Evidence map›Paper›PMID 38049620›Full record

Trial reportNature medicine2023

Thalamic deep brain stimulation in traumatic brain injury: a phase 1, randomized feasibility study.

Nicholas D Schiff, Joseph T Giacino, Christopher R Butson, Eun Young Choi, Jonathan L Baker, Kyle P O'Sullivan, Andrew P Janson, Michael Bergin, Helen M Bronte-Stewart, Jason Chua and 18 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02881151 (CT-DBS for Traumatic Brain Injury Using the Medtronic Activa PC+S System), which is not on this map. Cited by 70 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 1 pooled it
15.3field-weighted citation impact, top 1% 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.

NCT02881151 nacompletednot on this map

CT-DBS for Traumatic Brain Injury Using the Medtronic Activa PC+S System

TypeinterventionalSponsorJaimie M. HendersonRan2017 to 2022Enrolled6ConditionsTBI (Traumatic Brain Injury)ArmsDeep brain stimulation
3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Pooled it
  2. Nanozyme-based therapeutic strategies for traumatic brain injury.International journal of pharmaceutics: X · 2026
    Review
  3. Article
  4. Recovery from disorders of consciousness: Lesions and GABAergic modulation in a biologically inspired spiking neural network.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Ethical Considerations in Transcranial Focused Ultrasound Neuromodulation for Disorders of Consciousness.Neuromodulation : journal of the International Neuromodulation Society · 2026
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

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

28 authors at 10 institutions in 2 countries.

Nicholas D SchiffFeil Family Brain Mind Institute, Weill Cornell Medicine, New York, NY, USA. nds2001@med.cornell.edu.ORCID 0000-0003-0008-426X
Joseph T GiacinoDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, USA.
Christopher R ButsonScientific Computing and Imaging Institute Department of Bioengineering, University of Utah, Salt Lake City, UT, USA.ORCID 0000-0002-2319-1263
Eun Young ChoiDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.ORCID 0000-0003-3226-1486
Jonathan L BakerFeil Family Brain Mind Institute, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-1779-8237
Kyle P O'SullivanScientific Computing and Imaging Institute Department of Bioengineering, University of Utah, Salt Lake City, UT, USA.
Andrew P JansonScientific Computing and Imaging Institute Department of Bioengineering, University of Utah, Salt Lake City, UT, USA.
Michael BerginDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, USA.
Helen M Bronte-StewartDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.
Jason ChuaDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Laurel DeGeorgeFeil Family Brain Mind Institute, Weill Cornell Medicine, New York, NY, USA.
Sureyya DikmenDepartment of Rehabilitation Medicine, University of Washington, Seattle, WA, USA.
Adam FogartyDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.
Linda M GerberDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0003-0081-3338
Mark KrelDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.
Jose MaldonadoDepartment of Psychiatry, Stanford University, Stanford, CA, USA.
Matthew RadovanDepartment of Computer Science, Stanford University, Stanford, CA, USA.ORCID 0000-0001-9927-878X
Sudhin A ShahDepartment of Radiology, Weill Cornell Medicine, New York, NY, USA.
Jason SuDepartment of Electrical Engineering, Stanford University, Stanford, CA, USA.ORCID 0000-0001-5987-1108
Nancy TemkinDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.
Thomas TourdiasDepartment of Neuroimaging, University of Bordeaux, Nouvelle-Aquitaine, France.
Jonathan D VictorFeil Family Brain Mind Institute, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-9293-0111
Abigail WatersDepartment of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Boston, MA, USA.
Stephanie A Kolakowsky-HaynerDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.
Joseph J FinsDepartment of Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-7221-0053
Andre G MachadoNeurological Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-8132-5610
Brian K RuttDepartment of Radiology, Stanford University, Stanford, CA, USA.ORCID 0000-0001-6516-0505
Jaimie M HendersonDepartment of Neurosurgery, Stanford University, Stanford, CA, USA. henderj@stanford.edu.ORCID 0000-0002-3276-2267
Cornell University · USStanford University · USNeurosciences Institute · USSpaulding Rehabilitation Hospital · USUniversity of Utah · USUniversity of Washington · USCleveland Clinic · USHarvard University · USUniversité de Bordeaux · FRVanderbilt University · US

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Postdoctoral Training in Biomedical MRI and MRST32EB001628 · NIBIB · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John C Gore · 2003 to 2026
$7.0M
Central thalamic stimulation for traumatic brain injuryUH3NS095554 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI BUTSON, CHRISTOPHER R, GIACINO, JOSEPH THOMAS · 2015 to 2021
$6.9M
Central Thalamic Deep Brain Stimulation to Regulate Arousal and CognitionR01NS111019 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI BAKER, JONATHAN L, PURPURA, KEITH P. · 2020 to 2023
$2.5M
Cognitive Restoration: Neuroethics and Disability RightsRF1MH121378 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI FINS, JOSEPH J. · 2019 to 2019
$858k
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NIBIB NIH HHS T32 EB001628NIMH NIH HHS RF1 MH121378NINDS NIH HHS R01 NS111019NINDS NIH HHS UH3 NS095554
6 · The paper itself

Abstract

Converging evidence indicates that impairments in executive function and information-processing speed limit quality of life and social reentry after moderate-to-severe traumatic brain injury (msTBI). These deficits reflect dysfunction of frontostriatal networks for which the central lateral (CL) nucleus of the thalamus is a critical node. The primary objective of this feasibility study was to test the safety and efficacy of deep brain stimulation within the CL and the associated medial dorsal tegmental (CL/DTTm) tract.Six participants with msTBI, who were between 3 and 18 years post-injury, underwent surgery with electrode placement guided by imaging and subject-specific biophysical modeling to predict activation of the CL/DTTm tract. The primary efficacy measure was improvement in executive control indexed by processing speed on part B of the trail-making test.All six participants were safely implanted. Five participants completed the study and one was withdrawn for protocol non-compliance. Processing speed on part B of the trail-making test improved 15% to 52% from baseline, exceeding the 10% benchmark for improvement in all five cases.CL/DTTm deep brain stimulation can be safely applied and may improve executive control in patients with msTBI who are in the chronic phase of recovery.ClinicalTrials.gov identifier: NCT02881151 .

Indexed as

Brain Injuries, TraumaticDeep Brain StimulationFeasibility StudiesHumansQuality of LifeThalamus

Identifiers

PMID38049620
PMCPMC11087147
OpenAlexW4389298265

What OpenQuestion holds

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Registered trials

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.