Evidence map›Paper›PMID 31884188›Full record

ArticleBrain stimulation

Continuous deep brain stimulation of the subthalamic nucleus may not modulate beta bursts in patients with Parkinson's disease.

Stephen L Schmidt, Jennifer J Peters, Dennis A Turner, Warren M Grill

Abstract read
In one paragraph

Article in Brain stimulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
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  15. Article
  16. Levodopa-Induced Dyskinesia Is Mediated by Cortical Gamma Oscillations in Experimental Parkinsonism.Movement disorders : official journal of the Movement Disorder Society · 2021
    Article
  17. Parkinsonism Alters Beta Burst Dynamics across the Basal Ganglia-Motor Cortical Network.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2021
    Article
  18. Article
  19. [Design and verification of microelectrode twisting machine].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 2020
    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

4 authors.

Stephen L SchmidtBiomedical Engineering Department, Duke University, Durham, NC, USA. Electronic address: stephen.schmidt@duke.edu.
Jennifer J PetersBiomedical Engineering Department, Duke University, Durham, NC, USA.
Dennis A TurnerBiomedical Engineering Department, Duke University, Durham, NC, USA; Neurobiology and Neurosurgery Departments, Duke University Medical Center, Durham, NC, USA.
Warren M GrillBiomedical Engineering Department, Duke University, Durham, NC, USA; Neurobiology and Neurosurgery Departments, Duke University Medical Center, Durham, NC, USA; Electrical and Computer Engineering Department, Duke University, Durham, NC, USA. Electronic address: warren.grill@duke.edu.

Funding

Temporal Patterns of Deep Brain StimulationR37NS040894 · NINDS · DUKE UNIVERSITY · PI GRILL, WARREN M. · 2015 to 2021
$4.2M
An Integrated Biomarker Approach to Personalized, Adaptive Deep Brain Stimulation in Parkinson DiseaseUH3NS129898 · NINDS · DUKE UNIVERSITY · PI DENNIS Alan TURNER · 2023 to 2026
$3.7M
Scalar Closed-Loop STN/GPi DBS Based on Evoked and Spontaneous PotentialsUH3NS103468 · NINDS · DUKE UNIVERSITY · PI TURNER, DENNIS ALAN · 2017 to 2021
$2.0M
Recording Evoked Potentials for Closed-Loop DBSR01NS079312 · NINDS · DUKE UNIVERSITY · PI GRILL, WARREN M. · 2012 to 2014
$1.1M
NINDS NIH HHS R01 NS079312NINDS NIH HHS R37 NS040894NINDS NIH HHS UH3 NS103468NINDS NIH HHS UH3 NS129898
6 · The paper itself

Abstract

backgroundNeural oscillations represent synchronous neuronal activation and are ubiquitous throughout the brain. Oscillatory activity often includes brief high-amplitude bursts in addition to background oscillations, and burst activity may predict performance on working memory, motor, and comprehension tasks.

objectiveWe evaluated beta burst activity as a possible biomarker for motor symptoms in Parkinson's disease (PD). The relationship between beta amplitude dynamics and motor symptoms is critical for adaptive DBS for treatment of PD.

methodsWe applied threshold-based and support vector machine (SVM) analyses of burst parameters to a defined on/off oscillator and to intraoperative recordings of local field potentials from the subthalamic nucleus of 16 awake patients with PD.

resultsFiltering and time-frequency analysis techniques critically influenced the accuracy of identifying burst activity. Threshold-based analysis lead to biased results in the presence of changes in long-term beta amplitude and accurate quantification of bursts with thresholds required unknowable a priori knowledge of the time in bursts. We therefore implemented an SVM analysis, and we did not observe changes in burst fraction, rate, or duration with the application of cDBS in the participant data, even though SVM analysis was able to correctly identify bursts of the defined on/off oscillator.

conclusionOur results suggest that cDBS of the STN may not change beta burst activity. Additionally, threshold-based analysis can bias the fraction of time spent in bursts. Improved analysis strategies for continuous and adaptive DBS may achieve improved symptom control and reduce side-effects.

Indexed as

Beta RhythmDeep Brain StimulationAgedFemaleHumansMaleMiddle AgedParkinson DiseaseSubthalamic NucleusBeta burstDeep brain stimulationLocal field potential analysisParkinson’s diseaseSubthalamic nucleusSupport vector machine

Identifiers

PMID31884188
PMCPMC6961347

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.