ParkinsonCanadaV1, Main, Exploration, bibRecord, 002B36

Correspondence of microelectrode mapping with magnetic resonance imaging for subthalamic nucleus procedures. Commentary

Identifieur interne : 002B36 ( Main/Exploration ); précédent : 002B35; suivant : 002B37

Correspondence of microelectrode mapping with magnetic resonance imaging for subthalamic nucleus procedures. Commentary

Auteurs : Clement Hamani [Canada] ; Erich O. Richter [États-Unis] ; Yuri Andrade-Souza [Canada] ; William Hutchison [Canada] ; Jean A. Saint-Cyr [Canada] ; Andres M. Lozano [Canada] ; Kim J. Burchiel [États-Unis] ; Christopher J. Winfree [États-Unis]

Source :

Surgical neurology [ 0090-3019 ] ; 2005.

RBID : Pascal:05-0160220

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Chirurgie, Microélectrode, Parkinson maladie, Cartographie, Imagerie RMN, Noyau sousthalamique.
Wicri :
- topic : Chirurgie, Cartographie.

English descriptors

KwdEn :
- Action Potentials (physiology), Brain Mapping (instrumentation), Brain Mapping (methods), Cartography, Electrophysiology (instrumentation), Electrophysiology (methods), Humans, Image Processing, Computer-Assisted (methods), Magnetic Resonance Imaging (instrumentation), Magnetic Resonance Imaging (methods), Medical Illustration, Microelectrode, Microelectrodes (standards), Nervous system diseases, Neural Pathways (physiopathology), Neurons (physiology), Nuclear magnetic resonance imaging, Parkinson Disease (pathology), Parkinson Disease (physiopathology), Parkinson Disease (surgery), Parkinson disease, Reproducibility of Results, Retrospective Studies, Statistics as Topic, Stereotaxic Techniques (instrumentation), Subthalamic Nucleus (anatomy & histology), Subthalamic Nucleus (physiopathology), Subthalamic Nucleus (surgery), Subthalamic nucleus, Surgery.
MESH :
- anatomy & histology : Subthalamic Nucleus.
- instrumentation : Brain Mapping, Electrophysiology, Magnetic Resonance Imaging, Stereotaxic Techniques.
- methods : Brain Mapping, Electrophysiology, Image Processing, Computer-Assisted, Magnetic Resonance Imaging.
- pathology : Parkinson Disease.
- physiology : Action Potentials, Neurons.
- physiopathology : Neural Pathways, Parkinson Disease, Subthalamic Nucleus.
- standards : Microelectrodes.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- Humans, Medical Illustration, Reproducibility of Results, Retrospective Studies, Statistics as Topic.

Abstract

Background: Magnetic resonance imaging (MRI) and microelectrode recording (MER) are commonly used to guide stereotactic procedures on the subthalamic nucleus (STN). Little is known about the correlation between the position of the STN as seen on MRI and that as determined by MER mapping. We compared these in 10 patients with Parkinson's disease. Methods: The position of the STN was determined by intraoperative MER findings and stereotactic axial T2 magnetic resonance images with 2-mm slice thickness. Images were reconstructed in a 3-dimensional workstation. The anterior, posterior, medial, lateral, dorsal, and ventral borders of the STN defined with the MRI were measured relative to the midcommissural point. The location of STN activity during MER was reconstructed relative to the midcommissural point for comparison. Results: Twenty-nine tracks recorded with microelectrodes provided clear spans of STN-like activity in 18 STN nuclei. The coordinates of MER were, in general, within the borders of the STN defined with the MRI. However, when analyzed individually, some of the tracks had STN-like activity outside the borders of the MRI-defined nucleus (mostly <1 mm). Three tracks had STN-like activity recorded between 2 and 3 mm more anterior than the anterior border of the nucleus defined with the MRI. Conclusions: There was a good correlation between MER and the borders of the STN defined in the MRI, except for the anterior-posterior axis, in which MER indicated that the STN extended more anteriorly than as suggested by MRI. This should be taken into account in STN surgery.

Affiliations:

Le document en format XML

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<term>Brain Mapping (instrumentation)</term>
<term>Brain Mapping (methods)</term>
<term>Cartography</term>
<term>Electrophysiology (instrumentation)</term>
<term>Electrophysiology (methods)</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted (methods)</term>
<term>Magnetic Resonance Imaging (instrumentation)</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Medical Illustration</term>
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<term>Microelectrodes (standards)</term>
<term>Nervous system diseases</term>
<term>Neural Pathways (physiopathology)</term>
<term>Neurons (physiology)</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Parkinson Disease (pathology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease (surgery)</term>
<term>Parkinson disease</term>
<term>Reproducibility of Results</term>
<term>Retrospective Studies</term>
<term>Statistics as Topic</term>
<term>Stereotaxic Techniques (instrumentation)</term>
<term>Subthalamic Nucleus (anatomy & histology)</term>
<term>Subthalamic Nucleus (physiopathology)</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Subthalamic nucleus</term>
<term>Surgery</term>
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<term>Electrophysiology</term>
<term>Magnetic Resonance Imaging</term>
<term>Stereotaxic Techniques</term>
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<term>Electrophysiology</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
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<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Parkinson Disease</term>
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<term>Neurons</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Neural Pathways</term>
<term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
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<keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Microelectrodes</term>
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<term>Subthalamic Nucleus</term>
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<term>Medical Illustration</term>
<term>Reproducibility of Results</term>
<term>Retrospective Studies</term>
<term>Statistics as Topic</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Chirurgie</term>
<term>Microélectrode</term>
<term>Parkinson maladie</term>
<term>Cartographie</term>
<term>Imagerie RMN</term>
<term>Noyau sousthalamique</term>
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<front><div type="abstract" xml:lang="en">Background: Magnetic resonance imaging (MRI) and microelectrode recording (MER) are commonly used to guide stereotactic procedures on the subthalamic nucleus (STN). Little is known about the correlation between the position of the STN as seen on MRI and that as determined by MER mapping. We compared these in 10 patients with Parkinson's disease. Methods: The position of the STN was determined by intraoperative MER findings and stereotactic axial T2 magnetic resonance images with 2-mm slice thickness. Images were reconstructed in a 3-dimensional workstation. The anterior, posterior, medial, lateral, dorsal, and ventral borders of the STN defined with the MRI were measured relative to the midcommissural point. The location of STN activity during MER was reconstructed relative to the midcommissural point for comparison. Results: Twenty-nine tracks recorded with microelectrodes provided clear spans of STN-like activity in 18 STN nuclei. The coordinates of MER were, in general, within the borders of the STN defined with the MRI. However, when analyzed individually, some of the tracks had STN-like activity outside the borders of the MRI-defined nucleus (mostly <1 mm). Three tracks had STN-like activity recorded between 2 and 3 mm more anterior than the anterior border of the nucleus defined with the MRI. Conclusions: There was a good correlation between MER and the borders of the STN defined in the MRI, except for the anterior-posterior axis, in which MER indicated that the STN extended more anteriorly than as suggested by MRI. This should be taken into account in STN surgery.</div>
</front>
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<li>États-Unis</li>
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<region><li>Ontario</li>
</region>
<settlement><li>Toronto</li>
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<tree><country name="Canada"><region name="Ontario"><name sortKey="Hamani, Clement" sort="Hamani, Clement" uniqKey="Hamani C" first="Clement" last="Hamani">Clement Hamani</name>
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<name sortKey="Andrade Souza, Yuri" sort="Andrade Souza, Yuri" uniqKey="Andrade Souza Y" first="Yuri" last="Andrade-Souza">Yuri Andrade-Souza</name>
<name sortKey="Hutchison, William" sort="Hutchison, William" uniqKey="Hutchison W" first="William" last="Hutchison">William Hutchison</name>
<name sortKey="Lozano, Andres M" sort="Lozano, Andres M" uniqKey="Lozano A" first="Andres M." last="Lozano">Andres M. Lozano</name>
<name sortKey="Saint Cyr, Jean A" sort="Saint Cyr, Jean A" uniqKey="Saint Cyr J" first="Jean A." last="Saint-Cyr">Jean A. Saint-Cyr</name>
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<name sortKey="Burchiel, Kim J" sort="Burchiel, Kim J" uniqKey="Burchiel K" first="Kim J." last="Burchiel">Kim J. Burchiel</name>
<name sortKey="Winfree, Christopher J" sort="Winfree, Christopher J" uniqKey="Winfree C" first="Christopher J." last="Winfree">Christopher J. Winfree</name>
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   |texte=   Correspondence of microelectrode mapping with magnetic resonance imaging for subthalamic nucleus procedures. Commentary
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La maladie de Parkinson au Canada (serveur d'exploration)

Correspondence of microelectrode mapping with magnetic resonance imaging for subthalamic nucleus procedures. Commentary

Correspondence of microelectrode mapping with magnetic resonance imaging for subthalamic nucleus procedures. Commentary

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	La maladie de Parkinson au Canada (serveur d'exploration)
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