Abstract
Deep Brain Stimulation (DBS) is a surgical procedure used to treat symptoms associated with Parkinson’s Disease (PD). The success of DBS depends on the correct location of a microelectrode over the subthalamic area. This paper presents the software NEURONAV for image-guided surgery. This software serves as a support for the medical specialist in DBS. NEURONAV has two principal modules. Firstly, it allows to plan the DBS. The application contains options such as 3D image viewer, image registration, slice viewers, landmark medical planning and visualization of 3D brain structures. Secondly, NEURONAV includes an interactive application to perform the tracking of the microelectrode during the DBS. NEURONAV has been tested in procedures performed at a specialized medical center in Colombia. Results show an adequate tracking of the microelectrode implanting process and it is possible to achieve better therapeutic outcomes, and more robustness to the side effects generated by DBS in PD patients.
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Notes
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Brain Atlas developed by the Surgical Planning Laboratory in collaboration with the Harvard Neuroscience Laboratory at Brockton VA Medical Center. http://www.spl.harvard.edu/publications/item/view/1265.
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A fiducial point is a key mark over the MRI volume used to plan the entry and the target point in the DBS surgery.
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Acknowledgments
H.F García and H.D. Vargas Cardona are funded by Colciencias under the program: formación de alto nivel para la ciencia, la tecnología y la innovación - Convocatoria 617 de 2013. This research has been developed under the project: Estimación de los parámetros de neuro modulación con terapia de estimulación cerebral profunda en pacientes con enfermedad de Parkinson a partir del volumen de tejido activo planeado, financed by Colciencias with code 1110-657-40687.
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Padilla, J.B. et al. (2015). NEURONAV: A Tool for Image-Guided Surgery - Application to Parkinson’s Disease. In: Bebis, G., et al. Advances in Visual Computing. ISVC 2015. Lecture Notes in Computer Science(), vol 9474. Springer, Cham. https://doi.org/10.1007/978-3-319-27857-5_32
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DOI: https://doi.org/10.1007/978-3-319-27857-5_32
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