DiODe v2: Unambiguous and Fully-Automated Detection of Directional DBS Lead Orientation.

deep brain stimulation (DBS) directional electrodes directional stimulation

Journal

Brain sciences
ISSN: 2076-3425
Titre abrégé: Brain Sci
Pays: Switzerland
ID NLM: 101598646

Informations de publication

Date de publication:
31 Oct 2021
Historique:
received: 09 10 2021
revised: 26 10 2021
accepted: 28 10 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

Directional deep brain stimulation (DBS) leads are now widely used, but the orientation of directional leads needs to be taken into account when relating DBS to neuroanatomy. Methods that can reliably and unambiguously determine the orientation of directional DBS leads are needed. In this study, we provide an enhanced algorithm that determines the orientation of directional DBS leads from postoperative CT scans. To resolve the ambiguity of symmetric CT artifacts, which in the past, limited the orientation detection to two possible solutions, we retrospectively evaluated four different methods in 150 Cartesia™ directional leads, for which the true solution was known from additional X-ray images. The method based on shifts of the center of mass (COM) of the directional marker compared to its expected geometric center correctly resolved the ambiguity in 100% of cases. In conclusion, the DiODe v2 algorithm provides an open-source, fully automated solution for determining the orientation of directional DBS leads.

Identifiants

pubmed: 34827449
pii: brainsci11111450
doi: 10.3390/brainsci11111450
pmc: PMC8615850
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Deutsche Forschungsgemeinschaft
ID : FI 773/15-1

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Auteurs

Till A Dembek (TA)

Department of Neurology, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Alexandra Hellerbach (A)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Hannah Jergas (H)

Department of Neurology, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Markus Eichner (M)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Jochen Wirths (J)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Haidar Salimi Dafsari (HS)

Department of Neurology, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Michael T Barbe (MT)

Department of Neurology, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Stefan Hunsche (S)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Veerle Visser-Vandewalle (V)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Harald Treuer (H)

Department of Stereotactic and Functional Neurosurgery, Faculty of Medicine, University of Cologne, D-50937 Cologne, Germany.

Classifications MeSH