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Hi everyone and welcome to the NEJM Open Group Forum discussion on the article, “A Randomized Trial of Focused Ultrasound Thalamotomy for Essential Tremor.” My name is Leonard and I will serve as a moderator to complement Yuying as lead moderator for this thread. I would first like to congratulate Dr. Elias et al. on their study which demonstrates the efficacy of MRI-guided focused ultrasound thalamotomy in treating upper limb tremor in patients with essential tremor.

I would also like to welcome and thank our featured experts who have agreed to spend the time to share their knowledge and insights on this topic. The use of this forum is meant to encourage discussion and questions from individuals with varying levels of expertise. All guests are welcome to ask questions and I encourage all our authors and experts to answer any questions that are posed. I hope this forum will be a place for exciting dialogue over the next 10 days. Welcome!