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Mayo Clin Proc Innov Qual Outcomes. 2019 Dec 28;4(1):109-113. doi: 10.1016/j.mayocpiqo.2019.10.003. eCollection 2020 Feb.

Improved Treatment Response Following Magnetic Resonance Imaging-Guided Focused Ultrasound for Lumbar Facet Joint Pain.

Mayo Clinic proceedings. Innovations, quality & outcomes

Christin A Tiegs-Heiden, Vance T Lehman, Krzysztof R Gorny, Andrea J Boon, Gina K Hesley

Affiliations

  1. Department of Radiology, Mayo Clinic, Rochester, MN.
  2. Department of Neurology, Mayo Clinic, Rochester, MN.
  3. Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN.

PMID: 32055777 PMCID: PMC7010965 DOI: 10.1016/j.mayocpiqo.2019.10.003

Abstract

Magnetic resonance imaging-guided focused ultrasound (MRgFUS) is a noninvasive modality that allows for precise tissue ablation with sparing of surrounding structures. Early reports of the use of MRgFUS for the treatment of facet joint osteoarthritis are promising. We present a case of facet joint pain treated successfully by MRgFUS at our institution. Magnetic resonance imaging-guided focused ultrasonography may be a useful modality for patients with facet joint-mediated low back pain, particularly in the setting of limited or refractory response to conventional treatments.

© 2019 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc.

Keywords: MBB, medial branch block; MRI, magnetic resonance imaging; MRgFUS, magnetic resonance imaging–guided focused ultrasound; RF, radiofrequency

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