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Related Concept Videos

Brain Imaging01:14

Brain Imaging

Brain imaging technologies provide critical insights into both the structure and function of the human brain, enabling medical professionals and researchers to diagnose, study, and treat neurological disorders or psychiatric disorders more effectively.
These technologies include computerized axial tomography (CAT or CT scans), positron-emission tomography (PET scans),  magnetic resonance imaging (MRI),  functional magnetic resonance imaging (fMRI), and Transcranial Magnetic Stimulation (TMS).

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Related Experiment Video

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Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method
07:12

Individualized rTMS Treatment for Depression using an fMRI-Based Targeting Method

Published on: August 2, 2021

Diffusion tensor imaging to aid subgenual cingulum target selection for deep brain stimulation in depression.

Kartik D Bhatia1, Luke Henderson, George Ramsey-Stewart

  • 1Department of Anatomy, University of Sydney, Camperdown, NSW, Australia. kartikdevbhatia@gmail.com

Stereotactic and Functional Neurosurgery
|June 16, 2012
PubMed
Summary

Diffusion tensor imaging (DTI) offers a more precise method for selecting deep brain stimulation targets in the subgenual cingulate gyrus (Cg25) for depression. This advanced technique identifies significantly different target locations compared to standard MRI, potentially improving treatment outcomes.

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Area of Science:

  • Neuroimaging
  • Neurosurgery
  • Psychiatry

Background:

  • The subgenual cingulate gyrus (Cg25) is a key brain region implicated in depression and a primary target for deep brain stimulation.
  • Diffusion tensor imaging (DTI) visualizes white matter tracts, offering potential improvements in surgical target selection.

Purpose of the Study:

  • To compare the location of deep brain stimulation targets in Cg25 selected using DTI with those identified by standard T2-weighted MRI sequences.
  • To determine if DTI-based target selection, focusing on maximal tract crossover (isotropy), yields significantly different coordinates.

Main Methods:

  • Fifty-nine healthy adult volunteers underwent brain MRI, including T1, T2, and DTI sequences.
  • Deep brain stimulation targets were identified in both hemispheres using both T2 and DTI sequences.
  • Paired t-tests were used to analyze differences in target coordinates (x, y, z) between the two methods.

Main Results:

  • A statistically significant difference was observed in the mediolateral (x) and dorsoventral (z) coordinates of targets selected by DTI compared to T2 sequences (p < 0.001).
  • These findings indicate that DTI identifies distinct anatomical locations within Cg25.

Conclusions:

  • DTI-based target selection for deep brain stimulation in Cg25 results in significantly different locations compared to standard T2-based selection.
  • This DTI approach may enhance treatment efficacy for depression by accounting for individual white matter variability and optimizing target engagement.