A technique for minimally altering anatomically based subthalamic electrode targeting by microelectrode recording.
Identifieur interne : 002255 ( PubMed/Corpus ); précédent : 002254; suivant : 002256A technique for minimally altering anatomically based subthalamic electrode targeting by microelectrode recording.
Auteurs : Patrick B. Senatus ; David Teeple ; Shearwood Mcclelland ; Seth L. Pullman ; Qiping Yu ; Blair Ford ; Guy M. Mckhann ; Robert R. GoodmanSource :
- Neurosurgical focus [ 1092-0684 ] ; 2006.
English descriptors
- KwdEn :
- Brain Mapping (instrumentation), Brain Mapping (methods), Deep Brain Stimulation, Electrodes, Implanted, Humans, Magnetic Resonance Imaging, Microelectrodes, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (therapy), Retrospective Studies, Stereotaxic Techniques, Subthalamic Nucleus (physiopathology), Subthalamic Nucleus (surgery).
- MESH :
- diagnosis : Parkinson Disease.
- instrumentation : Brain Mapping.
- methods : Brain Mapping.
- physiopathology : Parkinson Disease, Subthalamic Nucleus.
- surgery : Subthalamic Nucleus.
- therapy : Parkinson Disease.
- Deep Brain Stimulation, Electrodes, Implanted, Humans, Magnetic Resonance Imaging, Microelectrodes, Retrospective Studies, Stereotaxic Techniques.
Abstract
Implantation of a subthalamic nucleus (STN) deep brain stimulation (DBS) electrode is increasingly recognized as an effective treatment for advanced Parkinson disease (PD). Despite widespread use of microelectrode recording (MER) to delineate the boundaries of the STN prior to stimulator implantation, it remains unclear to what extent MER improves the clinical efficacy of this procedure. In this report, the authors analyze a series of patients who were treated at one surgical center to determine to what degree final electrode placement was altered, based on readings obtained with MER, from the calculated anatomical target.
DOI: 10.3171/foc.2006.20.5.9
PubMed: 16711665
Links to Exploration step
pubmed:16711665Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A technique for minimally altering anatomically based subthalamic electrode targeting by microelectrode recording.</title><author><name sortKey="Senatus, Patrick B" sort="Senatus, Patrick B" uniqKey="Senatus P" first="Patrick B" last="Senatus">Patrick B. Senatus</name><affiliation><nlm:affiliation>Department of Neurological Surgery, Neurological Institute of New York, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Teeple, David" sort="Teeple, David" uniqKey="Teeple D" first="David" last="Teeple">David Teeple</name></author><author><name sortKey="Mcclelland, Shearwood" sort="Mcclelland, Shearwood" uniqKey="Mcclelland S" first="Shearwood" last="Mcclelland">Shearwood Mcclelland</name></author><author><name sortKey="Pullman, Seth L" sort="Pullman, Seth L" uniqKey="Pullman S" first="Seth L" last="Pullman">Seth L. Pullman</name></author><author><name sortKey="Yu, Qiping" sort="Yu, Qiping" uniqKey="Yu Q" first="Qiping" last="Yu">Qiping Yu</name></author><author><name sortKey="Ford, Blair" sort="Ford, Blair" uniqKey="Ford B" first="Blair" last="Ford">Blair Ford</name></author><author><name sortKey="Mckhann, Guy M" sort="Mckhann, Guy M" uniqKey="Mckhann G" first="Guy M" last="Mckhann">Guy M. Mckhann</name></author><author><name sortKey="Goodman, Robert R" sort="Goodman, Robert R" uniqKey="Goodman R" first="Robert R" last="Goodman">Robert R. Goodman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2006">2006</date><idno type="RBID">pubmed:16711665</idno><idno type="pmid">16711665</idno><idno type="doi">10.3171/foc.2006.20.5.9</idno><idno type="wicri:Area/PubMed/Corpus">002255</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">002255</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A technique for minimally altering anatomically based subthalamic electrode targeting by microelectrode recording.</title><author><name sortKey="Senatus, Patrick B" sort="Senatus, Patrick B" uniqKey="Senatus P" first="Patrick B" last="Senatus">Patrick B. Senatus</name><affiliation><nlm:affiliation>Department of Neurological Surgery, Neurological Institute of New York, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.</nlm:affiliation></affiliation></author><author><name sortKey="Teeple, David" sort="Teeple, David" uniqKey="Teeple D" first="David" last="Teeple">David Teeple</name></author><author><name sortKey="Mcclelland, Shearwood" sort="Mcclelland, Shearwood" uniqKey="Mcclelland S" first="Shearwood" last="Mcclelland">Shearwood Mcclelland</name></author><author><name sortKey="Pullman, Seth L" sort="Pullman, Seth L" uniqKey="Pullman S" first="Seth L" last="Pullman">Seth L. Pullman</name></author><author><name sortKey="Yu, Qiping" sort="Yu, Qiping" uniqKey="Yu Q" first="Qiping" last="Yu">Qiping Yu</name></author><author><name sortKey="Ford, Blair" sort="Ford, Blair" uniqKey="Ford B" first="Blair" last="Ford">Blair Ford</name></author><author><name sortKey="Mckhann, Guy M" sort="Mckhann, Guy M" uniqKey="Mckhann G" first="Guy M" last="Mckhann">Guy M. Mckhann</name></author><author><name sortKey="Goodman, Robert R" sort="Goodman, Robert R" uniqKey="Goodman R" first="Robert R" last="Goodman">Robert R. Goodman</name></author></analytic><series><title level="j">Neurosurgical focus</title><idno type="eISSN">1092-0684</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain Mapping (instrumentation)</term><term>Brain Mapping (methods)</term><term>Deep Brain Stimulation</term><term>Electrodes, Implanted</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Microelectrodes</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (therapy)</term><term>Retrospective Studies</term><term>Stereotaxic Techniques</term><term>Subthalamic Nucleus (physiopathology)</term><term>Subthalamic Nucleus (surgery)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Brain Mapping</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Brain Mapping</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Deep Brain Stimulation</term><term>Electrodes, Implanted</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Microelectrodes</term><term>Retrospective Studies</term><term>Stereotaxic Techniques</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Implantation of a subthalamic nucleus (STN) deep brain stimulation (DBS) electrode is increasingly recognized as an effective treatment for advanced Parkinson disease (PD). Despite widespread use of microelectrode recording (MER) to delineate the boundaries of the STN prior to stimulator implantation, it remains unclear to what extent MER improves the clinical efficacy of this procedure. In this report, the authors analyze a series of patients who were treated at one surgical center to determine to what degree final electrode placement was altered, based on readings obtained with MER, from the calculated anatomical target.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16711665</PMID><DateCompleted><Year>2006</Year><Month>06</Month><Day>19</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>26</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1092-0684</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>5</Issue><PubDate><Year>2006</Year><Month>May</Month><Day>15</Day></PubDate></JournalIssue><Title>Neurosurgical focus</Title><ISOAbbreviation>Neurosurg Focus</ISOAbbreviation></Journal><ArticleTitle>A technique for minimally altering anatomically based subthalamic electrode targeting by microelectrode recording.</ArticleTitle><Pagination><MedlinePgn>E8</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECT" NlmCategory="OBJECTIVE">Implantation of a subthalamic nucleus (STN) deep brain stimulation (DBS) electrode is increasingly recognized as an effective treatment for advanced Parkinson disease (PD). Despite widespread use of microelectrode recording (MER) to delineate the boundaries of the STN prior to stimulator implantation, it remains unclear to what extent MER improves the clinical efficacy of this procedure. In this report, the authors analyze a series of patients who were treated at one surgical center to determine to what degree final electrode placement was altered, based on readings obtained with MER, from the calculated anatomical target.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Subthalamic DBS devices were placed bilaterally in nine patients with advanced PD. Frame-based volumetric magnetic resonance images were acquired and then transferred to a stereotactic workstation to determine the anterior and posterior commissure coordinates and plane. The initial anatomical target was 4 mm anterior, 4 mm deep, and 12 mm lateral to the midcommissural point. The MERs defined the STN boundaries along one or more parallel tracks, refining the final electrode placement by comparison of results with illustrations in a stereotactic atlas. In eight of 18 electrodes, the MER results did not prompt an alteration in the anatomically derived target. In another eight placements, MER altered the target by less than 1 mm and two of 18 electrode positions differed by less than 2 mm. The anterior-posterior difference was 0.53 +/- 0.65 mm, whereas the medial-lateral direction differed by 0.25 +/- 0.43 mm. The ventral boundary of the STN defined by MER was 2 +/- 0.72 mm below the calculated target (all values are the means +/- standard deviation). All patients attained clinical improvement, similar to previous reports.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this series of patients, microelectrode mapping of the STN altered the anatomically based target only slightly. Because it is not clear whether such minor adjustments improve clinical efficacy, a prospective clinical comparison of MER-refined and anatomical targeting may be warranted.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Senatus</LastName><ForeName>Patrick B</ForeName><Initials>PB</Initials><AffiliationInfo><Affiliation>Department of Neurological Surgery, Neurological Institute of New York, Columbia University College of Physicians and Surgeons, New York, New York 10032, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Teeple</LastName><ForeName>David</ForeName><Initials>D</Initials></Author><Author ValidYN="Y"><LastName>McClelland</LastName><ForeName>Shearwood</ForeName><Initials>S</Initials><Suffix>3rd</Suffix></Author><Author ValidYN="Y"><LastName>Pullman</LastName><ForeName>Seth L</ForeName><Initials>SL</Initials></Author><Author ValidYN="Y"><LastName>Yu</LastName><ForeName>Qiping</ForeName><Initials>Q</Initials></Author><Author ValidYN="Y"><LastName>Ford</LastName><ForeName>Blair</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>McKhann</LastName><ForeName>Guy M</ForeName><Initials>GM</Initials><Suffix>2nd</Suffix></Author><Author ValidYN="Y"><LastName>Goodman</LastName><ForeName>Robert R</ForeName><Initials>RR</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2006</Year><Month>05</Month><Day>15</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Neurosurg Focus</MedlineTA><NlmUniqueID>100896471</NlmUniqueID><ISSNLinking>1092-0684</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001931" MajorTopicYN="N">Brain Mapping</DescriptorName><QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D046690" MajorTopicYN="Y">Deep Brain Stimulation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004567" MajorTopicYN="Y">Electrodes, Implanted</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008839" MajorTopicYN="Y">Microelectrodes</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013238" MajorTopicYN="N">Stereotaxic Techniques</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020531" MajorTopicYN="N">Subthalamic Nucleus</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>5</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>6</Month><Day>20</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>5</Month><Day>23</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16711665</ArticleId><ArticleId IdType="pii">200508</ArticleId><ArticleId IdType="doi">10.3171/foc.2006.20.5.9</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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