MRI-guided high-intensity focused ultrasound ("HIFU") therapy can be used to ablate sympathetic nerves near the renal arteries. Such therapy may employ a HIFU device that includes an ultrasound transducer and an expandable reservoir that includes a first surface configured to conform to a surface anatomy of a patient and a port in fluid communication with a fluid source. The expandable reservoir can be configured to change a size in a dimension by inflating or deflating the expandable reservoir. Such a device may be used in connection with an MRI device that includes a support portion configured to conform to the surface anatomy of the patient and defining a first window configured to receive the ultrasound transducer for targeting tissue. The MRI device can include radiofrequency coil arrays embedded throughout to the support portion to monitor the therapy.
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