time in the MRI suite for one session, 2-4 hours including setup and imaging; varies with target size."},"initial_assessment_documents":["Recent MRI report and images of target area","Diagnosis report with symptom history","Previous treatment and medication history","Brain CT or skull density data (if available)","List of blood thinners and MRI-incompatible implants"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-session incisionless treatment; stay 2-4 days including pre-treatment MRI planning and a post-procedure check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the clinic screens whether any implanted devices are compatible with MRI","scope":"procedure","source":{"url":"https://uthscsa.edu/physicians/services/focused-ultrasound","host":"uthscsa.edu","quote":"Patients are also screened for safety considerations, including whether any implanted devices are compatible with MRI.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the consultation reviews your symptoms, medical history and previous treatments","scope":"procedure","source":{"url":"https://uthscsa.edu/physicians/services/focused-ultrasound","host":"uthscsa.edu","quote":"During this visit, we take time to understand your symptoms, medical history and previous treatments 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