Magnetic resonance imaging in deep brain stimulation Alexandre Boutet, Andres M. Lozano, editors

Format:

Book

Contributor:

Boutet, Alexandre

Lozano, A. M. (Andres M.), 1959-

Language:

English

Subjects (All):

Brain stimulation.

Brain--Magnetic resonance imaging.

Brain.

Magnetic resonance imaging.

Deep Brain Stimulation.

Deep Brain Stimulation--instrumentation.

Magnetic Resonance Imaging.

Magnetic Resonance Imaging--methods.

Medical Subjects:

Deep Brain Stimulation.

Deep Brain Stimulation--instrumentation.

Magnetic Resonance Imaging.

Magnetic Resonance Imaging--methods.

Physical Description:

1 online resource

Place of Publication:

[S.l.] : SPRINGER INTERNATIONAL PU, 2023.

Cham, Switzerland Springer 2022

Summary:

This book describes the roles magnetic resonance imaging (MRI) can play in deep brain stimulation (DBS). DBS therapeutically modulates aberrant neural circuits implicated in a broad range of neurological disorders. Following surgical insertion, an electrode placed into the desired brain target generates constant electricity, analogous to a cardiac pacemaker. Most commonly employed in movement disorders such as Parkinsons disease, dystonia, and tremor, DBS is also being investigated for use in psychiatric and cognitive disorders, including depression and Alzheimers disease. It is estimated that 200,000 patients have undergone DBS surgery worldwide. Imaging techniques, specifically MRI, have played key roles in the preoperative and postoperative aspects of DBS. This book focuses on the established as well as the innovative roles of MRI in DBS. MRI and DBS are first introduced from an historical perspective and a review of the clinical aspects of DBS is performed. Then, the preoperative and postoperative applications of MRI in DBS are covered. The crucial aspect of MRI safety in these patients is also discussed. Finally, possible upcoming MRI applications for patients with DBS are discussed in a future directions chapter. Chapters are written by experts from the University of Toronto, a world leader in the field of DBS, alongside international co-authors to ensure a thorough review of the topics. This is an ideal guide for both clinicians (neurosurgeons, neurologists, psychiatrists, and neuroradiologists) and researchers as well as trainees interested in neuroimaging for DBS

Contents:

Intro

Preface

Contents

1: Deep Brain Stimulation and Magnetic Resonance Imaging: Introduction

References

2: A Historical Perspective on the Role of Imaging in Deep Brain Stimulation

Introduction

Ventriculography

Modern Neuroimaging Techniques: Magnetic Resonance Imaging and Computed Tomography

Recent Advances in DBS Neuroimaging

3: Overview of the Clinical Aspects of DBS

Overview and History of DBS

Brief History of Neurostimulation in Functional Neurosurgery

DBS for Psychosurgery

DBS for Pain

DBS for Epilepsy

DBS for Movement Disorders

Other Indications

Regulation of DBS Implants

Patient Selection and Referral

Neurology Screening

Neurosurgical Evaluation

Neuropsychiatric Testing

Neuroimaging

Contraindications to Surgery

Clinical Considerations and Target Selection

DBS for Essential Tremor

DBS for Idiopathic Parkinson's Disease

STN DBS

GPi DBS

ViM/cZi for Tremor-Dominant PD

DBS for Dystonia

DBS for Epilepsy

DBS for Other Indications

Surgical Considerations

Intraoperative Considerations

Postoperative Considerations

Future Directions and Innovations

4: Preoperative Planning of DBS Surgery with MRI

Methods

Search

Sequence Evaluation

Most Common DBS Targets

Subthalamic Nucleus

Visualizing the STN

Globus Pallidus

Visualizing the GP

Thalamus

Direct MRI Visualization

Limitations

Future Directions

Conclusions

5: Safety of Magnetic Resonance Imaging in Patients with Deep Brain Stimulation

Standards of Safety Testing

Magnetic Field Components within the Suite

Heterogeneity in Implanted Configurations and Positioning

MR-Induced Heating Concerns

The Unpredictable Nature of Heating

Measuring Heating

Other Potential MRI-Related Risks

Unintended Stimulation

Magnetically Induced Displacement or Vibrations

Internal Pulse Generator Malfunctioning

Magnetic Resonance Imaging Safety Studies with Humans

Special Considerations

The Impetus for Using High-Field MRI

High-Performance Sequences

Magnetic Resonance Safety Innovations

Possibilities for a New MR Safety Process

Conclusion

References

6: Postoperative MRI Applications in Patients with DBS

Electrode Localisation and Mapping of Optimal DBS Target Using Pre- and Postoperative Imaging

MNI Space and Investigating Potential Mechanisms of DBS

Connectomics to Investigate Brain Networks of DBS

Summary and Conclusion

7: Acquiring Functional Magnetic Resonance Imaging in Patients Treated with Deep Brain Stimulation

Challenges Associated with Acquiring fMRI in DBS Patients

fMRI Study Results

fMRI Acquisition, Experimental Design Paradigms and Analysis

Notes:

Includes index

Online resource; title from PDF title page (SpringerLink, viewed December 19, 2022)

ISBN:

9783031163487

3031163486

OCLC:

1352413022

Access Restriction:

Restricted for use by site license