首页> 外文期刊>Medical and Biological Engineering and Computing: Journal of the International Federation for Medical and Biological Engineering >Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools.
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Stereotactic implantation of deep brain stimulation electrodes: a review of technical systems, methods and emerging tools.

机译:深部脑刺激电极的立体定向植入:技术系统,方法和新兴工具的综述。

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摘要

Deep brain stimulation (DBS) has become increasingly important for the treatment and relief 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 was to give an 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 neuroimaging and navigation, patient-specific simulation of DBS electric field, optical methods for intracerebral guidance, movement pattern analysis, intraoperative data visualisation and trends related to new stimulation devices. As DBS surgery already today is an information technology intensive domain, an "intuitive visualisation" interface for improving management of these data in relation to surgery is suggested.
机译:深部脑刺激(DBS)对于治疗和缓解神经系统疾病(如帕金森氏病,震颤,肌张力障碍和精神病)变得越来越重要。由于DBS植入以及任何其他立体定向和功能性手术程序都需要准确,精确和安全地瞄准大脑结构,因此术前计划,干预和术后随访的技术辅助变得越来越重要。本文的目的是从生物医学工程的角度概述典型的植入程序和当前的支持技术。此外,提出了尚未在临床上建立的新兴技术辅助手段。这包括最新的神经成像和导航,针对患者的DBS电场模拟,用于脑内引导的光学方法,运动模式分析,术中数据可视化以及与新刺激设备有关的趋势。由于DBS手术已经是当今信息技术领域,因此建议使用“直观可视化”界面来改善与手术有关的这些数据的管理。

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