Comparison of Deep Brain Stimulation Lead Targeting Accuracy and Procedure Duration between 1.5- and 3-Tesla Interventional Magnetic Resonance Imaging Systems: An Initial 12-Month Experience.

Published

Journal Article

BACKGROUND: Interventional magnetic resonance imaging (iMRI) allows deep brain stimulator lead placement under general anesthesia. While the accuracy of lead targeting has been described for iMRI systems utilizing 1.5-tesla magnets, a similar assessment of 3-tesla iMRI procedures has not been performed. OBJECTIVE: To compare targeting accuracy, the number of lead targeting attempts, and surgical duration between procedures performed on 1.5- and 3-tesla iMRI systems. METHODS: Radial targeting error, the number of targeting attempts, and procedure duration were compared between surgeries performed on 1.5- and 3-tesla iMRI systems (SmartFrame and ClearPoint systems). RESULTS: During the first year of operation of each system, 26 consecutive leads were implanted using the 1.5-tesla system, and 23 consecutive leads were implanted using the 3-tesla system. There was no significant difference in radial error (Mann-Whitney test, p = 0.26), number of lead placements that required multiple targeting attempts (Fisher's exact test, p = 0.59), or bilateral procedure durations between surgeries performed with the two systems (p = 0.15). CONCLUSIONS: Accurate DBS lead targeting can be achieved with iMRI systems utilizing either 1.5- or 3-tesla magnets. The use of a 3-tesla magnet, however, offers improved visualization of the target structures and allows comparable accuracy and efficiency of placement at the selected targets.

Full Text

Duke Authors

Cited Authors

  • Southwell, DG; Narvid, JA; Martin, AJ; Qasim, SE; Starr, PA; Larson, PS

Published Date

  • 2016

Published In

Volume / Issue

  • 94 / 2

Start / End Page

  • 102 - 107

PubMed ID

  • 27093443

Pubmed Central ID

  • 27093443

Electronic International Standard Serial Number (EISSN)

  • 1423-0372

Digital Object Identifier (DOI)

  • 10.1159/000443407

Language

  • eng

Conference Location

  • Switzerland