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Implantation of deep brain stimulator electrodes using interventional MRI.
Neurosurg Clin N Am 2009; 20(2):193-203NC

Abstract

The authors describe a method for placement of deep brain stimulator electrodes using interventional MRI in conjunction with a skull-mounted aiming device (Medtronic Nexframe). This approach adapts the procedure to a standard-configuration 1.5-T diagnostic MRI scanner in a radiology suite. Preoperative imaging, device implantation, and postimplantation MRI are integrated into a single procedure performed under general anesthesia, providing real-time, high-resolution magnetic resonance confirmation of electrode position. The method is conceptually simpler than the current standard technique for deep brain stimulator placement, as it eliminates the stereotactic frame, the subsequent requirement for registration of the brain in stereotactic space, physiologic testing, and the need for patient cooperation. With further technical refinement, the interventional MRI method should improve the accuracy, safety, and speed of deep brain stimulator electrode placement.

Authors+Show Affiliations

Department of Neurosurgery, University of California, San Francisco, 533 Parnassus Avenue Box 0445, San Francisco, CA 94143, USA. starrp@neurosurg.ucsf.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

19555882

Citation

Starr, Philip A., et al. "Implantation of Deep Brain Stimulator Electrodes Using Interventional MRI." Neurosurgery Clinics of North America, vol. 20, no. 2, 2009, pp. 193-203.
Starr PA, Martin AJ, Larson PS. Implantation of deep brain stimulator electrodes using interventional MRI. Neurosurg Clin N Am. 2009;20(2):193-203.
Starr, P. A., Martin, A. J., & Larson, P. S. (2009). Implantation of deep brain stimulator electrodes using interventional MRI. Neurosurgery Clinics of North America, 20(2), pp. 193-203. doi:10.1016/j.nec.2009.04.010.
Starr PA, Martin AJ, Larson PS. Implantation of Deep Brain Stimulator Electrodes Using Interventional MRI. Neurosurg Clin N Am. 2009;20(2):193-203. PubMed PMID: 19555882.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Implantation of deep brain stimulator electrodes using interventional MRI. AU - Starr,Philip A, AU - Martin,Alastair J, AU - Larson,Paul S, PY - 2009/6/27/entrez PY - 2009/6/27/pubmed PY - 2009/9/3/medline SP - 193 EP - 203 JF - Neurosurgery clinics of North America JO - Neurosurg. Clin. N. Am. VL - 20 IS - 2 N2 - The authors describe a method for placement of deep brain stimulator electrodes using interventional MRI in conjunction with a skull-mounted aiming device (Medtronic Nexframe). This approach adapts the procedure to a standard-configuration 1.5-T diagnostic MRI scanner in a radiology suite. Preoperative imaging, device implantation, and postimplantation MRI are integrated into a single procedure performed under general anesthesia, providing real-time, high-resolution magnetic resonance confirmation of electrode position. The method is conceptually simpler than the current standard technique for deep brain stimulator placement, as it eliminates the stereotactic frame, the subsequent requirement for registration of the brain in stereotactic space, physiologic testing, and the need for patient cooperation. With further technical refinement, the interventional MRI method should improve the accuracy, safety, and speed of deep brain stimulator electrode placement. SN - 1558-1349 UR - https://www.unboundmedicine.com/medline/citation/19555882/Implantation_of_deep_brain_stimulator_electrodes_using_interventional_MRI_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1042-3680(09)00018-7 DB - PRIME DP - Unbound Medicine ER -