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Related Concept Videos

Brain Imaging01:14

Brain Imaging

269
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...
269

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Targeting Neuronal Fiber Tracts for Deep Brain Stimulation Therapy Using Interactive, Patient-Specific Models
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Deep brain stimulation: new programming algorithms and teleprogramming.

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  • 1Morton and Gloria Shulman Movement Disorders Centre and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.

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Neuromodulation, particularly deep brain stimulation (DBS), has advanced with new hardware and techniques. These innovations enhance therapeutic effectiveness and patient care, though they increase procedural complexity.

Keywords:
DBSDeep brain stimulationdirectional stimulationmovement disordersprogrammingremote programmingsensing

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Area of Science:

  • Neuromodulation
  • Neurosurgery
  • Biomedical Engineering

Background:

  • The field of neuromodulation has seen significant advancements over the last decade.
  • Innovations in hardware, software, and stimulation techniques have expanded the therapeutic applications of neuromodulation.
  • Practical implementation requires careful patient selection, surgical technique, and programming, necessitating structured education.

Approach:

  • This review examines recent developments in deep brain stimulation (DBS) technology.
  • Key areas covered include novel electrodes, implantable pulse generators, and advanced contact configurations.
  • The review also discusses remote programming and sensing capabilities, such as local field potential monitoring.

Key Points:

  • Innovations like directional leads and independent current control offer greater flexibility and potentially improve therapeutic outcomes.
  • These advancements aim to broaden the therapeutic window and minimize stimulation-related side effects by controlling current spread.
  • Sensing technologies and remote programming facilitate more personalized and effective patient management.

Conclusions:

  • Recent innovations in deep brain stimulation technology enhance treatment efficacy and flexibility.
  • Advanced features like directional leads and independent current control allow for precise electric field shaping.
  • Sensing and remote programming are crucial for optimizing individualized patient care in neuromodulation therapies.