Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools.

Deep brain stimulation (DBS) has become increasingly important for the treatment and relief of neurological disorders such as Parkinson's disease, tremor, dystonia and psychiatric illness. As DBS implantations and any other stereotactic and functional surgical procedure require accurate, precise and...

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Publicado en:Medical & Biological Engineering & Computing Vol. 48; no. 7; pp. 611 - 625
Autores principales: Hemm S, Wårdell K, Hemm, Simone, Wårdell, Karin
Formato: research review Journal Article
Publicado: Springer Nature Jul2010
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools.
      aug:
        au:
          Hemm S
          Wårdell K
          Hemm, Simone
          Wårdell, Karin
        affil: University of Applied Sciences Northwestern Switzerland, Institute for Medical and Analytical Technologies, Muttenz, Switzerland
      sug:
        subj:
          Deep Brain Stimulation Equipment and Supplies
          Electrodes, Implanted
          Stereotaxic Techniques
          Deep Brain Stimulation Methods
          Deep Brain Stimulation Trends
          Magnetic Resonance Imaging
          Models, Biological
          Perioperative Care Methods
          Tomography, X-Ray Computed
      ab: Deep brain stimulation (DBS) has become increasingly important for the treatment and relief of neurological disorders such as Parkinson's disease, tremor, dystonia and psychiatric illness. As DBS implantations and any other stereotactic and functional surgical procedure require accurate, precise and safe targeting of the brain structure, the technical aids for preoperative planning, intervention and postoperative follow-up have become increasingly important. The aim of this paper was to give an overview, from a biomedical engineering perspective, of a typical implantation procedure and current supporting techniques. Furthermore, emerging technical aids not yet clinically established are presented. This includes the state-of-the-art of neuroimaging and navigation, patient-specific simulation of DBS electric field, optical methods for intracerebral guidance, movement pattern analysis, intraoperative data visualisation and trends related to new stimulation devices. As DBS surgery already today is an information technology intensive domain, an "intuitive visualisation" interface for improving management of these data in relation to surgery is suggested.
      pubtype: Academic Journal
      doctype:
        research
        review
        Journal Article
      ougenre: Article
    language: English
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