TY - GEN
T1 - Intra-operative identification of the subthalamic nucleus motor zone using goniometers
AU - Shamir, Reuben R.
AU - Eitan, Renana
AU - Sheffer, Sivan
AU - Marmor-Levin, Odeya
AU - Valsky, Dan
AU - Moshel, Shay
AU - Zaidel, Adam
AU - Bergman, Hagai
AU - Israel, Zvi
PY - 2013
Y1 - 2013
N2 - The current state of the art for identification of motor related neural activity during deep brain stimulation (DBS) surgery utilizes manual movements of the patient's joints while observing the recorded raw data of a single electrode. Here we describe an intra-operative method for detection of the motor territory of the subthalamic nucleus (STN) during DBS surgery. The method incorporates eight goniometers that continuously monitor and measure the angles of the wrist, elbow, knee and ankle, bilaterally. The joint movement data and microelectrode recordings from the STN are synchronized thus enabling objective intra-operative assessment of movement-related STN activity. This method is now used routinely in DBS surgery at our institute. Advantages include objective identification of motor areas, simultaneous detection of movement for all joints, detection of movement at a joint that is not under examination, shorter surgery time, and continuous monitoring of STN activity for patients with tremor.
AB - The current state of the art for identification of motor related neural activity during deep brain stimulation (DBS) surgery utilizes manual movements of the patient's joints while observing the recorded raw data of a single electrode. Here we describe an intra-operative method for detection of the motor territory of the subthalamic nucleus (STN) during DBS surgery. The method incorporates eight goniometers that continuously monitor and measure the angles of the wrist, elbow, knee and ankle, bilaterally. The joint movement data and microelectrode recordings from the STN are synchronized thus enabling objective intra-operative assessment of movement-related STN activity. This method is now used routinely in DBS surgery at our institute. Advantages include objective identification of motor areas, simultaneous detection of movement for all joints, detection of movement at a joint that is not under examination, shorter surgery time, and continuous monitoring of STN activity for patients with tremor.
UR - http://www.scopus.com/inward/record.url?scp=84879653495&partnerID=8YFLogxK
U2 - 10.1007/978-3-642-38568-1_3
DO - 10.1007/978-3-642-38568-1_3
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AN - SCOPUS:84879653495
SN - 9783642385674
T3 - Lecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
SP - 21
EP - 29
BT - Information Processing in Computer-Assisted Interventions - 4th International Conference, IPCAI 2013, Proceedings
T2 - 4th International Conference on Information Processing in Computer-Assisted Interventions, IPCAI 2013
Y2 - 26 June 2013 through 26 June 2013
ER -