Discrepancies between the MRI- and the electrophysiologically defined subthalamic nucleus.
Identifieur interne : 001D87 ( PubMed/Checkpoint ); précédent : 001D86; suivant : 001D88Discrepancies 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 FellnerSource :
- Acta neurochirurgica [ 0942-0940 ] ; 2011.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique (), Imagerie par résonance magnétique (normes), Maladie de Parkinson (), Mâle, Neuronavigation (), Noyau subthalamique (), Noyau subthalamique (anatomie et histologie), Noyau subthalamique (physiologie), Stimulation cérébrale profonde (), Sujet âgé, Électrophysiologie (), Électrophysiologie (normes), Études rétrospectives.
- MESH :
- anatomie et histologie : Noyau subthalamique.
- normes : Imagerie par résonance magnétique, Électrophysiologie.
- physiologie : Noyau subthalamique.
- Adulte d'âge moyen, Femelle, Humains, Imagerie par résonance magnétique, Maladie de Parkinson, Mâle, Neuronavigation, Noyau subthalamique, Stimulation cérébrale profonde, Sujet âgé, Électrophysiologie, Études rétrospectives.
English descriptors
- KwdEn :
- Aged, Deep Brain Stimulation (methods), Electrophysiology (methods), Electrophysiology (standards), Female, Humans, Magnetic Resonance Imaging (methods), Magnetic Resonance Imaging (standards), Male, Middle Aged, Neuronavigation (methods), Parkinson Disease (therapy), Retrospective Studies, Subthalamic Nucleus (anatomy & histology), Subthalamic Nucleus (physiology), Subthalamic Nucleus (surgery).
- MESH :
- anatomy & histology : Subthalamic Nucleus.
- methods : Deep Brain Stimulation, Electrophysiology, Magnetic Resonance Imaging, Neuronavigation.
- physiology : Subthalamic Nucleus.
- standards : Electrophysiology, Magnetic Resonance Imaging.
- surgery : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Aged, Female, Humans, Male, Middle Aged, Retrospective Studies.
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:21744142Le document en format XML
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<series><title level="j">Acta neurochirurgica</title>
<idno type="eISSN">0942-0940</idno>
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<term>Electrophysiology (methods)</term>
<term>Electrophysiology (standards)</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Magnetic Resonance Imaging (standards)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neuronavigation (methods)</term>
<term>Parkinson Disease (therapy)</term>
<term>Retrospective Studies</term>
<term>Subthalamic Nucleus (anatomy & histology)</term>
<term>Subthalamic Nucleus (physiology)</term>
<term>Subthalamic Nucleus (surgery)</term>
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<term>Femelle</term>
<term>Humains</term>
<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>
<term>Noyau subthalamique (physiologie)</term>
<term>Stimulation cérébrale profonde ()</term>
<term>Sujet âgé</term>
<term>Électrophysiologie ()</term>
<term>Électrophysiologie (normes)</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term>
<term>Electrophysiology</term>
<term>Magnetic Resonance Imaging</term>
<term>Neuronavigation</term>
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<keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Imagerie par résonance magnétique</term>
<term>Électrophysiologie</term>
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<term>Magnetic Resonance Imaging</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<term>Humans</term>
<term>Male</term>
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<term>Retrospective Studies</term>
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<front><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>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21744142</PMID>
<DateCompleted><Year>2012</Year>
<Month>08</Month>
<Day>17</Day>
</DateCompleted>
<DateRevised><Year>2011</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">0942-0940</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>153</Volume>
<Issue>12</Issue>
<PubDate><Year>2011</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>Acta neurochirurgica</Title>
<ISOAbbreviation>Acta Neurochir (Wien)</ISOAbbreviation>
</Journal>
<ArticleTitle>Discrepancies between the MRI- and the electrophysiologically defined subthalamic nucleus.</ArticleTitle>
<Pagination><MedlinePgn>2307-18</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00701-011-1081-7</ELocationID>
<Abstract><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>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schlaier</LastName>
<ForeName>Juergen Ralf</ForeName>
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<AffiliationInfo><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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<Author ValidYN="Y"><LastName>Habermeyer</LastName>
<ForeName>Christine</ForeName>
<Initials>C</Initials>
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<Author ValidYN="Y"><LastName>Warnat</LastName>
<ForeName>Jan</ForeName>
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<Author ValidYN="Y"><LastName>Lange</LastName>
<ForeName>Max</ForeName>
<Initials>M</Initials>
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<Author ValidYN="Y"><LastName>Janzen</LastName>
<ForeName>Annette</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hochreiter</LastName>
<ForeName>Andreas</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Proescholdt</LastName>
<ForeName>Martin</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Brawanski</LastName>
<ForeName>Alexander</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Fellner</LastName>
<ForeName>Claudia</ForeName>
<Initials>C</Initials>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D004594" MajorTopicYN="N">Electrophysiology</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
<QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName>
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<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
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<MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName>
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<name sortKey="Habermeyer, Christine" sort="Habermeyer, Christine" uniqKey="Habermeyer C" first="Christine" last="Habermeyer">Christine Habermeyer</name>
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<country name="Allemagne"><noRegion><name sortKey="Schlaier, Juergen Ralf" sort="Schlaier, Juergen Ralf" uniqKey="Schlaier J" first="Juergen Ralf" last="Schlaier">Juergen Ralf Schlaier</name>
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