Intraoperative Use of the Medtronic O-arm for Deep Brain Stimulation Procedures

被引：54

作者：

Caire, F. ^{[1
]}

Gantois, C. ^{[1
]}

Torny, F. ^{[2
]}

Ranoux, D. ^{[2
]}

Maubon, A. ^{[3
]}

Moreau, J. J. ^{[1
]}

机构：

[1] CHU Limoges, Hop Dupuytren, Serv Neurochirurg, FR-87042 Limoges, France

[2] CHU Limoges, Hop Dupuytren, Serv Neurol, FR-87042 Limoges, France

[3] CHU Limoges, Hop Dupuytren, Serv Radiol B, FR-87042 Limoges, France

来源：

STEREOTACTIC AND FUNCTIONAL NEUROSURGERY | 2010年 / 88卷 / 02期

关键词：

Lead positioning; Deep brain stimulation; Medtronic O-arm; Parkinson's disease; 3D imaging; 3-DIMENSIONAL FLUOROSCOPY; GUIDANCE; SURGERY; DISEASE;

D O I：

10.1159/000280823

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

The purpose of this study was to analyze the feasibility and utility of 3D imaging to help lead positioning during a deep brain stimulation (DBS) procedure. A bilateral subthalamic DBS procedure was conducted in 2 patients for idiopathic Parkinson's disease. Subthalamic nucleus targeting was based on preoperative stereotactic MRI. We used the Medtronic O-arm (R) to perform 2D-imaging control ( frontal and lateral) as well as quick (<30 s) 3D acquisition. This allowed us to check the positioning of micro-macro electrodes and definite electrodes. 3D images were fused with postoperative CT to assess their accuracy, and with preoperative MRI to visualize the anatomical location of the electrodes. 3D imaging is a quick and safe method to ensure perioperative control of lead placement during DBS procedures. Copyright (C) 2010 S. Karger AG, Basel

引用

页码：109 / 114

页数：6