Evidence map›Paper›PMID 37830232›Full record

Trial reportCNS neuroscience & therapeutics2024

The guiding effect of local field potential during deep brain stimulation surgery for programming in Parkinson's disease patients.

Wenwen Dong, Chang Qiu, Lei Chang, Jian Sun, Jiuqi Yan, Bei Luo, Yue Lu, Weiguo Liu, Li Zhang, Wenbin Zhang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

10 authors at 1 institution in 1 country.

Wenwen DongDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0003-0833-0314
Chang QiuDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Lei ChangDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jian SunDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Jiuqi YanDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Bei LuoDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Yue LuDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Weiguo LiuDepartment of Neurology, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.
Li ZhangDepartment of geriatric medicine, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0003-1092-7531
Wenbin ZhangDepartment of Functional Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China.ORCID 0000-0002-1024-6165
Nanjing Brain Hospital · CN

Funding

Nanjing Health Science and Technology Development Special Fund Project ZKX20031Special Funds of the Jiangsu Provincial Key Research and Development Projects BE2022049Special Funds of the Jiangsu Provincial Key Research and Development Projects BE2022049-1Subtopic of the 13th Five-Year National Key Research and Development Plan 2016YFC0105901NNZ
6 · The paper itself

Abstract

backgroundParkinson's disease (PD) patients undergoing deep brain stimulation (DBS) surgery require subsequent programming, which is complex and cumbersome. The local field potential (LFP) in the deep brain is associated with motor symptom improvement. The current study aimed to identify LFP biomarkers correlated with improved motor symptoms in PD patients after DBS and verify their guiding role in postoperative programming.

methodsInitially, the study included 36 PD patients undergoing DBS surgery. Temporary external electrical stimulation was performed during electrode implantation, and LFP signals around the electrode contacts were collected before and after stimulation. The stimulating contact at 6 months of programming was regarded as the optimal and effective stimulating contact. The LFP signal of this contact during surgery was analyzed to identify potential LFP biomarkers. Next, we randomly assigned another 30 PD patients who had undergone DBS to physician empirical programming and LFP biomarker-guided programming groups and compared the outcomes.

resultsIn the first part of the study, LFP signals of electrode contacts changed after electrical stimulation. Electrical stimulation reduced gamma energy and the beta/alpha oscillation ratio. The different programming method groups were compared, indicating the superiority of beta/alpha oscillations ratio-guided programming over physician experience programming for patients' improvement rate (IR) of UPDRS-III. There were no significant differences in the IR of UPDRS-III, post-LED, IR-PDQ39, number of programmings, and the contact change rate between the gamma oscillations-guided programming and empirical programming groups.

conclusionOverall, the findings reveal that gamma oscillations and the beta/alpha oscillations ratio are potential biomarkers for programming in PD patients after DBS. Instead of relying solely on spike action potential signals from single neurons, LFP biomarkers can provide the appropriate depth for electrode placement.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusBiomarkersElectric StimulationHumansBiomarkersdeep brain stimulationlocal field potentialparkinson's diseasepower spectral densityprogramming

Identifiers

PMID37830232
PMCPMC11017450
OpenAlexW4387598948

What OpenQuestion holds

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LicenceCC BY
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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.