Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes

In deep brain stimulation (DBS) studies in patients with Parkinson’s disease, the Lead-DBS toolbox allows the reconstruction of the location of β-oscillations in the subthalamic nucleus (STN) using Vercise Cartesia directional electrodes (Boston Scientific). The objective was to compare these probab...

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Main Authors: Colette Boëx, Abdullah Al Awadhi, Rémi Tyrand, Marco V. Corniola, Astrid Kibleur, Vanessa Fleury, Pierre R. Burkhard, Shahan Momjian
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Bioengineering
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Online Access:https://www.mdpi.com/2306-5354/10/8/898
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author Colette Boëx
Abdullah Al Awadhi
Rémi Tyrand
Marco V. Corniola
Astrid Kibleur
Vanessa Fleury
Pierre R. Burkhard
Shahan Momjian
author_facet Colette Boëx
Abdullah Al Awadhi
Rémi Tyrand
Marco V. Corniola
Astrid Kibleur
Vanessa Fleury
Pierre R. Burkhard
Shahan Momjian
author_sort Colette Boëx
collection DOAJ
description In deep brain stimulation (DBS) studies in patients with Parkinson’s disease, the Lead-DBS toolbox allows the reconstruction of the location of β-oscillations in the subthalamic nucleus (STN) using Vercise Cartesia directional electrodes (Boston Scientific). The objective was to compare these probabilistic locations with those of intraoperative monopolar β-oscillations computed from local field potentials (0.5–3 kHz) recorded by using shielded single wires and an extracranial shielded reference electrode. For each electrode contact, power spectral densities of the β-band (13–31 Hz) were compared with those of all eight electrode contacts on the directional electrodes. The DBS Intrinsic Template AtLas (DISTAL), electrophysiological, and DBS target atlases of the Lead-DBS toolbox were applied to the reconstructed electrodes from preoperative MRI and postoperative CT. Thirty-six electrodes (20 patients: 7 females, 13 males; both STN electrodes for 16 of 20 patients; one single STN electrode for 4 of 20 patients) were analyzed. Stimulation sites both dorsal and/or lateral to the sensorimotor STN were the most efficient. In 33 out of 36 electrodes, at least one contact was measured with stronger β-oscillations, including 23 electrodes running through or touching the ventral subpart of the β-oscillations’ probabilistic volume, while 10 did not touch it but were adjacent to this volume; in 3 out of 36 electrodes, no contact was found with β-oscillations and all 3 were distant from this volume. Monopolar local field potentials confirmed the ventral subpart of the probabilistic β-oscillations.
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spelling doaj.art-42b5276e3b724d39a726a0036d6b3b892023-11-19T00:17:34ZengMDPI AGBioengineering2306-53542023-07-0110889810.3390/bioengineering10080898Validation of Lead-DBS β-Oscillation Localization with Directional ElectrodesColette Boëx0Abdullah Al Awadhi1Rémi Tyrand2Marco V. Corniola3Astrid Kibleur4Vanessa Fleury5Pierre R. Burkhard6Shahan Momjian7Department of Neurosurgery, University Hospitals of Geneva, CH-1205 Geneva, SwitzerlandDepartment of Neurosurgery, University Hospitals of Geneva, CH-1205 Geneva, SwitzerlandDepartment of Neurosurgery, University Hospitals of Geneva, CH-1205 Geneva, SwitzerlandDepartment of Neurosurgery, Pontchaillou Hospitals, CEDEX 9, F-35033 Rennes, FranceCentre Hospitalier Universitaire Caen Normandie, F-14000 Caen, FranceFaculty of Medicine, University of Geneva, 1206 Geneva, SwitzerlandFaculty of Medicine, University of Geneva, 1206 Geneva, SwitzerlandDepartment of Neurosurgery, University Hospitals of Geneva, CH-1205 Geneva, SwitzerlandIn deep brain stimulation (DBS) studies in patients with Parkinson’s disease, the Lead-DBS toolbox allows the reconstruction of the location of β-oscillations in the subthalamic nucleus (STN) using Vercise Cartesia directional electrodes (Boston Scientific). The objective was to compare these probabilistic locations with those of intraoperative monopolar β-oscillations computed from local field potentials (0.5–3 kHz) recorded by using shielded single wires and an extracranial shielded reference electrode. For each electrode contact, power spectral densities of the β-band (13–31 Hz) were compared with those of all eight electrode contacts on the directional electrodes. The DBS Intrinsic Template AtLas (DISTAL), electrophysiological, and DBS target atlases of the Lead-DBS toolbox were applied to the reconstructed electrodes from preoperative MRI and postoperative CT. Thirty-six electrodes (20 patients: 7 females, 13 males; both STN electrodes for 16 of 20 patients; one single STN electrode for 4 of 20 patients) were analyzed. Stimulation sites both dorsal and/or lateral to the sensorimotor STN were the most efficient. In 33 out of 36 electrodes, at least one contact was measured with stronger β-oscillations, including 23 electrodes running through or touching the ventral subpart of the β-oscillations’ probabilistic volume, while 10 did not touch it but were adjacent to this volume; in 3 out of 36 electrodes, no contact was found with β-oscillations and all 3 were distant from this volume. Monopolar local field potentials confirmed the ventral subpart of the probabilistic β-oscillations.https://www.mdpi.com/2306-5354/10/8/898local field potentialslead-DBSsubthalamic nucleusParkinson’s disease
spellingShingle Colette Boëx
Abdullah Al Awadhi
Rémi Tyrand
Marco V. Corniola
Astrid Kibleur
Vanessa Fleury
Pierre R. Burkhard
Shahan Momjian
Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
Bioengineering
local field potentials
lead-DBS
subthalamic nucleus
Parkinson’s disease
title Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
title_full Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
title_fullStr Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
title_full_unstemmed Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
title_short Validation of Lead-DBS β-Oscillation Localization with Directional Electrodes
title_sort validation of lead dbs β oscillation localization with directional electrodes
topic local field potentials
lead-DBS
subthalamic nucleus
Parkinson’s disease
url https://www.mdpi.com/2306-5354/10/8/898
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