Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation
Objective To propose fusion image–based programming to adjust patients with advanced Parkinson disease (PD) effectively after subthalamic nucleus (STN) deep brain stimulation (DBS). Methods Between January 2007 and July 2008, 38 patients with advanced PD were consecutively treated with STN DBS. The...
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| Veröffentlicht in: | World neurosurgery 2011-03, Vol.75 (3), p.517-524 |
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| creator | Paek, Sun Ha Kim, Hee Jin Yoon, Ji Young Heo, Jae Heok Kim, Cheolyoung Kim, Mi Ryoung Lim, Yong Hoon Kim, Keyong Ran Kim, Jin Wook Han, Jung Ho Kim, Dong Gyu Jeon, Beom S |
| description | Objective To propose fusion image–based programming to adjust patients with advanced Parkinson disease (PD) effectively after subthalamic nucleus (STN) deep brain stimulation (DBS). Methods Between January 2007 and July 2008, 38 patients with advanced PD were consecutively treated with STN DBS. The electrode positions and information regarding their contacts with STN were determined via fusion of the images of preoperative magnetic resonance imaging (MRI) and of postoperative computed tomography (CT) obtained 1 month after STN DBS. Postoperative programming was performed using the information of electrode positions based on the fused images. All patients were evaluated with a prospective protocol of the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn and Yahr Staging, Schwab and England Activities of Daily Living (SEADL), levodopa equivalent daily dose (LEDD), short-form-36 health survey (SF-36), and neuropsychological tests before and at 3 months and 6 months after surgery. Results There was a rapid and significant improvement of motor symptoms, especially tremor and rigidity, after STN stimulation, with low morbidity. Stimulation led to an improvement in the off-medication UPDSR III scores of the patients of approximately 55% at 3 months and 6 months after STN DBS. Dyskinesia was significantly improved (74% at 3 months and 95% at 6 months) after STN DBS. In addition, LEDD values decreased to 50% of the level observed before surgery within 1 month after STN DBS. Conclusions Programming based on fused images of preoperative MRI and postoperative CT after STN DBS was performed quickly, easily, and efficiently. |
| doi_str_mv | 10.1016/j.wneu.2010.12.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_868378983</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S1878875010010028</els_id><sourcerecordid>868378983</sourcerecordid><originalsourceid>FETCH-LOGICAL-c440t-3fd6ec288ab34bea48bda4d0b0d537c9bf9934c6319c5a1af5f47805de989efb3</originalsourceid><addsrcrecordid>eNp9kd9qFDEUh4MottS-gBcyN-LVrvk3MwmI0FarhVKV1euQSU7WrDOZbTJReuc7-IZ9EjPstgUvDIGE8P3OCd9B6DnBS4JJ83qz_BUgLymeH-gSY_YIHRLRioVoG_n4_l7jA3Sc0gaXxQgXLXuKDihpMK5xc4i-nOfkx1BdDHoNt7__nOoEtvocx3XUw-DDujpxE8Rqlbvpu-714E11lU0POVXvALbVadQ-VKvJD7nXUyn1DD1xuk9wvD-P0Lfz91_PPi4uP324ODu5XBjO8bRgzjZgqBC6Y7wDzUVnNbe4w7ZmrZGdk5Jx0zAiTa2JdrXjrcC1BSkkuI4doVe7uts4XmdIkxp8MtD3OsCYkxKNYK2QghWS7kgTx5QiOLWNftDxRhGsZplqo2aZapapCFXFVAm92JfP3QD2PnKnrgAv94BORvcu6mB8euA4JZQQWbg3Ow6KjJ8eokrGQzBgfQQzKTv6___j7T9x0_vgS8cfcANpM-YYimZFVCoBtZrHPk-d4HlTwf4COtOomg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>868378983</pqid></control><display><type>article</type><title>Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Paek, Sun Ha ; Kim, Hee Jin ; Yoon, Ji Young ; Heo, Jae Heok ; Kim, Cheolyoung ; Kim, Mi Ryoung ; Lim, Yong Hoon ; Kim, Keyong Ran ; Kim, Jin Wook ; Han, Jung Ho ; Kim, Dong Gyu ; Jeon, Beom S</creator><creatorcontrib>Paek, Sun Ha ; Kim, Hee Jin ; Yoon, Ji Young ; Heo, Jae Heok ; Kim, Cheolyoung ; Kim, Mi Ryoung ; Lim, Yong Hoon ; Kim, Keyong Ran ; Kim, Jin Wook ; Han, Jung Ho ; Kim, Dong Gyu ; Jeon, Beom S</creatorcontrib><description>Objective To propose fusion image–based programming to adjust patients with advanced Parkinson disease (PD) effectively after subthalamic nucleus (STN) deep brain stimulation (DBS). Methods Between January 2007 and July 2008, 38 patients with advanced PD were consecutively treated with STN DBS. The electrode positions and information regarding their contacts with STN were determined via fusion of the images of preoperative magnetic resonance imaging (MRI) and of postoperative computed tomography (CT) obtained 1 month after STN DBS. Postoperative programming was performed using the information of electrode positions based on the fused images. All patients were evaluated with a prospective protocol of the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn and Yahr Staging, Schwab and England Activities of Daily Living (SEADL), levodopa equivalent daily dose (LEDD), short-form-36 health survey (SF-36), and neuropsychological tests before and at 3 months and 6 months after surgery. Results There was a rapid and significant improvement of motor symptoms, especially tremor and rigidity, after STN stimulation, with low morbidity. Stimulation led to an improvement in the off-medication UPDSR III scores of the patients of approximately 55% at 3 months and 6 months after STN DBS. Dyskinesia was significantly improved (74% at 3 months and 95% at 6 months) after STN DBS. In addition, LEDD values decreased to 50% of the level observed before surgery within 1 month after STN DBS. Conclusions Programming based on fused images of preoperative MRI and postoperative CT after STN DBS was performed quickly, easily, and efficiently.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2010.12.003</identifier><identifier>PMID: 21600506</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Activities of Daily Living ; Adult ; Advanced Parkinson disease ; Aged ; Antiparkinson Agents - administration & dosage ; Antiparkinson Agents - therapeutic use ; Biological and medical sciences ; Deep Brain Stimulation ; Dose-Response Relationship, Drug ; Dyskinesias - physiopathology ; Dyskinesias - therapy ; Electrode positions ; Electrodes ; Female ; Fused image–based programming ; Humans ; Image Interpretation, Computer-Assisted - methods ; Levodopa - administration & dosage ; Levodopa - therapeutic use ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Neuropsychological Tests ; Neurosurgery ; Neurosurgical Procedures ; Parkinson Disease - diagnostic imaging ; Parkinson Disease - physiopathology ; Parkinson Disease - therapy ; Patient Selection ; Postoperative CT ; Preoperative MRI ; Prospective Studies ; Recovery of Function ; Subthalamic Nucleus - anatomy & histology ; Subthalamic Nucleus - diagnostic imaging ; Subthalamic Nucleus - physiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>World neurosurgery, 2011-03, Vol.75 (3), p.517-524</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c440t-3fd6ec288ab34bea48bda4d0b0d537c9bf9934c6319c5a1af5f47805de989efb3</citedby><cites>FETCH-LOGICAL-c440t-3fd6ec288ab34bea48bda4d0b0d537c9bf9934c6319c5a1af5f47805de989efb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.wneu.2010.12.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24212119$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21600506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paek, Sun Ha</creatorcontrib><creatorcontrib>Kim, Hee Jin</creatorcontrib><creatorcontrib>Yoon, Ji Young</creatorcontrib><creatorcontrib>Heo, Jae Heok</creatorcontrib><creatorcontrib>Kim, Cheolyoung</creatorcontrib><creatorcontrib>Kim, Mi Ryoung</creatorcontrib><creatorcontrib>Lim, Yong Hoon</creatorcontrib><creatorcontrib>Kim, Keyong Ran</creatorcontrib><creatorcontrib>Kim, Jin Wook</creatorcontrib><creatorcontrib>Han, Jung Ho</creatorcontrib><creatorcontrib>Kim, Dong Gyu</creatorcontrib><creatorcontrib>Jeon, Beom S</creatorcontrib><title>Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>Objective To propose fusion image–based programming to adjust patients with advanced Parkinson disease (PD) effectively after subthalamic nucleus (STN) deep brain stimulation (DBS). Methods Between January 2007 and July 2008, 38 patients with advanced PD were consecutively treated with STN DBS. The electrode positions and information regarding their contacts with STN were determined via fusion of the images of preoperative magnetic resonance imaging (MRI) and of postoperative computed tomography (CT) obtained 1 month after STN DBS. Postoperative programming was performed using the information of electrode positions based on the fused images. All patients were evaluated with a prospective protocol of the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn and Yahr Staging, Schwab and England Activities of Daily Living (SEADL), levodopa equivalent daily dose (LEDD), short-form-36 health survey (SF-36), and neuropsychological tests before and at 3 months and 6 months after surgery. Results There was a rapid and significant improvement of motor symptoms, especially tremor and rigidity, after STN stimulation, with low morbidity. Stimulation led to an improvement in the off-medication UPDSR III scores of the patients of approximately 55% at 3 months and 6 months after STN DBS. Dyskinesia was significantly improved (74% at 3 months and 95% at 6 months) after STN DBS. In addition, LEDD values decreased to 50% of the level observed before surgery within 1 month after STN DBS. Conclusions Programming based on fused images of preoperative MRI and postoperative CT after STN DBS was performed quickly, easily, and efficiently.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Advanced Parkinson disease</subject><subject>Aged</subject><subject>Antiparkinson Agents - administration & dosage</subject><subject>Antiparkinson Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Deep Brain Stimulation</subject><subject>Dose-Response Relationship, Drug</subject><subject>Dyskinesias - physiopathology</subject><subject>Dyskinesias - therapy</subject><subject>Electrode positions</subject><subject>Electrodes</subject><subject>Female</subject><subject>Fused image–based programming</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted - methods</subject><subject>Levodopa - administration & dosage</subject><subject>Levodopa - therapeutic use</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests</subject><subject>Neurosurgery</subject><subject>Neurosurgical Procedures</subject><subject>Parkinson Disease - diagnostic imaging</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson Disease - therapy</subject><subject>Patient Selection</subject><subject>Postoperative CT</subject><subject>Preoperative MRI</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Subthalamic Nucleus - anatomy & histology</subject><subject>Subthalamic Nucleus - diagnostic imaging</subject><subject>Subthalamic Nucleus - physiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kd9qFDEUh4MottS-gBcyN-LVrvk3MwmI0FarhVKV1euQSU7WrDOZbTJReuc7-IZ9EjPstgUvDIGE8P3OCd9B6DnBS4JJ83qz_BUgLymeH-gSY_YIHRLRioVoG_n4_l7jA3Sc0gaXxQgXLXuKDihpMK5xc4i-nOfkx1BdDHoNt7__nOoEtvocx3XUw-DDujpxE8Rqlbvpu-714E11lU0POVXvALbVadQ-VKvJD7nXUyn1DD1xuk9wvD-P0Lfz91_PPi4uP324ODu5XBjO8bRgzjZgqBC6Y7wDzUVnNbe4w7ZmrZGdk5Jx0zAiTa2JdrXjrcC1BSkkuI4doVe7uts4XmdIkxp8MtD3OsCYkxKNYK2QghWS7kgTx5QiOLWNftDxRhGsZplqo2aZapapCFXFVAm92JfP3QD2PnKnrgAv94BORvcu6mB8euA4JZQQWbg3Ow6KjJ8eokrGQzBgfQQzKTv6___j7T9x0_vgS8cfcANpM-YYimZFVCoBtZrHPk-d4HlTwf4COtOomg</recordid><startdate>20110301</startdate><enddate>20110301</enddate><creator>Paek, Sun Ha</creator><creator>Kim, Hee Jin</creator><creator>Yoon, Ji Young</creator><creator>Heo, Jae Heok</creator><creator>Kim, Cheolyoung</creator><creator>Kim, Mi Ryoung</creator><creator>Lim, Yong Hoon</creator><creator>Kim, Keyong Ran</creator><creator>Kim, Jin Wook</creator><creator>Han, Jung Ho</creator><creator>Kim, Dong Gyu</creator><creator>Jeon, Beom S</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><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></search><sort><creationdate>20110301</creationdate><title>Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation</title><author>Paek, Sun Ha ; Kim, Hee Jin ; Yoon, Ji Young ; Heo, Jae Heok ; Kim, Cheolyoung ; Kim, Mi Ryoung ; Lim, Yong Hoon ; Kim, Keyong Ran ; Kim, Jin Wook ; Han, Jung Ho ; Kim, Dong Gyu ; Jeon, Beom S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c440t-3fd6ec288ab34bea48bda4d0b0d537c9bf9934c6319c5a1af5f47805de989efb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Advanced Parkinson disease</topic><topic>Aged</topic><topic>Antiparkinson Agents - administration & dosage</topic><topic>Antiparkinson Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Deep Brain Stimulation</topic><topic>Dose-Response Relationship, Drug</topic><topic>Dyskinesias - physiopathology</topic><topic>Dyskinesias - therapy</topic><topic>Electrode positions</topic><topic>Electrodes</topic><topic>Female</topic><topic>Fused image–based programming</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted - methods</topic><topic>Levodopa - administration & dosage</topic><topic>Levodopa - therapeutic use</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests</topic><topic>Neurosurgery</topic><topic>Neurosurgical Procedures</topic><topic>Parkinson Disease - diagnostic imaging</topic><topic>Parkinson Disease - physiopathology</topic><topic>Parkinson Disease - therapy</topic><topic>Patient Selection</topic><topic>Postoperative CT</topic><topic>Preoperative MRI</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Subthalamic Nucleus - anatomy & histology</topic><topic>Subthalamic Nucleus - diagnostic imaging</topic><topic>Subthalamic Nucleus - physiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paek, Sun Ha</creatorcontrib><creatorcontrib>Kim, Hee Jin</creatorcontrib><creatorcontrib>Yoon, Ji Young</creatorcontrib><creatorcontrib>Heo, Jae Heok</creatorcontrib><creatorcontrib>Kim, Cheolyoung</creatorcontrib><creatorcontrib>Kim, Mi Ryoung</creatorcontrib><creatorcontrib>Lim, Yong Hoon</creatorcontrib><creatorcontrib>Kim, Keyong Ran</creatorcontrib><creatorcontrib>Kim, Jin Wook</creatorcontrib><creatorcontrib>Han, Jung Ho</creatorcontrib><creatorcontrib>Kim, Dong Gyu</creatorcontrib><creatorcontrib>Jeon, Beom S</creatorcontrib><collection>Pascal-Francis</collection><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>Paek, Sun Ha</au><au>Kim, Hee Jin</au><au>Yoon, Ji Young</au><au>Heo, Jae Heok</au><au>Kim, Cheolyoung</au><au>Kim, Mi Ryoung</au><au>Lim, Yong Hoon</au><au>Kim, Keyong Ran</au><au>Kim, Jin Wook</au><au>Han, Jung Ho</au><au>Kim, Dong Gyu</au><au>Jeon, Beom S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2011-03-01</date><risdate>2011</risdate><volume>75</volume><issue>3</issue><spage>517</spage><epage>524</epage><pages>517-524</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>Objective To propose fusion image–based programming to adjust patients with advanced Parkinson disease (PD) effectively after subthalamic nucleus (STN) deep brain stimulation (DBS). Methods Between January 2007 and July 2008, 38 patients with advanced PD were consecutively treated with STN DBS. The electrode positions and information regarding their contacts with STN were determined via fusion of the images of preoperative magnetic resonance imaging (MRI) and of postoperative computed tomography (CT) obtained 1 month after STN DBS. Postoperative programming was performed using the information of electrode positions based on the fused images. All patients were evaluated with a prospective protocol of the Unified Parkinson Disease Rating Scale (UPDRS), Hoehn and Yahr Staging, Schwab and England Activities of Daily Living (SEADL), levodopa equivalent daily dose (LEDD), short-form-36 health survey (SF-36), and neuropsychological tests before and at 3 months and 6 months after surgery. Results There was a rapid and significant improvement of motor symptoms, especially tremor and rigidity, after STN stimulation, with low morbidity. Stimulation led to an improvement in the off-medication UPDSR III scores of the patients of approximately 55% at 3 months and 6 months after STN DBS. Dyskinesia was significantly improved (74% at 3 months and 95% at 6 months) after STN DBS. In addition, LEDD values decreased to 50% of the level observed before surgery within 1 month after STN DBS. Conclusions Programming based on fused images of preoperative MRI and postoperative CT after STN DBS was performed quickly, easily, and efficiently.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>21600506</pmid><doi>10.1016/j.wneu.2010.12.003</doi><tpages>8</tpages></addata></record> |
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| subjects | Activities of Daily Living Adult Advanced Parkinson disease Aged Antiparkinson Agents - administration & dosage Antiparkinson Agents - therapeutic use Biological and medical sciences Deep Brain Stimulation Dose-Response Relationship, Drug Dyskinesias - physiopathology Dyskinesias - therapy Electrode positions Electrodes Female Fused image–based programming Humans Image Interpretation, Computer-Assisted - methods Levodopa - administration & dosage Levodopa - therapeutic use Magnetic Resonance Imaging Male Medical sciences Middle Aged Neuropsychological Tests Neurosurgery Neurosurgical Procedures Parkinson Disease - diagnostic imaging Parkinson Disease - physiopathology Parkinson Disease - therapy Patient Selection Postoperative CT Preoperative MRI Prospective Studies Recovery of Function Subthalamic Nucleus - anatomy & histology Subthalamic Nucleus - diagnostic imaging Subthalamic Nucleus - physiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed Treatment Outcome |
| title | Fusion Image–Based Programming After Subthalamic Nucleus Deep Brain Stimulation |
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