Evidence map›Paper›PMID 31795055›Full record

ArticleNeuroImage. Clinical2019

White matter tracing combined with electric field simulation - A patient-specific approach for deep brain stimulation.

Teresa Nordin, Peter Zsigmond, Sonia Pujol, Carl-Fredrik Westin, Karin Wårdell

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Deep Brain Stimulation Target Selection in Co-Morbid Essential Tremor and Parkinson's Disease.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Article
  6. Article
  7. Frontiers in neurology · 2020
    Article
  8. 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

5 authors at 2 institutions in 2 countries.

Teresa NordinDepartment of Biomedical Engineering, Linköping University, Sweden. Electronic address: teresa.nordin@liu.se.
Peter ZsigmondDepartment of Neurosurgery and Clinical and Experimental Medicine, Linköping University, Sweden.
Sonia PujolLaboratory of Mathematics in Imaging, Brigham and Women's Hospital, Harvard Medical School, USA; Surgical Planning Laboratory, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, USA.
Carl-Fredrik WestinLaboratory of Mathematics in Imaging, Brigham and Women's Hospital, Harvard Medical School, USA.
Karin WårdellDepartment of Biomedical Engineering, Linköping University, Sweden.
Linköping University · SEBrigham and Women's Hospital · US

Funding

Training and DisseminationP41EB015902 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI KIKINIS, RON, WESTIN, CARL-FREDRIK · 2012 to 2022
$20.9M
NIBIB NIH HHS P41 EB015902
6 · The paper itself

Abstract

objectiveDeep brain stimulation (DBS) in zona incerta (Zi) is used for symptom alleviation in essential tremor (ET). Zi is positioned along the dentato-rubro-thalamic tract (DRT). Electric field simulations with the finite element method (FEM) can be used for estimation of a volume where the stimulation affects the tissue by applying a fixed isolevel (V

methodPatients with ET were implanted in Zi (lead 3389, n = 3, voltage mode; directional lead 6172, n = 1, current mode). Probabilistic reconstruction from diffusion MRI (dMRI) of the DRT (n = 8) was computed with FSL Toolbox. Brain tissue models were created for each patient (two homogenous, one heterogenous isotropic, one heterogenous anisotropic) and the respective V

resultCombined patient-specific tractography and electric field simulation was designed and evaluated, and all patients showed benefit from DBS. All V

conclusionA workflow for patient-specific electric field simulations in combination with reconstruction of DRT was successfully implemented. Accurate tissue classification is essential for electric field simulations, especially when using the current control stimulation. With an accurate targeting and tractography reconstruction, directional leads have the potential to tailor the electric field into the desired region.

Indexed as

AgedAged, 80 and overAlgorithmsAnisotropyDeep Brain StimulationDiffusion Tensor ImagingElectric ConductivityEssential TremorFemaleGray MatterHumansMaleThalamusWhite MatterDeep brain stimulation (DBS)Dentato-rubro-thalamic tract (DRT)Diffusion MRI (dMRI)Electrical conductivity tensorEssential tremor (ET)TractographyZona Incerta (Zi)

Identifiers

PMID31795055
PMCPMC6880013
OpenAlexW2982228224

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.