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Deep Brain Stimulation with Simultaneous fMRI in Rodents
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A statistical framework for quantification and visualisation of positional uncertainty in deep brain stimulation

Tushar M Athawale1, Kara A Johnson1, Christopher R Butson2

  • 1Scientific Computing & Imaging (SCI) Institute, University of Utah, Salt Lake City, USA.

Computer Methods in Biomechanics and Biomedical Engineering. Imaging & Visualization
|June 13, 2019
PubMed
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Positional uncertainty in deep brain stimulation (DBS) electrodes due to finite imaging resolution is significant. Interactive visualization helps explore these uncertainties for improved patient treatment.

Keywords:
Uncertainty visualisationelectrodesprobabilistic computation

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Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Computational Neuroscience

Background:

  • Deep brain stimulation (DBS) is a key therapy for movement disorders like Parkinson's disease.
  • Patient-specific computational models aid surgical and therapeutic decisions in DBS.
  • Finite resolution of brain imaging (MR, CT) introduces uncertainty in DBS electrode positioning.

Purpose of the Study:

  • To quantify positional uncertainty of DBS electrodes arising from finite imaging resolution.
  • To develop a method for visualizing subvoxel positional uncertainties in DBS leads.

Main Methods:

  • Derived a closed-form mathematical model for DBS electrode geometry.
  • Devised a statistical framework using Bayesian inference for uncertainty quantification.
  • Implemented interactive visualization techniques (volume rendering, isosurfacing) for positional uncertainty.

Main Results:

  • Spatial variations in DBS electrode positions are significant with finite resolution imaging.
  • The developed statistical framework accurately quantifies subvoxel positional uncertainties.
  • Interactive visualization effectively demonstrates probabilistic positional variations.

Conclusions:

  • Finite imaging resolution significantly impacts DBS electrode localization accuracy.
  • The proposed computational and visualization methods are crucial for understanding and managing DBS lead positional uncertainty.
  • This work can enhance precision in DBS targeting and optimize patient outcomes.