Evidence map›Paper›PMID 38385792›Full record

ArticleMovement disorders clinical practice2024

7-Tesla Magnetic Resonance Imaging Scanning in Deep Brain Stimulation for Parkinson's Disease: Improving Visualization of the Dorsolateral Subthalamic Nucleus.

Lisa Verlaat, Niels Rijks, José Dilai, Marjolein Admiraal, Martijn Beudel, Rob M A de Bie, Wietske van der Zwaag, Rick Schuurman, Pepijn van den Munckhof, Maarten Bot

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06932692 (The BRAINMAP-DBS Study), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-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.

NCT06932692 narecruitingnot on this map

The BRAINMAP-DBS Study

TypeinterventionalSponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2024 to 2035Enrolled500ConditionsDeep Brain Stimulation, Parkinson Disease, Essential Tremor, Magnetoencephalography (MEG)Armsmagnetoencephalography
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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 2 institutions in 1 country.

Lisa VerlaatDepartment of Neurosurgery, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.ORCID 0000-0002-8101-6201
Niels RijksDepartment of Neurosurgery, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
José DilaiDepartment of Neurology and Clinical Neurophysiology, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
Marjolein AdmiraalDepartment of Neurology and Clinical Neurophysiology, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
Martijn BeudelDepartment of Neurology and Clinical Neurophysiology, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.ORCID 0000-0002-2488-7051
Rob M A de BieDepartment of Neurology and Clinical Neurophysiology, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.ORCID 0000-0001-5267-0784
Wietske van der ZwaagSpinoza Centre for Neuroimaging, Royal Netherlands Academy of Arts and Sciences, Amsterdam, the Netherlands.
Rick SchuurmanDepartment of Neurosurgery, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
Pepijn van den MunckhofDepartment of Neurosurgery, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
Maarten BotDepartment of Neurosurgery, University Medical Centers, Academic Medical Center, Amsterdam, the Netherlands.
Amsterdam UMC Location University of Amsterdam · NLRoyal Netherlands Academy of Arts and Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIdentifying the dorsolateral subthalamic nucleus (STN) for deep brain stimulation (DBS) in Parkinson's disease (PD) can be challenging due to the size and double-oblique orientation. Since 2015 we implemented 7-Tesla T2 weighted magnetic resonance imaging (7 T T2) for improving visualization and targeting of the dorsolateral STN. We describe the changes in surgical planning and outcome since implementation of 7 T T2 for DBS in PD.

methodsBy comparing two cohorts of STN DBS patients in different time periods we evaluated the influence of 7 T T2 on STN target planning, the number of microelectrode recording (MER) trajectories, length of STN activity and the postoperative motor (UPDRS) improvement.

resultsFrom February 2007 to January 2014, 1.5 and 3-Tesla T2 guided STN DBS with 3 MER channels was performed in 76 PD patients. Average length of recorded STN activity in the definite electrode trajectory was 3.9 ± 1.5 mm. From January 2015 to January 2022 7 T T2 and MER-guided STN DBS was performed in 182 PD patients. Average length of recorded STN activity in the definite electrode trajectory was 5.1 ± 1.3 mm and used MER channels decreased from 3 to 1. Average UPDRS improvement was comparable.

conclusionImplementation of 7 T T2 for STN DBS enabled a refinement in targeting. Combining classical DBS targeting with dorsolateral STN alignment may be used to determine the optimal trajectory. The improvement in dorsolateral STN visualization can be used for further target refinements, for example adding probabilistic subthalamic connectivity, to enhance clinical outcome of STN DBS.

Indexed as

Deep Brain StimulationParkinson DiseaseSubthalamic NucleusHumansMagnetic Resonance ImagingMicroelectrodesbraindeep brain stimulationhumanmagnetic resonance imagingParkinson's diseasesubthalamic nucleustreatment outcome

Identifiers

PMID38385792
PMCPMC10982587
OpenAlexW4392042918

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.