Abstract
The aim of our study was to investigate the accuracy of targeting using intraoperative "O-arm" during deep brain stimulation (DBS) surgery. Intraoperative O-arm (Medtronic, Minneapolis, MN, USA) images were obtained to confirm the accuracy of placement. The difference between intended and actual target coordinates was calculated based on intraoperative images and postoperative CT scan. Euclidian vector error was obtained to estimate the directional error. Correlation of targeting error with the pneumocephalus and the deviation from the planned trajectory was also estimated. Twenty eight DBS leads (globus pallidus internus [GPi], n=13; subthalamic nucleus [STN], n=9; ventralis intermedius nucleus [VIM], n=6) were implanted in 20 patients using the stereotactic Leksell frame (Elekta AB, Stockholm, Sweden) under general anesthesia over a period of 1year. The mean age was 63.6±standard error of the mean (SEM) 15.7years and 60% of patients were males. The mean absolute difference (+SEM) between intended and actual target in x, y and z coordinates based on intraoperative CT scan was 0.65±0.09 (p=0.84), 0.58±0.08 (p=0.98), 1.13±0.10 (p=0.08), respectively, and postoperative (1month) CT scan was 0.82±0.15 (p=0.89), 0.55±0.11 (p=0.97), ...Continue Reading
References
Oct 16, 2002·Stereotactic and Functional Neurosurgery·C R HoneyM Schulzer
Oct 6, 2005·Magnetic Resonance in Medicine : Official Journal of the Society of Magnetic Resonance in Medicine·Alastair J MartinPhilip A Starr
Oct 21, 2005·Journal of Neurosurgery·Kathryn L HollowayJaimie M Henderson
Sep 14, 2007·Expert Review of Medical Devices·Erlick A C PereiraTipu Z Aziz
Sep 21, 2007·Stereotactic and Functional Neurosurgery·Muhammad Faisal KhanOskar Skrinjar
Nov 6, 2007·Journal of Neurosurgery·Yasushi MiyagiTomio Sasaki
Mar 11, 2008·Parkinsonism & Related Disorders·Thomas FiegeleWilhelm Eisner
Oct 10, 2008·Biological Psychiatry·Donald A MaloneBenjamin D Greenberg
Nov 5, 2008·Neurosurgery·Tina-Marie EllisMichael S Okun
Nov 14, 2008·Neurosurgery·Sun Ha PaekDong Gyu Kim
Jun 27, 2009·Neurosurgery Clinics of North America·Philip A StarrPaul S Larson
Aug 18, 2009·Journal of Neurosurgery·Philip A StarrPaul S Larson
Feb 6, 2010·Stereotactic and Functional Neurosurgery·F CaireJ J Moreau
Mar 25, 2010·Epilepsia·Robert FisherUNKNOWN SANTE Study Group
Jul 1, 2010·Stereotactic and Functional Neurosurgery·Xiaowu HuPengfei Yang
Jan 6, 2011·Neurosurgery·Kiarash ShahlaiePhilip A Starr
Aug 5, 2011·Headache·Brian Jenkins, Stewart J Tepper
Sep 19, 2012·Neurosurgery·Kathryn Holloway, Alen Docef
Mar 21, 2013·Neurosurgery·Siamak Sabour
Jun 4, 2013·Journal of Neurosurgery·Kim J BurchielAhmed M Raslan
Nov 13, 2014·Neurology India·Mayur SharmaNicholas Boulis
Feb 24, 2015·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Mayur Sharma, Milind Deogaonkar
Citations
Sep 2, 2016·Surgical Neurology International·Domenico ServelloMauro Porta
Nov 24, 2016·World Neurosurgery·Seong-Cheol ParkJung Kyo Lee
Jun 12, 2017·Stereotactic and Functional Neurosurgery·Maarten BotLeo Verhagen Metman
May 16, 2018·Brain Sciences·Paolo MazzoneEugenio Scarnati
Dec 22, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Leonardo A FrizonAndre G Machado
Jun 6, 2018·Topics in Magnetic Resonance Imaging : TMRI·Christine E BooneWilliam S Anderson
Jun 25, 2019·Operative Neurosurgery·Stefan HunscheClemens Neudorfer
May 12, 2020·Operative Neurosurgery·Rozemarije A HolewijnP Richard Schuurman
Oct 28, 2019·Operative Neurosurgery·Lannie LiuStéphan Chabardès
Dec 13, 2019·Neuromodulation : Journal of the International Neuromodulation Society·Jun WangShao-Wu Ou
Sep 25, 2020·Journal of Clinical Medicine·Hye Ran ParkSun Ha Paek
Jul 28, 2018·Acta neurochirurgica·Barbara CarlChristopher Nimsky
Sep 19, 2019·Surgical Neurology International·Onur AlptekinYasin Temel
Apr 18, 2020·Acta neurochirurgica·Matthew D CooperLutz M Weise
Apr 4, 2017·Neuromodulation : Journal of the International Neuromodulation Society·Sophia PengJulie G Pilitsis
Oct 5, 2019·Operative Neurosurgery·Terrance PengBrian Lee
Jul 1, 2020·Annals of Biomedical Engineering·Paolo ZaffinoMaria Francesca Spadea
Jan 15, 2021·Acta neurochirurgica·Carlos E RestrepoLutz M Weise
Feb 11, 2021·Neurology and Therapy·Pepijn van den MunckhofP Richard Schuurman
Dec 16, 2020·Neurology India·Aniruddha A BhagwatChandrashekhar E Deopujari
Dec 16, 2020·Neurology India·Girish K Hiremath
Jan 8, 2021·BMC Medical Imaging·Juha I PeltonenMika Kortesniemi
Mar 17, 2021·World Neurosurgery·Ying-Fa ChenFu-Yuan Shih
Aug 24, 2017·Journal of Neuroscience Methods·Chen-Yu DingDe-Zhi Kang
Jul 1, 2021·Scientific Reports·Federico BrunoCarlo Masciocchi
Aug 16, 2021·Operative Neurosurgery·Eun Jeong KohSean J Nagel
Oct 30, 2021·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·S V AsriyantsI N Pronin
Jan 22, 2020·Stereotactic and Functional Neurosurgery·Katharina FaustPeter Vajkoczy
Sep 30, 2020·Stereotactic and Functional Neurosurgery·Benjamin SaßBarbara Carl