Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy

Ron L. Alterman, G. Timothy Reiter, Jay Shils, Brett Skolnick, Jeffrey E. Arle, Mary Lesutis, Tanya Simuni, Amy Colcher, Matthew Stern, Howard Hurtig

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The authors assess the accuracy of targeting nucleus ventralis intermedius (Vim) with fast spin echo inversion recovery (FSE/IR) magnetic resonance imaging (MRI) in 18 successful deep brain stimulator (DBS) implants for medically refractory tremor. FSE/IR-MRI-derived coordinates are compared to the final coordinates employed for DBS lead placement, selected with intraoperative neurophysiology. The authors conclude that FSE/IR MRI is sufficiently reliable to serve as the sole means of anatomically targeting Vim for DBS lead placement. An independent computer workstation is not required for accurate targeting; however, intraoperative neurophysiology remain essential.

Original languageEnglish (US)
Pages (from-to)150-153
Number of pages4
JournalStereotactic and Functional Neurosurgery
Volume72
Issue number2-4
DOIs
StatePublished - Jan 1 1999

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Neurophysiology
Magnetic Resonance Imaging
Brain
Ventral Thalamic Nuclei
Tremor
Lead

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

Cite this

Alterman, Ron L. ; Reiter, G. Timothy ; Shils, Jay ; Skolnick, Brett ; Arle, Jeffrey E. ; Lesutis, Mary ; Simuni, Tanya ; Colcher, Amy ; Stern, Matthew ; Hurtig, Howard. / Targeting for thalamic deep brain stimulator implantation without computer guidance : Assessment of targeting accuracy. In: Stereotactic and Functional Neurosurgery. 1999 ; Vol. 72, No. 2-4. pp. 150-153.
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Alterman, RL, Reiter, GT, Shils, J, Skolnick, B, Arle, JE, Lesutis, M, Simuni, T, Colcher, A, Stern, M & Hurtig, H 1999, 'Targeting for thalamic deep brain stimulator implantation without computer guidance: Assessment of targeting accuracy', Stereotactic and Functional Neurosurgery, vol. 72, no. 2-4, pp. 150-153. https://doi.org/10.1159/000029718

Targeting for thalamic deep brain stimulator implantation without computer guidance : Assessment of targeting accuracy. / Alterman, Ron L.; Reiter, G. Timothy; Shils, Jay; Skolnick, Brett; Arle, Jeffrey E.; Lesutis, Mary; Simuni, Tanya; Colcher, Amy; Stern, Matthew; Hurtig, Howard.

In: Stereotactic and Functional Neurosurgery, Vol. 72, No. 2-4, 01.01.1999, p. 150-153.

Research output: Contribution to journalArticle

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AU - Alterman, Ron L.

AU - Reiter, G. Timothy

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AU - Lesutis, Mary

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AU - Colcher, Amy

AU - Stern, Matthew

AU - Hurtig, Howard

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