Magnetic resonance-transcranial ultrasound fusion imaging: A novel tool for brain electrode location.
Identifieur interne : 000037 ( PubMed/Corpus ); précédent : 000036; suivant : 000038Magnetic resonance-transcranial ultrasound fusion imaging: A novel tool for brain electrode location.
Auteurs : Uwe Walter ; Jan-Uwe Müller ; Johannes Rösche ; Michael Kirsch ; Annette Grossmann ; Reiner Benecke ; Matthias Wittstock ; Alexander WoltersSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
A combination of preoperative magnetic resonance imaging (MRI) with real-time transcranial ultrasound, known as fusion imaging, may improve postoperative control of deep brain stimulation (DBS) electrode location. Fusion imaging, however, employs a weak magnetic field for tracking the position of the ultrasound transducer and the patient's head. Here we assessed its feasibility, safety, and clinical relevance in patients with DBS.
DOI: 10.1002/mds.26425
PubMed: 26362398
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<author><name sortKey="Walter, Uwe" sort="Walter, Uwe" uniqKey="Walter U" first="Uwe" last="Walter">Uwe Walter</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Muller, Jan Uwe" sort="Muller, Jan Uwe" uniqKey="Muller J" first="Jan-Uwe" last="Müller">Jan-Uwe Müller</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany.</nlm:affiliation>
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<author><name sortKey="Rosche, Johannes" sort="Rosche, Johannes" uniqKey="Rosche J" first="Johannes" last="Rösche">Johannes Rösche</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Kirsch, Michael" sort="Kirsch, Michael" uniqKey="Kirsch M" first="Michael" last="Kirsch">Michael Kirsch</name>
<affiliation><nlm:affiliation>Institute of Diagnostic Radiology and Neuroradiology, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany.</nlm:affiliation>
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<author><name sortKey="Grossmann, Annette" sort="Grossmann, Annette" uniqKey="Grossmann A" first="Annette" last="Grossmann">Annette Grossmann</name>
<affiliation><nlm:affiliation>Institute of Diagnostic and Interventional Radiology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Benecke, Reiner" sort="Benecke, Reiner" uniqKey="Benecke R" first="Reiner" last="Benecke">Reiner Benecke</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Wittstock, Matthias" sort="Wittstock, Matthias" uniqKey="Wittstock M" first="Matthias" last="Wittstock">Matthias Wittstock</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Wolters, Alexander" sort="Wolters, Alexander" uniqKey="Wolters A" first="Alexander" last="Wolters">Alexander Wolters</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Magnetic resonance-transcranial ultrasound fusion imaging: A novel tool for brain electrode location.</title>
<author><name sortKey="Walter, Uwe" sort="Walter, Uwe" uniqKey="Walter U" first="Uwe" last="Walter">Uwe Walter</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Muller, Jan Uwe" sort="Muller, Jan Uwe" uniqKey="Muller J" first="Jan-Uwe" last="Müller">Jan-Uwe Müller</name>
<affiliation><nlm:affiliation>Department of Neurosurgery, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany.</nlm:affiliation>
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<author><name sortKey="Rosche, Johannes" sort="Rosche, Johannes" uniqKey="Rosche J" first="Johannes" last="Rösche">Johannes Rösche</name>
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<author><name sortKey="Kirsch, Michael" sort="Kirsch, Michael" uniqKey="Kirsch M" first="Michael" last="Kirsch">Michael Kirsch</name>
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<author><name sortKey="Grossmann, Annette" sort="Grossmann, Annette" uniqKey="Grossmann A" first="Annette" last="Grossmann">Annette Grossmann</name>
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<author><name sortKey="Benecke, Reiner" sort="Benecke, Reiner" uniqKey="Benecke R" first="Reiner" last="Benecke">Reiner Benecke</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</nlm:affiliation>
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<author><name sortKey="Wittstock, Matthias" sort="Wittstock, Matthias" uniqKey="Wittstock M" first="Matthias" last="Wittstock">Matthias Wittstock</name>
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<author><name sortKey="Wolters, Alexander" sort="Wolters, Alexander" uniqKey="Wolters A" first="Alexander" last="Wolters">Alexander Wolters</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<front><div type="abstract" xml:lang="en">A combination of preoperative magnetic resonance imaging (MRI) with real-time transcranial ultrasound, known as fusion imaging, may improve postoperative control of deep brain stimulation (DBS) electrode location. Fusion imaging, however, employs a weak magnetic field for tracking the position of the ultrasound transducer and the patient's head. Here we assessed its feasibility, safety, and clinical relevance in patients with DBS.</div>
</front>
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<DateCreated><Year>2015</Year>
<Month>9</Month>
<Day>12</Day>
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<DateRevised><Year>2015</Year>
<Month>9</Month>
<Day>13</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN>
<JournalIssue CitedMedium="Internet"><PubDate><Year>2015</Year>
<Month>Sep</Month>
<Day>12</Day>
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</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>Magnetic resonance-transcranial ultrasound fusion imaging: A novel tool for brain electrode location.</ArticleTitle>
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<ELocationID EIdType="doi">10.1002/mds.26425</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">A combination of preoperative magnetic resonance imaging (MRI) with real-time transcranial ultrasound, known as fusion imaging, may improve postoperative control of deep brain stimulation (DBS) electrode location. Fusion imaging, however, employs a weak magnetic field for tracking the position of the ultrasound transducer and the patient's head. Here we assessed its feasibility, safety, and clinical relevance in patients with DBS.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Eighteen imaging sessions were conducted in 15 patients (7 women; aged 52.4 ± 14.4 y) with DBS of subthalamic nucleus (n = 6), globus pallidus interna (n = 5), ventro-intermediate (n = 3), or anterior (n = 1) thalamic nucleus and clinically suspected lead displacement. Minimum distance between DBS generator and magnetic field transmitter was kept at 65 cm. The pre-implantation MRI dataset was loaded into the ultrasound system for the fusion imaging examination. The DBS lead position was rated using validated criteria. Generator DBS parameters and neurological state of patients were monitored.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Magnetic resonance-ultrasound fusion imaging and volume navigation were feasible in all cases and provided with real-time imaging capabilities of DBS lead and its location within the superimposed magnetic resonance images. Of 35 assessed lead locations, 30 were rated optimal, three suboptimal, and two displaced. In two cases, electrodes were re-implanted after confirming their inappropriate location on computed tomography (CT) scan. No influence of fusion imaging on clinical state of patients, or on DBS implantable pulse generator function, was found.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Magnetic resonance-ultrasound real-time fusion imaging of DBS electrodes is safe with distinct precautions and improves assessment of electrode location. It may lower the need for repeated CT or MRI scans in DBS patients. © 2015 International Parkinson and Movement Disorder Society.</AbstractText>
<CopyrightInformation>© 2015 International Parkinson and Movement Disorder Society.</CopyrightInformation>
</Abstract>
<AuthorList><Author><LastName>Walter</LastName>
<ForeName>Uwe</ForeName>
<Initials>U</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</Affiliation>
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<Author><LastName>Müller</LastName>
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<AffiliationInfo><Affiliation>Department of Neurosurgery, Ernst-Moritz-Arndt University Greifswald, Greifswald, Germany.</Affiliation>
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<Author><LastName>Grossmann</LastName>
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<Author><LastName>Benecke</LastName>
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<Author><LastName>Wittstock</LastName>
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<Author><LastName>Wolters</LastName>
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<AffiliationInfo><Affiliation>Department of Neurology, University of Rostock, Rostock, Germany.</Affiliation>
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<Language>ENG</Language>
<PublicationTypeList><PublicationType UI="">JOURNAL ARTICLE</PublicationType>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Parkinson's disease</Keyword>
<Keyword MajorTopicYN="N">deep brain stimulation</Keyword>
<Keyword MajorTopicYN="N">dystonia</Keyword>
<Keyword MajorTopicYN="N">magnetic field strength</Keyword>
<Keyword MajorTopicYN="N">transcranial sonography</Keyword>
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