Accuracy of Subthalamic Nucleus Electrode Implantation in Deep Brain Stimulation Surgery for Parkinson's Disease Treatment and Affecting Factors: Outcomes at Two Centers in Vietnam
Deep brain stimulation (DBS) surgery for Parkinson’s Disease (PD) has become more and more popular in Vietnam. However, the accuracy of implantation and affecting factors are under investigation. The objective of this study is to evaluate the accuracy of the subthalamic nucleus (STN)-DBS electrode i...
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| Veröffentlicht in: | World neurosurgery 2023-11, Vol.179, p.e32-e38 |
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| creator | Pham, Tuan Anh Dao, Phuong Duy Nguyen, Lam Thanh Le, Thang Viet Vo, Nghia Thanh Tran, Tai Ngoc Nguyen, Anh Minh Diem Nguyen, Thuy Anh Binh Le, Khang Thai |
| description | Deep brain stimulation (DBS) surgery for Parkinson’s Disease (PD) has become more and more popular in Vietnam. However, the accuracy of implantation and affecting factors are under investigation. The objective of this study is to evaluate the accuracy of the subthalamic nucleus (STN)-DBS electrode implantation technique for treatment PD at Nguyen Tri Phuong Hospital and University Medical Center. To investigate factors related to accuracy.
We carried out a retrospective analysis of 58 patients with advanced PD who underwent STN-DBS surgery at Nguyen Tri Phuong Hospital and University Medical Center in Ho Chi Minh City, Viet Nam between June 2014 and July 2021 (115 leads total). All patients underwent the procedure with standard frame-based techniques under local anesthesia with microelectrode recording and macrostimuation test.
Twenty-six female (44.8%) and thirty-two male (55.2%) patients with a mean age of 60.4 ± 8.3 years old (40-76 years) were included. Of total of 115 electrodes implanted, the mean target error (ΔT), radial error (ΔR), angle error (Δθ) were 1.94 ± 0.73 mm; 1.16 ± 0.69 mm; 2.22 ± 4.24 degrees, respectively. Vector error on each coordinate axis ΔX, ΔY, ΔZ were −0.35 ± 1.02 mm, +0.99 ± 0.82 mm, +0.73 ± 0.99 mm, respectively. There was a statistically significant correlation between subdural air volume, cortical shift, intracranial electrode bending, and accuracy.
The current STN-DBS electrode implantation technique applied in our centers was quite accurate with acceptable error. More clinical trials are necessary to directly compare affecting factors to the accuracy of electrode implantation. |
| doi_str_mv | 10.1016/j.wneu.2023.06.079 |
| format | Article |
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We carried out a retrospective analysis of 58 patients with advanced PD who underwent STN-DBS surgery at Nguyen Tri Phuong Hospital and University Medical Center in Ho Chi Minh City, Viet Nam between June 2014 and July 2021 (115 leads total). All patients underwent the procedure with standard frame-based techniques under local anesthesia with microelectrode recording and macrostimuation test.
Twenty-six female (44.8%) and thirty-two male (55.2%) patients with a mean age of 60.4 ± 8.3 years old (40-76 years) were included. Of total of 115 electrodes implanted, the mean target error (ΔT), radial error (ΔR), angle error (Δθ) were 1.94 ± 0.73 mm; 1.16 ± 0.69 mm; 2.22 ± 4.24 degrees, respectively. Vector error on each coordinate axis ΔX, ΔY, ΔZ were −0.35 ± 1.02 mm, +0.99 ± 0.82 mm, +0.73 ± 0.99 mm, respectively. There was a statistically significant correlation between subdural air volume, cortical shift, intracranial electrode bending, and accuracy.
The current STN-DBS electrode implantation technique applied in our centers was quite accurate with acceptable error. More clinical trials are necessary to directly compare affecting factors to the accuracy of electrode implantation.</description><identifier>ISSN: 1878-8750</identifier><identifier>ISSN: 1878-8769</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2023.06.079</identifier><identifier>PMID: 37356489</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Accuracy ; Aged ; Angle error ; Deep brain stimulation ; Deep Brain Stimulation - methods ; Electrodes, Implanted ; Female ; Humans ; Male ; Middle Aged ; Parkinson Disease - surgery ; Parkinson's disease ; Radial error ; Retrospective Studies ; Subthalamic nucleus ; Subthalamic Nucleus - physiology ; Subthalamic Nucleus - surgery ; Target error ; Treatment Outcome ; Vector error ; Vietnam</subject><ispartof>World neurosurgery, 2023-11, Vol.179, p.e32-e38</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c307t-e71a03237a37bd0975b16b552d00e67f2fa633c37580792137c574391f6914903</cites><orcidid>0000-0002-0923-7085 ; 0009-0005-7224-0745</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37356489$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pham, Tuan Anh</creatorcontrib><creatorcontrib>Dao, Phuong Duy</creatorcontrib><creatorcontrib>Nguyen, Lam Thanh</creatorcontrib><creatorcontrib>Le, Thang Viet</creatorcontrib><creatorcontrib>Vo, Nghia Thanh</creatorcontrib><creatorcontrib>Tran, Tai Ngoc</creatorcontrib><creatorcontrib>Nguyen, Anh Minh</creatorcontrib><creatorcontrib>Diem Nguyen, Thuy Anh</creatorcontrib><creatorcontrib>Binh Le, Khang Thai</creatorcontrib><title>Accuracy of Subthalamic Nucleus Electrode Implantation in Deep Brain Stimulation Surgery for Parkinson's Disease Treatment and Affecting Factors: Outcomes at Two Centers in Vietnam</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Deep brain stimulation (DBS) surgery for Parkinson’s Disease (PD) has become more and more popular in Vietnam. However, the accuracy of implantation and affecting factors are under investigation. The objective of this study is to evaluate the accuracy of the subthalamic nucleus (STN)-DBS electrode implantation technique for treatment PD at Nguyen Tri Phuong Hospital and University Medical Center. To investigate factors related to accuracy.
We carried out a retrospective analysis of 58 patients with advanced PD who underwent STN-DBS surgery at Nguyen Tri Phuong Hospital and University Medical Center in Ho Chi Minh City, Viet Nam between June 2014 and July 2021 (115 leads total). All patients underwent the procedure with standard frame-based techniques under local anesthesia with microelectrode recording and macrostimuation test.
Twenty-six female (44.8%) and thirty-two male (55.2%) patients with a mean age of 60.4 ± 8.3 years old (40-76 years) were included. Of total of 115 electrodes implanted, the mean target error (ΔT), radial error (ΔR), angle error (Δθ) were 1.94 ± 0.73 mm; 1.16 ± 0.69 mm; 2.22 ± 4.24 degrees, respectively. Vector error on each coordinate axis ΔX, ΔY, ΔZ were −0.35 ± 1.02 mm, +0.99 ± 0.82 mm, +0.73 ± 0.99 mm, respectively. There was a statistically significant correlation between subdural air volume, cortical shift, intracranial electrode bending, and accuracy.
The current STN-DBS electrode implantation technique applied in our centers was quite accurate with acceptable error. More clinical trials are necessary to directly compare affecting factors to the accuracy of electrode implantation.</description><subject>Accuracy</subject><subject>Aged</subject><subject>Angle error</subject><subject>Deep brain stimulation</subject><subject>Deep Brain Stimulation - methods</subject><subject>Electrodes, Implanted</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parkinson Disease - surgery</subject><subject>Parkinson's disease</subject><subject>Radial error</subject><subject>Retrospective Studies</subject><subject>Subthalamic nucleus</subject><subject>Subthalamic Nucleus - physiology</subject><subject>Subthalamic Nucleus - surgery</subject><subject>Target error</subject><subject>Treatment Outcome</subject><subject>Vector error</subject><subject>Vietnam</subject><issn>1878-8750</issn><issn>1878-8769</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhiMEolXpH-CA5gaXDf5I4gRxWbYtVKoo0i5cLceZFC-JvfUH1f4vfiBebemRucxIfuYd-X2L4jUlJSW0eb8tHyymkhHGS9KURHTPilPainbRiqZ7_jTX5KQ4D2FLcnFatYK_LE644HVTtd1p8WepdfJK78GNsE59_KkmNRsNX5OeMAW4nFBH7waE63k3KRtVNM6CsXCBuINPXuVxHc2cpuPLOvk79HsYnYdvyv8yNjj7NsCFCagCwsajijPaCMoOsBzHrG_sHVwpHZ0PH-A2Re1mDKAibB4crDKLPhxO_jAYrZpfFS9GNQU8f-xnxfery83qy-Lm9vP1anmz0JyIuEBBFeGMC8VFP5BO1D1t-rpmAyHYiJGNquFcc1G32T5GudC1qHhHx6ajVUf4WfHuqLvz7j5hiHI2QeOUbUCXgmQt6wSpGGMZZUdUexeCx1HuvJmV30tK5CEwuZWHwOQhMEkamS_mpTeP-qmfcXha-RdPBj4eAcy__G3Qy6ANWo2D8dk2OTjzP_2_JXaouQ</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Pham, Tuan Anh</creator><creator>Dao, Phuong Duy</creator><creator>Nguyen, Lam Thanh</creator><creator>Le, Thang Viet</creator><creator>Vo, Nghia Thanh</creator><creator>Tran, Tai Ngoc</creator><creator>Nguyen, Anh Minh</creator><creator>Diem Nguyen, Thuy Anh</creator><creator>Binh Le, Khang Thai</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0923-7085</orcidid><orcidid>https://orcid.org/0009-0005-7224-0745</orcidid></search><sort><creationdate>202311</creationdate><title>Accuracy of Subthalamic Nucleus Electrode Implantation in Deep Brain Stimulation Surgery for Parkinson's Disease Treatment and Affecting Factors: Outcomes at Two Centers in Vietnam</title><author>Pham, Tuan Anh ; Dao, Phuong Duy ; Nguyen, Lam Thanh ; Le, Thang Viet ; Vo, Nghia Thanh ; Tran, Tai Ngoc ; Nguyen, Anh Minh ; Diem Nguyen, Thuy Anh ; Binh Le, Khang Thai</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-e71a03237a37bd0975b16b552d00e67f2fa633c37580792137c574391f6914903</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Accuracy</topic><topic>Aged</topic><topic>Angle error</topic><topic>Deep brain stimulation</topic><topic>Deep Brain Stimulation - methods</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parkinson Disease - surgery</topic><topic>Parkinson's disease</topic><topic>Radial error</topic><topic>Retrospective Studies</topic><topic>Subthalamic nucleus</topic><topic>Subthalamic Nucleus - physiology</topic><topic>Subthalamic Nucleus - surgery</topic><topic>Target error</topic><topic>Treatment Outcome</topic><topic>Vector error</topic><topic>Vietnam</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pham, Tuan Anh</creatorcontrib><creatorcontrib>Dao, Phuong Duy</creatorcontrib><creatorcontrib>Nguyen, Lam Thanh</creatorcontrib><creatorcontrib>Le, Thang Viet</creatorcontrib><creatorcontrib>Vo, Nghia Thanh</creatorcontrib><creatorcontrib>Tran, Tai Ngoc</creatorcontrib><creatorcontrib>Nguyen, Anh Minh</creatorcontrib><creatorcontrib>Diem Nguyen, Thuy Anh</creatorcontrib><creatorcontrib>Binh Le, Khang Thai</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pham, Tuan Anh</au><au>Dao, Phuong Duy</au><au>Nguyen, Lam Thanh</au><au>Le, Thang Viet</au><au>Vo, Nghia Thanh</au><au>Tran, Tai Ngoc</au><au>Nguyen, Anh Minh</au><au>Diem Nguyen, Thuy Anh</au><au>Binh Le, Khang Thai</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of Subthalamic Nucleus Electrode Implantation in Deep Brain Stimulation Surgery for Parkinson's Disease Treatment and Affecting Factors: Outcomes at Two Centers in Vietnam</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2023-11</date><risdate>2023</risdate><volume>179</volume><spage>e32</spage><epage>e38</epage><pages>e32-e38</pages><issn>1878-8750</issn><issn>1878-8769</issn><eissn>1878-8769</eissn><abstract>Deep brain stimulation (DBS) surgery for Parkinson’s Disease (PD) has become more and more popular in Vietnam. However, the accuracy of implantation and affecting factors are under investigation. The objective of this study is to evaluate the accuracy of the subthalamic nucleus (STN)-DBS electrode implantation technique for treatment PD at Nguyen Tri Phuong Hospital and University Medical Center. To investigate factors related to accuracy.
We carried out a retrospective analysis of 58 patients with advanced PD who underwent STN-DBS surgery at Nguyen Tri Phuong Hospital and University Medical Center in Ho Chi Minh City, Viet Nam between June 2014 and July 2021 (115 leads total). All patients underwent the procedure with standard frame-based techniques under local anesthesia with microelectrode recording and macrostimuation test.
Twenty-six female (44.8%) and thirty-two male (55.2%) patients with a mean age of 60.4 ± 8.3 years old (40-76 years) were included. Of total of 115 electrodes implanted, the mean target error (ΔT), radial error (ΔR), angle error (Δθ) were 1.94 ± 0.73 mm; 1.16 ± 0.69 mm; 2.22 ± 4.24 degrees, respectively. Vector error on each coordinate axis ΔX, ΔY, ΔZ were −0.35 ± 1.02 mm, +0.99 ± 0.82 mm, +0.73 ± 0.99 mm, respectively. There was a statistically significant correlation between subdural air volume, cortical shift, intracranial electrode bending, and accuracy.
The current STN-DBS electrode implantation technique applied in our centers was quite accurate with acceptable error. More clinical trials are necessary to directly compare affecting factors to the accuracy of electrode implantation.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37356489</pmid><doi>10.1016/j.wneu.2023.06.079</doi><orcidid>https://orcid.org/0000-0002-0923-7085</orcidid><orcidid>https://orcid.org/0009-0005-7224-0745</orcidid></addata></record> |
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| subjects | Accuracy Aged Angle error Deep brain stimulation Deep Brain Stimulation - methods Electrodes, Implanted Female Humans Male Middle Aged Parkinson Disease - surgery Parkinson's disease Radial error Retrospective Studies Subthalamic nucleus Subthalamic Nucleus - physiology Subthalamic Nucleus - surgery Target error Treatment Outcome Vector error Vietnam |
| title | Accuracy of Subthalamic Nucleus Electrode Implantation in Deep Brain Stimulation Surgery for Parkinson's Disease Treatment and Affecting Factors: Outcomes at Two Centers in Vietnam |
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