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

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Optimal location of thalamotomy lesions for tremor associated with Parkinson disease: a probabilistic analysis based on postoperative magnetic resonance imaging and an integrated digital atlas.

Identifieur interne : 001446 ( PubMed/Checkpoint ); précédent : 001445; suivant : 001447

Optimal location of thalamotomy lesions for tremor associated with Parkinson disease: a probabilistic analysis based on postoperative magnetic resonance imaging and an integrated digital atlas.

Auteurs : Jeffrey D. Atkinson [Canada] ; D Louis Collins ; Gilles Bertrand ; Terry M. Peters ; G Bruce Pike ; Abbas F. Sadikot

Source :

RBID : pubmed:12005392

English descriptors

Abstract

Renewed interest in stereotactic neurosurgery for movement disorders has led to numerous reports of clinical outcomes associated with different treatment strategies. Nevertheless, there is a paucity of autopsy and imaging data that can be used to describe the optimal size and location of lesions or the location of implantable stimulators. In this study the authors correlated the clinical efficacy of stereotactic thalamotomy for tremor with precise anatomical localization by using postoperative magnetic resonance (MR) imaging and an integrated deformable digital atlas of subcortical structures.

DOI: 10.3171/jns.2002.96.5.0854
PubMed: 12005392


Affiliations:


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pubmed:12005392

Le document en format XML

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<title xml:lang="en">Optimal location of thalamotomy lesions for tremor associated with Parkinson disease: a probabilistic analysis based on postoperative magnetic resonance imaging and an integrated digital atlas.</title>
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<name sortKey="Atkinson, Jeffrey D" sort="Atkinson, Jeffrey D" uniqKey="Atkinson J" first="Jeffrey D" last="Atkinson">Jeffrey D. Atkinson</name>
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<nlm:affiliation>Division of Neurosurgery, McConnell Brain Imaging Center, Montreal Neurological Institute, McGill University, Quebec, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<name sortKey="Peters, Terry M" sort="Peters, Terry M" uniqKey="Peters T" first="Terry M" last="Peters">Terry M. Peters</name>
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<title xml:lang="en">Optimal location of thalamotomy lesions for tremor associated with Parkinson disease: a probabilistic analysis based on postoperative magnetic resonance imaging and an integrated digital atlas.</title>
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<title level="j">Journal of neurosurgery</title>
<idno type="ISSN">0022-3085</idno>
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<term>Aged</term>
<term>Brain Mapping</term>
<term>Female</term>
<term>Humans</term>
<term>Image Processing, Computer-Assisted</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (surgery)</term>
<term>Probability</term>
<term>Stereotaxic Techniques</term>
<term>Thalamic Nuclei (anatomy & histology)</term>
<term>Thalamic Nuclei (surgery)</term>
<term>Treatment Outcome</term>
<term>Tremor (diagnosis)</term>
<term>Tremor (etiology)</term>
<term>Tremor (surgery)</term>
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<term>Thalamic Nuclei</term>
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<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Parkinson Disease</term>
<term>Tremor</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Tremor</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Parkinson Disease</term>
<term>Thalamic Nuclei</term>
<term>Tremor</term>
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<term>Brain Mapping</term>
<term>Female</term>
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<term>Image Processing, Computer-Assisted</term>
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<term>Male</term>
<term>Middle Aged</term>
<term>Probability</term>
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<div type="abstract" xml:lang="en">Renewed interest in stereotactic neurosurgery for movement disorders has led to numerous reports of clinical outcomes associated with different treatment strategies. Nevertheless, there is a paucity of autopsy and imaging data that can be used to describe the optimal size and location of lesions or the location of implantable stimulators. In this study the authors correlated the clinical efficacy of stereotactic thalamotomy for tremor with precise anatomical localization by using postoperative magnetic resonance (MR) imaging and an integrated deformable digital atlas of subcortical structures.</div>
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<Year>2002</Year>
<Month>05</Month>
<Day>13</Day>
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<DateCompleted>
<Year>2002</Year>
<Month>05</Month>
<Day>31</Day>
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<DateRevised>
<Year>2006</Year>
<Month>11</Month>
<Day>15</Day>
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<ISSN IssnType="Print">0022-3085</ISSN>
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<Volume>96</Volume>
<Issue>5</Issue>
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<Year>2002</Year>
<Month>May</Month>
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<Title>Journal of neurosurgery</Title>
<ISOAbbreviation>J. Neurosurg.</ISOAbbreviation>
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<ArticleTitle>Optimal location of thalamotomy lesions for tremor associated with Parkinson disease: a probabilistic analysis based on postoperative magnetic resonance imaging and an integrated digital atlas.</ArticleTitle>
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<MedlinePgn>854-66</MedlinePgn>
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<AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">Renewed interest in stereotactic neurosurgery for movement disorders has led to numerous reports of clinical outcomes associated with different treatment strategies. Nevertheless, there is a paucity of autopsy and imaging data that can be used to describe the optimal size and location of lesions or the location of implantable stimulators. In this study the authors correlated the clinical efficacy of stereotactic thalamotomy for tremor with precise anatomical localization by using postoperative magnetic resonance (MR) imaging and an integrated deformable digital atlas of subcortical structures.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirty-one lesions were created by stereotactic thalamotomy in 25 patients with tremor-dominant Parkinson disease. Lesion volume and configuration were evaluated by reviewing early postoperative MR images and were correlated with excellent, good, or fair tremor outcome categories. To allow valid comparisons of configurations of lesions with respect to cytoarchitectonic thalamic boundaries, the MR image obtained in each patient was nonlinearly deformed into a standardized MR imaging space, which included an integrated atlas of the basal ganglia and thalamus. The volume and precise location of lesions associated with different clinical outcomes were compared using nonparametric statistical methods. Probabilistic maps of lesions in each tremor outcome category were generated and compared. Statistically significant differences in lesion location between excellent and good. and excellent and fair outcome categories were demonstrated. On average, lesions associated with excellent outcomes involved thalamic areas located more posteriorly than sites affected by lesions in the other two outcome groups. Subtraction analysis revealed that lesions correlated with excellent outcomes necessarily involved the interface of the nucleus ventralis intermedius (Vim; also known as the ventral lateral posterior nucleus [VLp]) and the nucleus ventrocaudalis (Vc; also known as the ventral posterior [VP] nucleus). Differences in lesion volume among outcome groups did not achieve statistical significance.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Anatomical evaluation of lesions within a standardized MR image-atlas integrated reference space is a useful method for determining optimal lesion localization. The results of an analysis of probabilistic maps indicates that optimal relief of tremor is associated with lesions involving the Vim (VLp) and the anterior Vc (VP).</AbstractText>
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