ArticleJournal of Korean Neurosurgical Society2025
Minimizing Hemorrhage Complications in Deep Brain Stimulation Surgery - The Impact of Imaging Modalities and Trajectory Planning.
Article in Journal of Korean Neurosurgical Society, 2025. 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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Who cites it
2 citing papers in PubMed.
- State-of-the-Art Imaging and Localization Assessment in Post-Operative Deep Brain Stimulation for Parkinson's Disease: A Review.Stereotactic and functional neurosurgery · 2026Review
- A neutrosophic explainable AI framework for modeling uncertainty in immersive stereotactic neurosurgical simulation.Frontiers in neurologyArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis retrospective study aims to analyze hemorrhage complications in patients undergoing deep brain stimulation (DBS) surgery, focusing on the impact of imaging modalities and trajectory planning.
methodsWe conducted a retrospective review of patients who underwent DBS at a single institution from September 2018 to February 2023. Surgical planning data were analyzed using a combination of 1.5 Tesla (T) and 3.0 T magnetic resonance image (MRI) for trajectory planning. Trajectories were classified into four types (type 1-4) based on the proximity of vascular structures within 2 mm on preoperative MRI scans, as defined in this study. Hemorrhage presence was evaluated through postoperative computed tomography scans.
resultsOut of 200 patients analyzed, type 1 trajectories (no vascular structures within 2 mm on both MRIs) accounted for 72.70% of cases with the lowest hemorrhage rate. Significant differences in hemorrhage rates were observed among the types, with higher risks associated with type 4 trajectories. Additionally, significant variations in vascular structure types were noted across DBS targets, with subthalamic nucleus showing the highest risk.
conclusionMeticulous trajectory planning using both 1.5 T and 3.0 T MRI is crucial in minimizing hemorrhagic complications in DBS. The study underscores the need for precise imaging and planning to enhance patient safety and surgical outcomes.
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