Evidence map›Paper›PMID 26046412›Full record

Trial reportMayo Clinic proceedings2015

Motor and Nonmotor Circuitry Activation Induced by Subthalamic Nucleus Deep Brain Stimulation in Patients With Parkinson Disease: Intraoperative Functional Magnetic Resonance Imaging for Deep Brain Stimulation.

Emily J Knight, Paola Testini, Hoon-Ki Min, William S Gibson, Krzysztof R Gorny, Christopher P Favazza, Joel P Felmlee, Inyong Kim, Kirk M Welker, Daniel A Clayton and 3 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Mayo Clinic proceedings, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01809613 (Functional Magnetic Resonance Imaging), which is not on this map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01809613 completednot on this map

Functional Magnetic Resonance Imaging (fMRI) During Deep Brain Stimulation (DBS) to Treat Parkinson's Disease

TypeobservationalSponsorMayo ClinicRan2013 to 2017Enrolled88ConditionsParkinson Disease, Essential Tremor, Dystonia, Obsessive Compulsive DisorderArmsFunctional Magnetic Resonance Imaging (fMRI)
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Engaging dystonia networks with subthalamic stimulation.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  11. Review
  12. Engaging dystonia networks with subthalamic stimulation.medRxiv : the preprint server for health sciences · 2024
    Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Article
  18. Article
  19. The Supplementary Motor Complex in Parkinson's Disease.Journal of movement disorders · 2022
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Emily J KnightDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN.
Paola TestiniDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN.
Hoon-Ki MinDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN.
William S GibsonDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN.
Krzysztof R GornyDepartment of Radiology, Mayo Clinic, Rochester, MN.
Christopher P FavazzaDepartment of Radiology, Mayo Clinic, Rochester, MN.
Joel P FelmleeDepartment of Radiology, Mayo Clinic, Rochester, MN.
Inyong KimDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN.
Kirk M WelkerDepartment of Radiology, Mayo Clinic, Rochester, MN.
Daniel A ClaytonDepartment of Neurosurgery, Swedish Medical Center, Seattle, WA.
Bryan T KlassenDepartment of Neurology, Mayo Clinic, Rochester, MN.
Su-youne ChangDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN. Electronic address: chang.suyoune@mayo.edu.
Kendall H LeeDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN; Department of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, MN. Electronic address: lee.kendall@mayo.edu.

Funding

Medical Scientist Traning Program at Mayo ClinicT32GM065841 · NIGMS · MAYO CLINIC ROCHESTER · PI KAUFMANN, SCOTT H, SCHIMMENTI, LISA A · 2003 to 2022
$5.8M
Mayo Clinic Center for Translational Science ActivitiesTL1TR000137 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$2.1M
WINCS and DBSR01NS070872 · NINDS · MAYO CLINIC ROCHESTER · PI LEE, KENDALL H. · 2011 to 2015
$1.7M
NCATS NIH HHS TL1 TR000137NIGMS NIH HHS T32 GM065841NIGMS NIH HHS T32 GM 65841NINDS NIH HHS R01 NS070872NINDS NIH HHS R01 NS 70872
6 · The paper itself

Abstract

objectiveTo test the hypothesis suggested by previous studies that subthalamic nucleus (STN) deep brain stimulation (DBS) in patients with Parkinson disease would affect the activity of motor and nonmotor networks, we applied intraoperative functional magnetic resonance imaging (fMRI) to patients receiving DBS. PATIENTS AND

methodsTen patients receiving STN DBS for Parkinson disease underwent intraoperative 1.5-T fMRI during high-frequency stimulation delivered via an external pulse generator. The study was conducted between January 1, 2013, and September 30, 2014.

resultsWe observed blood oxygen level-dependent (BOLD) signal changes (false discovery rate <0.001) in the motor circuitry (including the primary motor, premotor, and supplementary motor cortices; thalamus; pedunculopontine nucleus; and cerebellum) and in the limbic circuitry (including the cingulate and insular cortices). Activation of the motor network was observed also after applying a Bonferroni correction (P<.001) to the data set, suggesting that across patients, BOLD changes in the motor circuitry are more consistent compared with those occurring in the nonmotor network.

conclusionThese findings support the modulatory role of STN DBS on the activity of motor and nonmotor networks and suggest complex mechanisms as the basis of the efficacy of this treatment modality. Furthermore, these results suggest that across patients, BOLD changes in the motor circuitry are more consistent than those in the nonmotor network. With further studies combining the use of real-time intraoperative fMRI with clinical outcomes in patients treated with DBS, functional imaging techniques have the potential not only to elucidate the mechanisms of DBS functioning but also to guide and assist in the surgical treatment of patients affected by movement and neuropsychiatric disorders.

trial registrationclinicaltrials.gov Identifier: NCT01809613.

Indexed as

Deep Brain StimulationSubthalamic NucleusAgedFemaleHumansLimbic LobeMagnetic Resonance ImagingMaleMiddle AgedMonitoring, IntraoperativeMotor ActivityMotor CortexParkinson Disease

Identifiers

PMID26046412
PMCPMC4469128

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.