Pretargeting for the implantation of stimulation electrodes into the subthalamic nucleus: a comparative study of magnetic resonance imaging and ventriculography.
Identifieur interne : 000E90 ( PubMed/Corpus ); précédent : 000E89; suivant : 000E91Pretargeting for the implantation of stimulation electrodes into the subthalamic nucleus: a comparative study of magnetic resonance imaging and ventriculography.
Auteurs : Sorin Breit ; Jean-Francois Lebas ; Adnan Koudsie ; Jörg Schulz ; Abdelhamid Benazzouz ; Pierre Pollak ; Alim-Louis BenabidSource :
- Neurosurgery [ 1524-4040 ] ; 2006.
English descriptors
- KwdEn :
- Brain Mapping, Cerebral Ventriculography (methods), Deep Brain Stimulation (methods), Electrodes, Implanted (supply & distribution), Follow-Up Studies, Humans, Magnetic Resonance Imaging (methods), Parkinson Disease (surgery), Stereotaxic Techniques, Subthalamic Nucleus (pathology), Subthalamic Nucleus (surgery), Tomography, X-Ray Computed (methods).
- MESH :
- methods : Cerebral Ventriculography, Deep Brain Stimulation, Magnetic Resonance Imaging, Tomography, X-Ray Computed.
- pathology : Subthalamic Nucleus.
- supply & distribution : Electrodes, Implanted.
- surgery : Parkinson Disease, Subthalamic Nucleus.
- Brain Mapping, Follow-Up Studies, Humans, Stereotaxic Techniques.
Abstract
The optimal imaging modality for preoperative targeting of the subthalamic nucleus (STN) for high-frequency stimulation is controversially discussed. Commonly used methods were stereotactic magnetic resonance imaging (MRI), stereotactic ventriculography, and fusion between MRI and stereotactic computer tomography. All of these techniques not only have their own advantages but also specific limitations and drawbacks. The purpose of this study was to evaluate the accuracy of the preoperative MRI targeting as compared with ventriculography in terms of both the STN target as well as the internal landmarks.
DOI: 10.1227/01.NEU.0000192689.00427.C2
PubMed: 16543877
Links to Exploration step
pubmed:16543877Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Pretargeting for the implantation of stimulation electrodes into the subthalamic nucleus: a comparative study of magnetic resonance imaging and ventriculography.</title>
<author><name sortKey="Breit, Sorin" sort="Breit, Sorin" uniqKey="Breit S" first="Sorin" last="Breit">Sorin Breit</name>
<affiliation><nlm:affiliation>INSERM U.318, Department of Neurobiology, University Joseph Fourier, Grenoble, France. sorin.breit@uni-tuebingen.de</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lebas, Jean Francois" sort="Lebas, Jean Francois" uniqKey="Lebas J" first="Jean-Francois" last="Lebas">Jean-Francois Lebas</name>
</author>
<author><name sortKey="Koudsie, Adnan" sort="Koudsie, Adnan" uniqKey="Koudsie A" first="Adnan" last="Koudsie">Adnan Koudsie</name>
</author>
<author><name sortKey="Schulz, Jorg" sort="Schulz, Jorg" uniqKey="Schulz J" first="Jörg" last="Schulz">Jörg Schulz</name>
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<author><name sortKey="Benazzouz, Abdelhamid" sort="Benazzouz, Abdelhamid" uniqKey="Benazzouz A" first="Abdelhamid" last="Benazzouz">Abdelhamid Benazzouz</name>
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<author><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<author><name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Pretargeting for the implantation of stimulation electrodes into the subthalamic nucleus: a comparative study of magnetic resonance imaging and ventriculography.</title>
<author><name sortKey="Breit, Sorin" sort="Breit, Sorin" uniqKey="Breit S" first="Sorin" last="Breit">Sorin Breit</name>
<affiliation><nlm:affiliation>INSERM U.318, Department of Neurobiology, University Joseph Fourier, Grenoble, France. sorin.breit@uni-tuebingen.de</nlm:affiliation>
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<author><name sortKey="Lebas, Jean Francois" sort="Lebas, Jean Francois" uniqKey="Lebas J" first="Jean-Francois" last="Lebas">Jean-Francois Lebas</name>
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<author><name sortKey="Koudsie, Adnan" sort="Koudsie, Adnan" uniqKey="Koudsie A" first="Adnan" last="Koudsie">Adnan Koudsie</name>
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<author><name sortKey="Schulz, Jorg" sort="Schulz, Jorg" uniqKey="Schulz J" first="Jörg" last="Schulz">Jörg Schulz</name>
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<author><name sortKey="Benazzouz, Abdelhamid" sort="Benazzouz, Abdelhamid" uniqKey="Benazzouz A" first="Abdelhamid" last="Benazzouz">Abdelhamid Benazzouz</name>
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<author><name sortKey="Pollak, Pierre" sort="Pollak, Pierre" uniqKey="Pollak P" first="Pierre" last="Pollak">Pierre Pollak</name>
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<author><name sortKey="Benabid, Alim Louis" sort="Benabid, Alim Louis" uniqKey="Benabid A" first="Alim-Louis" last="Benabid">Alim-Louis Benabid</name>
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<series><title level="j">Neurosurgery</title>
<idno type="eISSN">1524-4040</idno>
<imprint><date when="2006" type="published">2006</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain Mapping</term>
<term>Cerebral Ventriculography (methods)</term>
<term>Deep Brain Stimulation (methods)</term>
<term>Electrodes, Implanted (supply & distribution)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging (methods)</term>
<term>Parkinson Disease (surgery)</term>
<term>Stereotaxic Techniques</term>
<term>Subthalamic Nucleus (pathology)</term>
<term>Subthalamic Nucleus (surgery)</term>
<term>Tomography, X-Ray Computed (methods)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Cerebral Ventriculography</term>
<term>Deep Brain Stimulation</term>
<term>Magnetic Resonance Imaging</term>
<term>Tomography, X-Ray Computed</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" qualifier="supply & distribution" xml:lang="en"><term>Electrodes, Implanted</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Parkinson Disease</term>
<term>Subthalamic Nucleus</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Brain Mapping</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Stereotaxic Techniques</term>
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<front><div type="abstract" xml:lang="en">The optimal imaging modality for preoperative targeting of the subthalamic nucleus (STN) for high-frequency stimulation is controversially discussed. Commonly used methods were stereotactic magnetic resonance imaging (MRI), stereotactic ventriculography, and fusion between MRI and stereotactic computer tomography. All of these techniques not only have their own advantages but also specific limitations and drawbacks. The purpose of this study was to evaluate the accuracy of the preoperative MRI targeting as compared with ventriculography in terms of both the STN target as well as the internal landmarks.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16543877</PMID>
<DateCreated><Year>2006</Year>
<Month>03</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted><Year>2006</Year>
<Month>05</Month>
<Day>31</Day>
</DateCompleted>
<DateRevised><Year>2008</Year>
<Month>10</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1524-4040</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>58</Volume>
<Issue>1 Suppl</Issue>
<PubDate><Year>2006</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>Neurosurgery</Title>
<ISOAbbreviation>Neurosurgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Pretargeting for the implantation of stimulation electrodes into the subthalamic nucleus: a comparative study of magnetic resonance imaging and ventriculography.</ArticleTitle>
<Pagination><MedlinePgn>ONS83-95</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The optimal imaging modality for preoperative targeting of the subthalamic nucleus (STN) for high-frequency stimulation is controversially discussed. Commonly used methods were stereotactic magnetic resonance imaging (MRI), stereotactic ventriculography, and fusion between MRI and stereotactic computer tomography. All of these techniques not only have their own advantages but also specific limitations and drawbacks. The purpose of this study was to evaluate the accuracy of the preoperative MRI targeting as compared with ventriculography in terms of both the STN target as well as the internal landmarks.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Thirty patients with Parkinson's disease who underwent bilateral surgery for STN-high-frequency stimulation received both stereotactic ventriculography and stereotactic MRI. The theoretical target was determined by each of these two imaging modalities. The final electrode placement was performed after extensive electrophysiological evaluation using microrecording and microstimulation. The real target was assumed to be given by the electrode contact with the best clinical result assessed by the United Parkinson's Disease Rating Scale in the postoperative follow-up. In addition, the coordinates of the two landmarks, anterior commissure and posterior commissure, were determined using both imaging methods.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean targeting error was 4.1 +/- 1.7 mm (mean +/- standard deviation) for MRI and 2.4 +/- 1.1 mm for ventriculography (P < 0.0001). The mean target mismatch between the two imaging methods was 2.9 +/- 1.2 mm. The length of the anterior commissure-posterior commissure distance differed significantly (P < 0.0001) between MRI (27.6 +/- 1.6 mm) and ventriculography (25.0 +/- 1.3 mm). The mismatch was mainly induced by an anterior diplacement of the anterior commissure by 1.9 +/- 2.2 mm (P < 0.0001) in MRI determination, as compared with ventriculography.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our findings show that the indirect targeting of the STN using coordinates based on radiological landmarks is more accurate than the direct targeting using anatomic visualization of the target structure. Regardless of the imaging procedure, electrophysiological mapping is required for optimal electrode placement, although in 20% of cases, the target determined by MRI falls out of the radius explored by electrophysiology.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Breit</LastName>
<ForeName>Sorin</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>INSERM U.318, Department of Neurobiology, University Joseph Fourier, Grenoble, France. sorin.breit@uni-tuebingen.de</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>LeBas</LastName>
<ForeName>Jean-Francois</ForeName>
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<Author ValidYN="Y"><LastName>Koudsie</LastName>
<ForeName>Adnan</ForeName>
<Initials>A</Initials>
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<Author ValidYN="Y"><LastName>Schulz</LastName>
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<Author ValidYN="Y"><LastName>Pollak</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<CommentsCorrectionsList><CommentsCorrections RefType="ReprintIn"><RefSource>Neurosurgery. 2008 Feb;62 Suppl 2:840-52</RefSource>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001931" MajorTopicYN="Y">Brain Mapping</DescriptorName>
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<MeshHeading><DescriptorName UI="D014695" MajorTopicYN="N">Cerebral Ventriculography</DescriptorName>
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<MeshHeading><DescriptorName UI="D046690" MajorTopicYN="N">Deep Brain Stimulation</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008279" MajorTopicYN="N">Magnetic Resonance Imaging</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013238" MajorTopicYN="N">Stereotaxic Techniques</DescriptorName>
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<MeshHeading><DescriptorName UI="D020531" MajorTopicYN="N">Subthalamic Nucleus</DescriptorName>
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<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014057" MajorTopicYN="N">Tomography, X-Ray Computed</DescriptorName>
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