Evidence map›Paper›PMID 29695996›Full record

ArticleFrontiers in neurology2018

Outcomes of Interventional-MRI Versus Microelectrode Recording-Guided Subthalamic Deep Brain Stimulation.

Philip S Lee, Gregory M Weiner, Danielle Corson, Jessica Kappel, Yue-Fang Chang, Valerie R Suski, Sarah B Berman, Houman Homayoun, Amber D Van Laar, Donald J Crammond and 1 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
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  15. Article
  16. Subthalamic Nucleus and Sensorimotor Cortex Activity During Speech Production.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  17. An update on best practice of deep brain stimulation in Parkinson's disease.Therapeutic advances in neurological disorders · 2019
    Review
  18. Gene Therapy for Neurodegenerative Diseases.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2019
    Review
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

11 authors.

Philip S LeeDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Gregory M WeinerDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Danielle CorsonDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Jessica KappelDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Yue-Fang ChangDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Valerie R SuskiDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Sarah B BermanDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Houman HomayounDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Amber D Van LaarDepartment of Neurology, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Donald J CrammondDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
R Mark RichardsonDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In deep brain stimulation (DBS) of the subthalamic nucleus (STN) for Parkinson's disease (PD), there is debate concerning the use of neuroimaging alone to confirm correct anatomic placement of the DBS lead into the STN, versus the use of microelectrode recording (MER) to confirm functional placement. We performed a retrospective study of a contemporaneous cohort of 45 consecutive patients who underwent either interventional-MRI (iMRI) or MER-guided DBS lead implantation. We compared radial lead error, motor and sensory side effect, and clinical benefit programming thresholds, and pre- and post-operative unified PD rating scale scores, and levodopa equivalent dosages. MER-guided surgery was associated with greater radial error compared to the intended target. In general, side effect thresholds during initial programming were slightly lower in the MER group, but clinical benefit thresholds were similar. No significant difference in the reduction of clinical symptoms or medication dosage was observed. In summary, iMRI lead implantation occurred with greater anatomic accuracy, in locations demonstrated to be the appropriate functional region of the STN, based on the observation of similar programming side effect and benefit thresholds obtained with MER. The production of equivalent clinical outcomes suggests that surgeon and patient preference can be used to guide the decision of whether to recommend iMRI or MER-guided DBS lead implantation to appropriate patients with PD.

Indexed as

deep brain stimulationinterventional MRImicroelectrode recordingParkinson’s diseasesubthalamic nucleus

Identifiers

PMID29695996
PMCPMC5904198

What OpenQuestion holds

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Registered trials

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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.