Evidence map›Paper›PMID 36521781›Full record

ArticleNeurobiology of disease2023

Parkinsonian daytime sleep-wake classification using deep brain stimulation lead recordings.

Ajay K Verma, Ying Yu, Sergio F Acosta-Lenis, Tyler Havel, David Escobar Sanabria, Gregory F Molnar, Colum D MacKinnon, Michael J Howell, Jerrold L Vitek, Luke A Johnson

Open access · goldAbstract read
In one paragraph

Article in Neurobiology of disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Ajay K VermaDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Ying YuDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Sergio F Acosta-LenisDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Tyler HavelDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
David Escobar SanabriaDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Gregory F MolnarDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Colum D MacKinnonDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Michael J HowellDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Jerrold L VitekDepartment of Neurology, University of Minnesota, Minneapolis, United States of America.
Luke A JohnsonDepartment of Neurology, University of Minnesota, Minneapolis, United States of America. Electronic address: joh03032@umn.edu.
University of Minnesota · US

Funding

Deep Brain Stimulation in the Parkinsonian MonkeyR01NS037019 · NINDS · UNIVERSITY OF MINNESOTA · PI Jerrold L Vitek · 1999 to 2026
$14.5M
Understanding Circuit Dynamics in Parkinson's Disease using Real-Time Neural ControlP50NS123109 · NINDS · UNIVERSITY OF MINNESOTA · PI AMAN, JOSHUA E · 2021 to 2025
$11.3M
Neurophysiological Mechanisms Underlying Parkinsonian Motor SignsR01NS058945 · NINDS · UNIVERSITY OF MINNESOTA · PI LUKE Aaron JOHNSON, Jerrold L Vitek · 2008 to 2026
$9.6M
Pathophysiology-based approaches to deep brain stimulation for Parkinson's diseaseP50NS098573 · NINDS · UNIVERSITY OF MINNESOTA · PI JOHNSON, MATTHEW DOUGLAS · 2016 to 2020
$9.1M
The Effects of Parkinsonism and Deep Brain Stimulation on Basal Ganglia-Thalamocortical Circuitry During Sleep-Wake BehaviorR01NS110613 · NINDS · UNIVERSITY OF MINNESOTA · PI LUKE Aaron JOHNSON · 2019 to 2026
$4.7M
Neuronal Activity in MC and SMA during STN and GPi DBS in the Parkinsonian MonkeyR37NS077657 · NINDS · UNIVERSITY OF MINNESOTA · PI VITEK, JERROLD L · 2018 to 2024
$4.4M
Sleep-specific DBS therapy in Parkinson's diseaseR01NS131371 · NINDS · UNIVERSITY OF MINNESOTA · PI LUKE Aaron JOHNSON · 2023 to 2026
$2.4M
NINDS NIH HHS P50 NS098573NINDS NIH HHS P50 NS123109NINDS NIH HHS R01 NS037019NINDS NIH HHS R01 NS058945NINDS NIH HHS R01 NS110613NINDS NIH HHS R01 NS131371NINDS NIH HHS R37 NS077657
6 · The paper itself

Abstract

Excessive daytime sleepiness is a recognized non-motor symptom that adversely impacts the quality of life of people with Parkinson's disease (PD), yet effective treatment options remain limited. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an effective treatment for PD motor signs. Reliable daytime sleep-wake classification using local field potentials (LFPs) recorded from DBS leads implanted in STN can inform the development of closed-loop DBS approaches for prompt detection and disruption of sleep-related neural oscillations. We performed STN DBS lead recordings in three nonhuman primates rendered parkinsonian by administrating neurotoxin 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). Reference sleep-wake states were determined on a second-by-second basis by video monitoring of eyes (eyes-open, wake and eyes-closed, sleep). The spectral power in delta (1-4 Hz), theta (4-8 Hz), low-beta (8-20 Hz), high-beta (20-35 Hz), gamma (35-90 Hz), and high-frequency (200-400 Hz) bands were extracted from each wake and sleep epochs for training (70% data) and testing (30% data) a support vector machines classifier for each subject independently. The spectral features yielded reasonable daytime sleep-wake classification (sensitivity: 90.68 ± 1.28; specificity: 88.16 ± 1.08; accuracy: 89.42 ± 0.68; positive predictive value; 88.70 ± 0.89, n = 3). Our findings support the plausibility of monitoring daytime sleep-wake states using DBS lead recordings. These results could have future clinical implications in informing the development of closed-loop DBS approaches for automatic detection and disruption of sleep-related neural oscillations in people with PD to promote wakefulness.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusAnimalsQuality of LifeSleepDaytime sleepinessDeep brain stimulationMPTPNonhuman PrimatesParkinson's diseaseSleep-wake disturbancesSubthalamic nucleusSupport vector machines

Identifiers

PMID36521781
PMCPMC9869648
OpenAlexW4311134304

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.