Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools

Simone Hemm, Karin Wårdell
2010 Medical and Biological Engineering and Computing  
Deep brain stimulation (DBS) has become increasingly important for the treatment and relieve of neurological disorders such as Parkinson's disease, tremor, dystonia and psychiatric illness. As DBS implantations, and any other stereotactic and functional surgical procedure, require accurate, precise and safe targeting of the brain structure, the technical aids for preoperative planning, intervention and postoperative follow up have become increasingly important. The aim of this paper is to give
more » ... n overview, from a biomedical engineering perspective, of a typical implantation procedure and current supporting techniques. Furthermore emerging technical aids not yet clinically established are presented. This includes the state-of-the-art of patient specific simulation of DBS electric field, optical methods for intracerebral guidance, movement pattern analysis, new stimulation devices and trends related to neuroimaging, visualization and navigation. As DBS surgery already today is an information technology intensive domain an "intuitive visualization" interface for improving management of these data in relation to surgery is suggested.
doi:10.1007/s11517-010-0633-y pmid:20517711 fatcat:xv5bokfc5jcqnarca3qlwsxsse