Pre-operative DTI and probabilisitic tractography in four patients with deep brain stimulation for chronic pain

J Clin Neurosci. 2008 Jul;15(7):801-5. doi: 10.1016/j.jocn.2007.06.010. Epub 2008 May 20.

Abstract

This study aimed to examine, using diffusion tensor imaging (DTI), differences in electrode placement in four patients undergoing deep brain stimulation for chronic neuropathic pain of varying aetiology. A pre-operative DTI was obtained for each patient, who was then implanted with deep brain stimulation electrodes in the periventricular/periaqueductal grey area with good pain relief. Using seeds from the postoperative MRI scan, probabilistic tractography was performed from the pre-operative DTI.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Mapping / methods
  • Chronic Disease
  • Deep Brain Stimulation / instrumentation
  • Deep Brain Stimulation / methods*
  • Diffusion Magnetic Resonance Imaging / methods*
  • Electrodes, Implanted
  • Humans
  • Models, Statistical*
  • Monitoring, Physiologic / instrumentation
  • Monitoring, Physiologic / methods
  • Neural Pathways / anatomy & histology
  • Neural Pathways / physiology
  • Neural Pathways / surgery
  • Pain, Intractable / etiology
  • Pain, Intractable / physiopathology
  • Pain, Intractable / therapy*
  • Periaqueductal Gray / anatomy & histology
  • Periaqueductal Gray / physiology
  • Periaqueductal Gray / surgery
  • Postoperative Complications / prevention & control
  • Preoperative Care / instrumentation
  • Preoperative Care / methods*
  • Stereotaxic Techniques / instrumentation*