Document Detail


Construction of relational topographies from the quantitative measurements of functional deep brain stimulation using a 'roving window' interpolation algorithm.
MedLine Citation:
PMID:  19940545     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The delivery of stimulus by a deep brain stimulation (DBS) contact electrode at a particular location may lead to a quantifiable physiologic effect, both intraoperatively and postoperatively. Consequently, measured data values can be attributed to discrete scattered points in neuroanatomic space, allowing for interpolative techniques to generate a topographic map of spatial patterns. Ultimately, by relating the topographies of various intraoperative measurements to the postoperative counterparts and neuroanatomic atlases, outcome-guided adjustments to electrode position can be pursued intraoperatively. In this study, 52 Parkinson's disease patients were tested with a postoperative trial of stimulation and thresholds were recorded for motor adverse effects. A 'roving window' interpolation algorithm was adapted to generate a topographic map of voltage threshold along selected axial, coronal and sagittal planes. By developing these relational topographies for a variety of intraoperative and postoperative effects, a multivariable approach towards DBS optimization emerges.
Authors:
Mahesh B Shenai; Harrison Walker; Stephanie Guthrie; Ray Watts; Barton L Guthrie
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Publication Detail:
Type:  Journal Article     Date:  2009-11-20
Journal Detail:
Title:  Stereotactic and functional neurosurgery     Volume:  88     ISSN:  1423-0372     ISO Abbreviation:  Stereotact Funct Neurosurg     Publication Date:  2010  
Date Detail:
Created Date:  2010-01-21     Completed Date:  2010-03-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8902881     Medline TA:  Stereotact Funct Neurosurg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  16-23     Citation Subset:  IM    
Copyright Information:
2009 S. Karger AG, Basel.
Affiliation:
Division of Neurosurgery, The University of Alabama at Birmingham, Birmingham, AL 35294-3410, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Algorithms
Brain Mapping / methods*
Deep Brain Stimulation / adverse effects,  methods*
Electrodes, Implanted
Female
Humans
Male
Middle Aged
Models, Neurological
Parkinson Disease / physiopathology*,  surgery
Subthalamic Nucleus / physiopathology*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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