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 Scopus citations


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
Issue number2-4
Publication statusPublished - Apr 2000


All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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