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Functional connectivity targeting for deep brain stimulation in essential tremor.

J S Anderson1, H S Dhatt, M A Ferguson

  • 1Division of Neuroradiology, University of Utah School of Medicine, Salt Lake City, 84132, USA. andersonjeffs@gmail.com

AJNR. American Journal of Neuroradiology
|September 3, 2011
PubMed
Summary

Functional connectivity mapping precisely identifies individualized deep brain stimulation targets in the thalamus for essential tremor, improving neurostimulator placement accuracy.

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Area of Science:

  • Neuroscience
  • Medical Imaging
  • Neurosurgery

Background:

  • Deep brain stimulation (DBS) of the thalamus is effective for essential tremor.
  • Current targeting methods do not fully account for individual anatomical differences.
  • Precise targeting is crucial for optimal neurostimulator placement.

Purpose of the Study:

  • To investigate if functional connectivity measurements can identify precise DBS targets in the thalamus.
  • To assess the utility of functional connectivity for image-guided neurostimulator placement.
  • To account for individual anatomical variability in thalamic DBS targeting.

Main Methods:

  • Resting-state BOLD images were acquired from 58 healthy volunteers.
  • Regions of interest were defined in the motor cortex and superior cerebellum.

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  • Thalamic voxel time series correlations were analyzed to map functional connectivity.
  • Main Results:

    • Group average connectivity maps precisely localized targets within the ventral intermediate nucleus of the thalamus.
    • Individualized targets were identified with single-voxel accuracy using 3 hours of imaging.
    • Target locations varied between individuals and group averages, highlighting interindividual variability.

    Conclusions:

    • Optimal thalamic DBS target placement for essential tremor likely varies between individuals.
    • Individualized thalamic targets can be accurately estimated using functional connectivity and sufficient imaging time.
    • This approach offers improved image guidance for neurostimulator placement in essential tremor.