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Discrepancies between the MRI- and the electrophysiologically defined subthalamic nucleus.

Identifieur interne : 001D87 ( PubMed/Checkpoint ); précédent : 001D86; suivant : 001D88

Discrepancies between the MRI- and the electrophysiologically defined subthalamic nucleus.

Auteurs : Juergen Ralf Schlaier [Allemagne] ; Christine Habermeyer ; Jan Warnat ; Max Lange ; Annette Janzen ; Andreas Hochreiter ; Martin Proescholdt ; Alexander Brawanski ; Claudia Fellner

Source :

RBID : pubmed:21744142

Descripteurs français

English descriptors

Abstract

The aim of our study was to evaluate discrepancies between the electrophysiologically and MRI-defined subthalamic nucleus (STN) in order to contribute to the ongoing debate of whether or not microelectrode recording (MER) provides additional information to image-guided targeting in deep brain stimulation.

DOI: 10.1007/s00701-011-1081-7
PubMed: 21744142


Affiliations:


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pubmed:21744142

Le document en format XML

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<term>Magnetic Resonance Imaging (methods)</term>
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<term>Imagerie par résonance magnétique ()</term>
<term>Imagerie par résonance magnétique (normes)</term>
<term>Maladie de Parkinson ()</term>
<term>Mâle</term>
<term>Neuronavigation ()</term>
<term>Noyau subthalamique ()</term>
<term>Noyau subthalamique (anatomie et histologie)</term>
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<div type="abstract" xml:lang="en">The aim of our study was to evaluate discrepancies between the electrophysiologically and MRI-defined subthalamic nucleus (STN) in order to contribute to the ongoing debate of whether or not microelectrode recording (MER) provides additional information to image-guided targeting in deep brain stimulation.</div>
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<Month>08</Month>
<Day>17</Day>
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<Year>2011</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Electronic">0942-0940</ISSN>
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<Volume>153</Volume>
<Issue>12</Issue>
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<Year>2011</Year>
<Month>Dec</Month>
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<Title>Acta neurochirurgica</Title>
<ISOAbbreviation>Acta Neurochir (Wien)</ISOAbbreviation>
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<ArticleTitle>Discrepancies between the MRI- and the electrophysiologically defined subthalamic nucleus.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The aim of our study was to evaluate discrepancies between the electrophysiologically and MRI-defined subthalamic nucleus (STN) in order to contribute to the ongoing debate of whether or not microelectrode recording (MER) provides additional information to image-guided targeting in deep brain stimulation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Forty-four STNs in 22 patients with Parkinson's disease were investigated. The three-dimensional MRI-defined STN was derived from segmentations of axial and coronal T2-weighted images. The electrophysiological STNs were generated from intraoperative MERs in 1,487 locations. The stereotactical coordinates of positive and negative STN recordings were re-imported to the planning software, where a three-dimensional reconstruction of the electrophysiological STN was performed and fused to the MRI data set. The estimated borders of the MRI- and MER-STN were compared. For statistical analysis Student's t, Mann-Whitney rank sum and Fisher's exact tests were used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">MER-STN volumes, which were found outside the MRI-STN, ranged from 0 mm(3) to 87 mm(3) (mean: 45 mm(3)). A mean of 44% of the MER-STN volumes exceeded the MRI-STN (maximum: 85.1%; minimum: 15.1 %); 53.4% (n = 793) of the microelectrode recordings were concordant and 46.6% (n = 694) discordant with the MRI-defined anatomical STN. Regarding the dorsal borders, we found discrepancies between the MER- and MRI-STN of 0.27 mm (= mean; SD: 0.51 mm) on the first operated side and 1.51 mm (SD: 1.5 mm) on the second (p = 0.010, t-test).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">MER provides additional information to high-resolution anatomical MR images and may help to detect the amount and direction of brain shift.</AbstractText>
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<Affiliation>Department of Neurosurgery, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany. juergen.schlaier@klinik.uni-regensburg.de</Affiliation>
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