Intraoperative x-ray to measure distance between DBS leads: A reliability study.
Identifieur interne : 000D67 ( Main/Merge ); précédent : 000D66; suivant : 000D68Intraoperative x-ray to measure distance between DBS leads: A reliability study.
Auteurs : Leo Verhagen Metman [États-Unis] ; Julie G. Pilitsis ; Glenn T. Stebbins ; Maarten Bot ; Roy A E. BakaySource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- methods : Deep Brain Stimulation.
- radiography : Brain, Skull.
- therapy : Parkinson Disease.
- Analysis of Variance, Electrodes, Implanted, Feasibility Studies, Humans, Intraoperative Period, Magnetic Resonance Imaging, Observer Variation, Postoperative Period, Reproducibility of Results.
Abstract
Many factors can jeopardize the accuracy of deep brain stimulation (DBS) lead placement. Confirmation of lead placement while the patient is still in the operating room would be advantageous. Intraoperative MRI or CT can identify placement errors, but these modalities can be cost- or time prohibitive. Intraoperative fluoroscopy may give information on the accuracy of the Y coordinate, but the accuracy of the X coordinate usually cannot be confirmed. When an object of known dimensions is present in the brain, such as a unilateral DBS lead, its dimensions can be used to calculate unknown distances. The objective of this study was to determine if intraoperative AP skull x-ray accurately predicts the distance between DBS electrodes using postoperative MRI as the gold standard.
DOI: 10.1002/mds.25056
PubMed: 22693137
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pubmed:22693137Le document en format XML
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<author><name sortKey="Verhagen Metman, Leo" sort="Verhagen Metman, Leo" uniqKey="Verhagen Metman L" first="Leo" last="Verhagen Metman">Leo Verhagen Metman</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612, USA. lverhage@rush.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurological Sciences, Rush University Medical Center, Chicago, IL 60612</wicri:regionArea>
<placeName><region type="state">Illinois</region>
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<author><name sortKey="Pilitsis, Julie G" sort="Pilitsis, Julie G" uniqKey="Pilitsis J" first="Julie G" last="Pilitsis">Julie G. Pilitsis</name>
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<author><name sortKey="Stebbins, Glenn T" sort="Stebbins, Glenn T" uniqKey="Stebbins G" first="Glenn T" last="Stebbins">Glenn T. Stebbins</name>
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<author><name sortKey="Bot, Maarten" sort="Bot, Maarten" uniqKey="Bot M" first="Maarten" last="Bot">Maarten Bot</name>
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<author><name sortKey="Bakay, Roy A E" sort="Bakay, Roy A E" uniqKey="Bakay R" first="Roy A E" last="Bakay">Roy A E. Bakay</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Intraoperative x-ray to measure distance between DBS leads: A reliability study.</title>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Pilitsis, Julie G" sort="Pilitsis, Julie G" uniqKey="Pilitsis J" first="Julie G" last="Pilitsis">Julie G. Pilitsis</name>
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<author><name sortKey="Stebbins, Glenn T" sort="Stebbins, Glenn T" uniqKey="Stebbins G" first="Glenn T" last="Stebbins">Glenn T. Stebbins</name>
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<author><name sortKey="Bot, Maarten" sort="Bot, Maarten" uniqKey="Bot M" first="Maarten" last="Bot">Maarten Bot</name>
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<author><name sortKey="Bakay, Roy A E" sort="Bakay, Roy A E" uniqKey="Bakay R" first="Roy A E" last="Bakay">Roy A E. Bakay</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="eISSN">1531-8257</idno>
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<term>Deep Brain Stimulation (methods)</term>
<term>Electrodes, Implanted</term>
<term>Feasibility Studies</term>
<term>Humans</term>
<term>Intraoperative Period</term>
<term>Magnetic Resonance Imaging</term>
<term>Observer Variation</term>
<term>Parkinson Disease (therapy)</term>
<term>Postoperative Period</term>
<term>Reproducibility of Results</term>
<term>Skull (radiography)</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Deep Brain Stimulation</term>
</keywords>
<keywords scheme="MESH" qualifier="radiography" xml:lang="en"><term>Brain</term>
<term>Skull</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Analysis of Variance</term>
<term>Electrodes, Implanted</term>
<term>Feasibility Studies</term>
<term>Humans</term>
<term>Intraoperative Period</term>
<term>Magnetic Resonance Imaging</term>
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<term>Reproducibility of Results</term>
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<front><div type="abstract" xml:lang="en">Many factors can jeopardize the accuracy of deep brain stimulation (DBS) lead placement. Confirmation of lead placement while the patient is still in the operating room would be advantageous. Intraoperative MRI or CT can identify placement errors, but these modalities can be cost- or time prohibitive. Intraoperative fluoroscopy may give information on the accuracy of the Y coordinate, but the accuracy of the X coordinate usually cannot be confirmed. When an object of known dimensions is present in the brain, such as a unilateral DBS lead, its dimensions can be used to calculate unknown distances. The objective of this study was to determine if intraoperative AP skull x-ray accurately predicts the distance between DBS electrodes using postoperative MRI as the gold standard.</div>
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