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Precision of post-operative localization of deep brain stimulation electrodes

Title: Precision of post-operative localization of deep brain stimulation electrodes
Authors: Lasica, A.; Filip, P.; Burdová, K.; Mana, J.; Růžička, F.; Urgošík, D.; Mueller, K.; Kiakou, D.; Jech, R.
Source: Scientific Reports
Publication Year: 2025
Collection: Max Planck Society: MPG.PuRe
Description: Tools for post-operative localization of deep brain stimulation (DBS) electrodes may be of major benefit in the evaluation of the stimulation area. However, little is known about their precision. This study compares 3 different software packages used for DBS electrode localization. T1-weighted MRI images before and after the implantation of the electrodes into the subthalamic nucleus for DBS in 105 Parkinson's disease patients were processed using the pipelines implemented in Lead-DBS, SureTune4, and Brainlab. Euclidean distance between active contacts determined by individual software packages and in repeated processing by the same and by a different operator was calculated. Furthermore, Dice coefficient for overlap of volume of tissue activated (VTA) was determined for Lead-DBS. Medians of Euclidean distances between estimated active contact locations in inter-software package comparison ranged between 1.5 mm and 2 mm. Euclidean distances in within-software package intra- and inter-rater assessments were 0.6-1 mm and 1-1.7 mm, respectively. Median intra- and inter-rater Dice coefficients for VTAs were 0.78 and 0.75, respectively. Since the median distances are close to the size of the target nucleus, any clinical use should be preceded by careful review of the outputs.
Document Type: article in journal/newspaper
File Description: application/pdf; application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/40436963
Availability: https://hdl.handle.net/21.11116/0000-0011-516F-6; https://hdl.handle.net/21.11116/0000-0011-5171-2; https://hdl.handle.net/21.11116/0000-0011-5172-1; https://hdl.handle.net/21.11116/0000-0011-5173-0
Rights: info:eu-repo/semantics/openAccess ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.F12F180D
Database: BASE