Evidence map›Paper›PMID 35053829›Full record

ArticleBrain sciences2022

MaDoPO: Magnetic Detection of Positions and Orientations of Segmented Deep Brain Stimulation Electrodes: A Radiation-Free Method Based on Magnetoencephalography.

Mevlüt Yalaz, Nicholas Maling, Günther Deuschl, León M Juárez-Paz, Markus Butz, Alfons Schnitzler, Ann-Kristin Helmers, Michael Höft

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Article in Brain sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Mevlüt YalazMicrowave Engineering, Christian-Albrechts-Universität zu Kiel, 24143 Kiel, Germany.ORCID 0000-0001-6388-6847
Nicholas MalingBoston Scientific Corporation, Santa Clarita, CA 91355, USA.ORCID 0000-0001-6204-375X
Günther DeuschlDepartment of Neurology, Christian-Albrechts-Universität zu Kiel, 24105 Kiel, Germany.ORCID 0000-0002-4176-9196
León M Juárez-PazBoston Scientific Corporation, Santa Clarita, CA 91355, USA.ORCID 0000-0002-1621-1318
Markus ButzInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich-Heine-Universität Düsseldorf, 40225 Düsseldorf, Germany.ORCID 0000-0003-1438-5792
Alfons SchnitzlerInstitute of Clinical Neuroscience and Medical Psychology, Medical Faculty, Heinrich-Heine-Universität Düsseldorf, 40225 Düsseldorf, Germany.ORCID 0000-0002-6414-7939
Ann-Kristin HelmersDepartment of Neurosurgery, Christian-Albrechts-Universität zu Kiel, 24105 Kiel, Germany.ORCID 0000-0002-0824-6684
Michael HöftMicrowave Engineering, Christian-Albrechts-Universität zu Kiel, 24143 Kiel, Germany.ORCID 0000-0001-9352-2868

Funding

Deutsche Forschungsgemeinschaft SFB1261
6 · The paper itself

Abstract

backgroundCurrent approaches to detect the positions and orientations of directional deep brain stimulation (DBS) electrodes rely on radiative imaging data. In this study, we aim to present an improved version of a radiation-free method for magnetic detection of the position and the orientation (MaDoPO) of directional electrodes based on a series of magnetoencephalography (MEG) measurements and a possible future solution for optimized results using emerging on-scalp MEG systems.

methodsA directional DBS system was positioned into a realistic head-torso phantom and placed in the MEG scanner. A total of 24 measurements of 180 s each were performed with different predefined electrode configurations. Finite element modeling and model fitting were used to determine the position and orientation of the electrode in the phantom. Related measurements were fitted simultaneously, constraining solutions to the a priori known geometry of the electrode. Results were compared with the results of the high-quality CT imaging of the phantom.

resultsThe accuracy in electrode localization and orientation detection depended on the number of combined measurements. The localization error was minimized to 2.02 mm by considering six measurements with different non-directional bipolar electrode configurations. Another six measurements with directional bipolar stimulations minimized the orientation error to 4°. These values are mainly limited due to the spatial resolution of the MEG. Moreover, accuracies were investigated as a function of measurement time, number of sensors, and measurement direction of the sensors in order to define an optimized MEG device for this application.

conclusionAlthough MEG introduces inaccuracies in the detection of the position and orientation of the electrode, these can be accepted when evaluating the benefits of a radiation-free method. Inaccuracies can be further reduced by the use of on-scalp MEG sensor arrays, which may find their way into clinics in the foreseeable future.

Indexed as

bipolar electrode configurationdeep brain stimulationlocalizationmagnetoencephalographyrotational orientation detectionsegmented DBS electrode

Identifiers

PMID35053829
PMCPMC8774199

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