Accuracy of Intraoperative Computed Tomography in Deep Brain Stimulation—A Prospective Noninferiority Study

Clinical response to deep brain stimulation (DBS) strongly depends on the appropriate placement of the electrode in the targeted structure. Postoperative MRI is recognized as the gold standard to verify the DBS‐electrode position in relation to the intended anatomical target. However, intraoperative computed tomography (iCT) might be a feasible alternative to MRI.

[1]  F. Ponce,et al.  Validation of CT‐MRI fusion for intraoperative assessment of stereotactic accuracy in DBS surgery , 2014, Movement disorders : official journal of the Movement Disorder Society.

[2]  M. Brodsky,et al.  Clinical outcomes of asleep vs awake deep brain stimulation for Parkinson disease , 2017, Neurology.

[3]  Keyoumars Ashkan,et al.  CT/MR Image Fusion in the Postoperative Assessment of Electrodes Implanted for Deep Brain Stimulation , 2009, Stereotactic and Functional Neurosurgery.

[4]  M. Hariz,et al.  What You See Is What You Get: Lead Location Within Deep Brain Structures Is Accurately Depicted by Stereotactic Magnetic Resonance Imaging , 2015, Neurosurgery.

[5]  F. Ponce,et al.  Complication rates, lengths of stay, and readmission rates in "awake" and "asleep" deep brain simulation. , 2017, Journal of neurosurgery.

[6]  Keyoumars Ashkan,et al.  Accuracy of stimulating electrode placement in paediatric pallidal deep brain stimulation for primary and secondary dystonia , 2013, Acta Neurochirurgica.

[7]  R. Meuli,et al.  Magnetic resonance artifact induced by the electrode Activa 3389: an in vitro and in vivo study , 2004, Acta Neurochirurgica.

[8]  G. Glover,et al.  Characterization of spatial distortion in magnetic resonance imaging and its implications for stereotactic surgery. , 1994, Neurosurgery.

[9]  P. McLeod,et al.  Stereotactic Accuracy and Surgical Utility of the O-Arm in Deep Brain Stimulation Surgery. , 2016, Operative neurosurgery.

[10]  Jean A. Tkach,et al.  Permanent Neurological Deficit Related to Magnetic Resonance Imaging in a Patient with Implanted Deep Brain Stimulation Electrodes for Parkinson’s Disease: Case Report , 2005, Neurosurgery.

[11]  R. Burd,et al.  Intracranial pressure monitoring among children with severe traumatic brain injury. , 2015, Journal of neurosurgery. Pediatrics.

[12]  Ni Xie,et al.  Magnetic resonance and computed tomography image fusion technology in patients with Parkinson's disease after deep brain stimulation , 2017, Journal of the Neurological Sciences.

[13]  Keyoumars Ashkan,et al.  Registration Accuracy of CT/MRI Fusion for Localisation of Deep Brain Stimulation Electrode Position: An Imaging Study and Systematic Review , 2016, Stereotactic and Functional Neurosurgery.

[14]  G. Deuschl,et al.  Accuracy and Distortion of Deep Brain Stimulation Electrodes on Postoperative MRI and CT , 2008, Zentralblatt fur Neurochirurgie.

[15]  Jaimie M Henderson,et al.  Awake versus asleep deep brain stimulation for Parkinson’s disease: a critical comparison and meta-analysis , 2017, Journal of Neurology, Neurosurgery, and Psychiatry.

[16]  L. Frizon,et al.  Brain Shift and Pneumocephalus Assessment During Frame-Based Deep Brain Stimulation Implantation With Intraoperative Magnetic Resonance Imaging. , 2018, Operative neurosurgery.

[17]  Yunling E. Du,et al.  Subthalamic stimulation for Parkinson disease: determination of electrode location necessary for clinical efficacy. , 2005, Neurosurgical focus.

[18]  J. Trojanowski,et al.  Hypothyroidism and Parkinson's disease and the issue of diagnostic confusion , 2003, Movement disorders : official journal of the Movement Disorder Society.

[19]  Atchar Sudhyadhom,et al.  REOPERATION FOR SUBOPTIMAL OUTCOMES AFTER DEEP BRAIN STIMULATION SURGERY , 2008, Neurosurgery.

[20]  Hemorrhage Detection and Incidence during Magnetic Resonance-Guided Deep Brain Stimulator Implantations , 2017, Stereotactic and Functional Neurosurgery.

[21]  F. Ponce,et al.  "Asleep" Deep Brain Stimulation Surgery: A Critical Review of the Literature. , 2017, World neurosurgery.

[22]  C. Lind,et al.  Accuracy of Postoperative Computed Tomography and Magnetic Resonance Image Fusion for Assessing Deep Brain Stimulation Electrodes , 2011, Neurosurgery.

[23]  P. Ferroli,et al.  A Simple Method to Assess Accuracy of Deep Brain Stimulation Electrode Placement: Pre-Operative Stereotactic CT + Postoperative MR Image Fusion , 2004, Stereotactic and Functional Neurosurgery.

[24]  Jincao Chen,et al.  Microelectrode Recording-Guided Versus Intraoperative Magnetic Resonance Imaging-Guided Subthalamic Nucleus Deep Brain Stimulation Surgery for Parkinson Disease: A 1-Year Follow-Up Study. , 2017, World neurosurgery.

[25]  Yong Hoon Lim,et al.  Is MRI a reliable tool to locate the electrode after deep brain stimulation surgery? Comparison study of CT and MRI for the localization of electrodes after DBS , 2010, Acta Neurochirurgica.

[26]  A. Benabid,et al.  COMPARISON OF TWO TECHNIQUES TO POSTOPERATIVELY LOCALIZE THE ELECTRODE CONTACTS USED FOR SUBTHALAMIC NUCLEUS STIMULATION , 2007, Neurosurgery.

[27]  A. Ozpinar,et al.  Asleep Deep Brain Stimulation Reduces Incidence of Intracranial Air during Electrode Implantation , 2018, Stereotactic and Functional Neurosurgery.

[28]  Rohit Dhall,et al.  Clinical outcomes following awake and asleep deep brain stimulation for Parkinson disease. , 2018, Journal of neurosurgery.

[29]  S. Ellias,et al.  ISOLATION OF THE BRAIN‐RELATED FACTOR OF THE ERROR BETWEEN INTENDED AND ACHIEVED POSITION OF DEEP BRAIN STIMULATION ELECTRODES IMPLANTED INTO THE SUBTHALAMIC NUCLEUS FOR THE TREATMENT OF PARKINSON'S DISEASE , 2009, Neurosurgery.

[30]  S. McCartney,et al.  Cost analysis of awake versus asleep deep brain stimulation: a single academic health center experience. , 2016, Journal of neurosurgery.

[31]  Paul S Larson,et al.  Intraoperative Computed Tomography for Deep Brain Stimulation Surgery: Technique and Accuracy Assessment , 2011, Neurosurgery.

[32]  Pepijn van den Munckhof,et al.  Accuracy of Intraoperative Computed Tomography during Deep Brain Stimulation Procedures: Comparison with Postoperative Magnetic Resonance Imaging , 2017, Stereotactic and Functional Neurosurgery.

[33]  J. Thiran,et al.  Localization of electrodes in the subthalamic nucleus on magnetic resonance imaging. , 2007, Journal of neurosurgery.

[34]  A. Tröster,et al.  Parkinson's disease outcomes after intraoperative CT-guided "asleep" deep brain stimulation in the globus pallidus internus. , 2016, Journal of neurosurgery.

[35]  F. Caire,et al.  Contact position analysis of deep brain stimulation electrodes on post-operative CT images , 2009, Acta Neurochirurgica.

[36]  P. Warnke.  Deep brain stimulation surgery under general anaesthesia with microelectrode recording: the best of both worlds or a little bit of everything? , 2014, Journal of Neurology, Neurosurgery & Psychiatry.

[37]  J. Ojemann,et al.  Rapid sequence magnetic resonance imaging in the assessment of children with hydrocephalus. , 2013, World neurosurgery.

[38]  "Asleep" deep brain stimulation for essential tremor. , 2016, Journal of neurosurgery.

[39]  Abdelhamid Benazzouz,et al.  Pretargeting for the Implantation of Stimulation Electrodes into the Subthalamic Nucleus: A Comparative Study of Magnetic Resonance Imaging and Ventriculography , 2006, Neurosurgery.