Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy

Ron L. Alterman; G. Timothy Reiter; Jay Shils; Brett Skolnick; Jeffrey E. Arle; Mary Lesutis; Tanya Simuni; Amy Colcher; Matthew Stern; Howard Hurtig

doi:10.1159/000029718

Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy

Ron L. Alterman^*, G. Timothy Reiter, Jay Shils, Brett Skolnick, Jeffrey E. Arle, Mary Lesutis, Tanya Simuni, Amy Colcher, Matthew Stern, Howard Hurtig

^*Corresponding author for this work

Neurology

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates employed for DBS lead placement, selected with intraoperative neurophysiology. The authors conclude that FSE/IR MRI is sufficiently reliable to serve as the sole means of anatomically targeting Vim for DBS lead placement. An independent computer workstation is not required for accurate targeting; however, intraoperative neurophysiology remain essential.

Original language	English (US)
Pages (from-to)	150-153
Number of pages	4
Journal	Stereotactic and Functional Neurosurgery
Volume	72
Issue number	2-4
DOIs	https://doi.org/10.1159/000029718
State	Published - Apr 2000

Keywords

Deep brain stimulation
Magnetic resonance imaging
Parkinson's disease
Stereotactic surgery
Tremor

ASJC Scopus subject areas

Clinical Neurology
Surgery

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10.1159/000029718

Cite this

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title = "Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy",

abstract = "The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates employed for DBS lead placement, selected with intraoperative neurophysiology. The authors conclude that FSE/IR MRI is sufficiently reliable to serve as the sole means of anatomically targeting Vim for DBS lead placement. An independent computer workstation is not required for accurate targeting; however, intraoperative neurophysiology remain essential.",

keywords = "Deep brain stimulation, Magnetic resonance imaging, Parkinson's disease, Stereotactic surgery, Tremor",

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AU - Alterman, Ron L.

AU - Reiter, G. Timothy

AU - Shils, Jay

AU - Skolnick, Brett

AU - Arle, Jeffrey E.

AU - Lesutis, Mary

AU - Simuni, Tanya

AU - Colcher, Amy

AU - Stern, Matthew

AU - Hurtig, Howard

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AB - The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates employed for DBS lead placement, selected with intraoperative neurophysiology. The authors conclude that FSE/IR MRI is sufficiently reliable to serve as the sole means of anatomically targeting Vim for DBS lead placement. An independent computer workstation is not required for accurate targeting; however, intraoperative neurophysiology remain essential.

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KW - Magnetic resonance imaging

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KW - Stereotactic surgery

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Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy

Abstract

Keywords

ASJC Scopus subject areas

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