Optimized, Minimal Specific Absorption Rate MRI for High-Resolution Imaging in Patients with Implanted Deep Brain Stimulation Electrodes Article Swipe
Ana M. Franceschi
,
Graham C. Wiggins
,
Alon Y. Mogilner
,
Timothy M. Shepherd
,
Sohae Chung
,
Yvonne W. Lui
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.3174/ajnr.a4865
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.3174/ajnr.a4865
Obtaining high-resolution brain MR imaging in patients with a previously implanted deep brain stimulator has been challenging and avoided by many centers due to safety concerns relating to implantable devices. We present our experience with a practical clinical protocol at 1.5T by using 2 magnet systems capable of achieving presurgical quality imaging in patients undergoing bilateral, staged deep brain stimulator insertion.Protocol optimization was performed to minimize the specific absorption rate while providing image quality necessary for adequate surgical planning of the second electrode placement. We reviewed MR imaging studies performed with a minimal specific absorption rate protocol in patients with a deep brain stimulator in place at our institution between February 1, 2012, and August 1, 2015. Images were reviewed by a neuroradiologist and a functional neurosurgeon. Image quality was qualitatively graded, and the presence of artifacts was noted.Twenty-nine patients (22 with Parkinson disease, 6 with dystonia, 1 with essential tremor) were imaged with at least 1 neuromodulation implant in situ. All patients were imaged under general anesthesia. There were 25 subthalamic and 4 globus pallidus implants. Nineteen patients were preoperative for the second stage of bilateral deep brain stimulator placement; 10 patients had bilateral electrodes in situ and were being imaged for other neurologic indications, including lead positioning. No adverse events occurred during or after imaging. Mild device-related local susceptibility artifacts were present in all studies, but they were not judged to affect overall image quality. Minimal aliasing artifacts were seen in 7, and moderate motion, in 4 cases on T1WI only. All preoperative studies were adequate for guidance of a second deep brain stimulator placement.An optimized MR imaging protocol that minimizes the specific absorption rate can be used to safely obtain high-quality images in patients with previously implanted deep brain stimulators, and these images are adequate for surgical guidance.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3174/ajnr.a4865
- http://www.ajnr.org/content/ajnr/37/11/1996.full.pdf
- OA Status
- hybrid
- Cited By
- 13
- References
- 9
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2460072959
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2460072959Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3174/ajnr.a4865Digital Object Identifier
- Title
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Optimized, Minimal Specific Absorption Rate MRI for High-Resolution Imaging in Patients with Implanted Deep Brain Stimulation ElectrodesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-07-14Full publication date if available
- Authors
-
Ana M. Franceschi, Graham C. Wiggins, Alon Y. Mogilner, Timothy M. Shepherd, Sohae Chung, Yvonne W. LuiList of authors in order
- Landing page
-
https://doi.org/10.3174/ajnr.a4865Publisher landing page
- PDF URL
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https://www.ajnr.org/content/ajnr/37/11/1996.full.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
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https://www.ajnr.org/content/ajnr/37/11/1996.full.pdfDirect OA link when available
- Concepts
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Medicine, Deep brain stimulation, Nuclear medicine, High resolution, Stimulation, Absorption (acoustics), Biomedical engineering, Radiology, Pathology, Internal medicine, Optics, Geology, Disease, Remote sensing, Parkinson's disease, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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13Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 2, 2023: 1, 2022: 1, 2021: 1Per-year citation counts (last 5 years)
- References (count)
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9Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | http://www.ajnr.org/content/ajnr/37/11/1996.full.pdf |
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| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | American Journal of Neuroradiology |
| primary_location.landing_page_url | https://doi.org/10.3174/ajnr.a4865 |
| publication_date | 2016-07-14 |
| publication_year | 2016 |
| referenced_works | https://openalex.org/W1859817696, https://openalex.org/W2080161895, https://openalex.org/W2048620043, https://openalex.org/W2152636506, https://openalex.org/W1606998551, https://openalex.org/W1591934824, https://openalex.org/W2093753523, https://openalex.org/W2093921553, https://openalex.org/W1995250256 |
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