Computation and visualization of risk assessment in deep brain stimulation planning

Deep Brain Stimulation is aneurosurgical approach for the treatment of pathologies such as Parkinson's disease. The basic principle consists in placing a thin electrode in a deep part of the brain. To safely reach the target of interest, careful planning must be performed to ensure that no vital structure (e.g. blood vessel) will be damaged during the insertion of the electrode. Currently this planning phase is done without considering the brain shift, which occurs during the surgery once the skull is open, leading to increased risks of complications. In this paper, we propose a method to compute the motion of anatomical structures induced by the brain shift. This computation is based on a biomechanical model of the brain and the cerebro-spinal fluid. We then visualize in a intuitive way the risk of damaging vital structures with the electrode.