Comparison of Intraoperative Computed Tomography Scan with Postoperative Magnetic Resonance Imaging for Determining Deep Brain Stimulation Electrode Coordinates.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
    • Publication Information:
      Original Publication: New York : Elsevier
    • Subject Terms:
      Deep Brain Stimulation*; Brain/*diagnostic imaging ; Movement Disorders/*surgery ; Neuroimaging/*methods ; Tomography, X-Ray Computed/*methods; Brain/surgery ; Electrodes, Implanted ; Humans ; Intraoperative Period ; Magnetic Resonance Imaging ; Retrospective Studies ; Stereotaxic Techniques
    • Abstract:
      Background: Deep brain stimulation (DBS) is an effective therapy for a variety of refractory movement disorders. Accurate lead placement in the target nucleus is critical to ensure therapeutic effects and to minimize side effects, and intraoperative computed tomography (iCT) scan has been used to target and confirm lead position. The objective of this study is to compare the accuracy of determining the x, y, and z coordinates of final lead placement using iCT scan relative to postoperative magnetic resonance imaging (MRI).
      Methods: We conducted a retrospective study on 83 patients who underwent insertion of 145 DBS leads from 2015 to 2017 at a single institution. iCT scan was merged with the preoperative MRI to determine lead coordinates on both magnetic resonance and computed tomography images independently, and the absolute differences between the x, y, and z coordinates between the 2 scans along with the Euclidean vectors were calculated.
      Results: The mean absolute differences ± standard error of the mean between iCT scan and postoperative MRI coordinates were as follows: x = 0.01 ± 0.09 mm (P = 0.89), y = 1.67 ± 0.14 mm (P < 0.001), and z = 2.75 ± 0.15 mm (P < 0.001). The average Euclidean vector difference was 3.21 ± 0.15 mm (P < 0.001).
      Conclusions: Significant differences exist between iCT scan and postoperative MRI DBS y and z lead coordinates, but not with x coordinates. Based on this series, iCT scan is more accurate when confirming x coordinates, and less accurate for confirming y and z coordinates during DBS operations.
      (Crown Copyright © 2020. Published by Elsevier Inc. All rights reserved.)
    • Contributed Indexing:
      Keywords: Coordinates; Deep brain stimulation; Electrode; Intraoperative CT scan; MRI
    • Publication Date:
      Date Created: 20200301 Date Completed: 20200828 Latest Revision: 20200828
    • Publication Date:
      20240829
    • Accession Number:
      10.1016/j.wneu.2020.02.108
    • Accession Number:
      32112943