Subthalamic nucleus location: relationships between stereotactic AC-PC-based diagrams and MRI anatomy-based contours.
Identifieur interne : 000C04 ( PubMed/Curation ); précédent : 000C03; suivant : 000C05Subthalamic nucleus location: relationships between stereotactic AC-PC-based diagrams and MRI anatomy-based contours.
Auteurs : François Caire [France] ; Lemlih Ouchchane ; Jérôme Coste ; Jean Gabrillargues ; Philippe Derost ; Miguel Ulla ; Franck Durif ; Jean-Jacques LemaireSource :
- Stereotactic and functional neurosurgery [ 1423-0372 ] ; 2009.
English descriptors
- KwdEn :
- MESH :
- methods : Magnetic Resonance Imaging.
- pathology : Parkinson Disease, Subthalamic Nucleus, Third Ventricle.
- therapy : Parkinson Disease.
- Aged, Deep Brain Stimulation, Humans, Middle Aged, Models, Anatomic, Models, Theoretical, Stereotaxic Techniques.
Abstract
Subthalamic nucleus (STN) targeting is classically performed based on AC-PC probabilistic position. Nevertheless, MRI allows direct visualization and targeting. We aimed to compare the position localized on MR images with standard stereotactic diagrams. The STN was manually contoured on MR images (22 Parkinson's disease patients); boundaries were simplified in a schematic polygonal form. Front and lateral stereotactic diagrams were constructed according to Talairach and Benabid. We compared x, y and z coordinates of the geometrical center of MRI-based polygons and stereotactic diagrams (Wilcoxon matched-pairs tests). There was significant discordance between MRI-based polygons and AC-PC-based images. MRI shows the STN as more posterior, medial and slightly inferior.
DOI: 10.1159/000236367
PubMed: 19752592
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<front><div type="abstract" xml:lang="en">Subthalamic nucleus (STN) targeting is classically performed based on AC-PC probabilistic position. Nevertheless, MRI allows direct visualization and targeting. We aimed to compare the position localized on MR images with standard stereotactic diagrams. The STN was manually contoured on MR images (22 Parkinson's disease patients); boundaries were simplified in a schematic polygonal form. Front and lateral stereotactic diagrams were constructed according to Talairach and Benabid. We compared x, y and z coordinates of the geometrical center of MRI-based polygons and stereotactic diagrams (Wilcoxon matched-pairs tests). There was significant discordance between MRI-based polygons and AC-PC-based images. MRI shows the STN as more posterior, medial and slightly inferior.</div>
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