Intraoperative acceleration measurements to quantify improvement in tremor during deep brain stimulation surgery

Autor: Jean-Jacques Lemaire, W. M. Michael Schüpbach, Claudio Pollo, Ethan Taub, Simone Hemm-Ode, Jerome Coste, Erik Schkommodau, Raphael Guzman, Ashesh Shah
Přispěvatelé: Institute for Medical and Analytical Technologies, School of Life Sciences (IMA), University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Thérapie guidée par l'image (TGI), Institut Pascal (IP), SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), Service de Neurochirurgie [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand, SIGMA Clermont (SIGMA Clermont)-Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020]), Departments of Neurosurgery and Biomedicine, University Hospital Basel [Basel], Institut du Cerveau et de la Moëlle Epinière = Brain and Spine Institute (ICM), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Department of Neurology, University Hospital, Bern-University of Bern, Department of Neurosurgery, University Hospital, Bern, This research was funded by the Swiss National Science Foundation and partly by the Germainede Staël program of the Swiss Academy of Engineering Sciences. The experimental procedures were approved by the respective Institutional Ethics Committee (Center1: 2011-A00774-37/AU905, Center 2: 2365—multicenter study together with the UniversityHospital in Basel), Apport de l'accélérométrie à la stimulation cérébrale - 2011-A00774-37 - CHU de Clermont-Ferrand, SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS)-SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), Service de Neurochirurgie [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, SIGMA Clermont (SIGMA Clermont)-Université Clermont Auvergne [2017-2020] (UCA [2017-2020])-Centre National de la Recherche Scientifique (CNRS), Université Pierre et Marie Curie - Paris 6 (UPMC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Coste, Jérôme
Jazyk: angličtina
Rok vydání: 2017
Předmět:
medicine.medical_specialty
Movement disorders
Deep brain stimulation
Parkinson's disease
medicine.medical_treatment
[SDV.NEU.NB]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology
0206 medical engineering
Acceleration
Biomedical Engineering
610 Medicine & health
02 engineering and technology
Wrist
Neurosurgical Procedures
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Tremor
Medicine
Humans
Lead (electronics)
Intraoperative monitoring
[SDV.IB] Life Sciences [q-bio]/Bioengineering
[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology
Movement Disorders
Essential tremor
business.industry
[SDV.NEU.NB] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]/Neurobiology
Brain
medicine.disease
020601 biomedical engineering
Computer Science Applications
Electrodes
Implanted
nervous system diseases
medicine.anatomical_structure
Physical therapy
Parkinson’s disease
[SDV.IB]Life Sciences [q-bio]/Bioengineering
Implant
medicine.symptom
business
030217 neurology & neurosurgery
[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology
Zdroj: Medical and Biological Engineering and Computing
Medical and Biological Engineering and Computing, Springer Verlag, 2017, 55 (5), pp.845-858. ⟨10.1007/s11517-016-1559-9⟩
Medical & biological engineering & computing
Shah, Ashesh; Coste, Jérôme; Lemaire, Jean-Jacques; Taub, Ethan; Schüpbach, Michael; Pollo, Claudio; Schkommodau, Erik; Guzman, Raphael; Hemm-Ode, Simone (2017). Intraoperative acceleration measurements to quantify improvement in tremor during deep brain stimulation surgery. Medical & biological engineering & computing, 55(5), pp. 845-858. Springer 10.1007/s11517-016-1559-9
Medical and Biological Engineering and Computing, 2017, 55 (5), pp.845-858. ⟨10.1007/s11517-016-1559-9⟩
ISSN: 0140-0118
1741-0444
DOI: 10.7892/boris.93660
Popis: International audience; Deep brain stimulation (DBS) surgery is extensively used in the treatment of movement disorders. Nevertheless, methods to evaluate the clinical response during intraoperative stimulation tests to identify the optimal position for the implantation of the chronic DBS lead remain subjective. In this paper, we describe a new, versatile method for quantitative intraoperative evaluation of improvement in tremor with an acceleration sensor that is mounted on the patient's wrist during surgery. At each anatomical test position, the improvement in tremor compared to the initial tremor is estimated on the basis of extracted outcome measures. This method was tested on 15 tremor patients undergoing DBS surgery in two centers. Data from 359 stimulation tests were acquired. Our results suggest that accelerometric evaluation detects tremor changes more sensitively than subjective visual ratings. The effective stimulation current amplitudes identified from the quantitative data (1.1 ± 0.8 mA) are lower than those identified by visual evaluation (1.7 ± 0.8 mA) for similar improvement in tremor. Additionally, if these data had been used to choose the chronic implant position of the DBS lead, 15 of the 26 choices would have been different. These results show that our method of accelerometric evaluation can potentially improve DBS targeting.
Databáze: OpenAIRE
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