Frontiers in Neurology (Nov 2021)

Reduced Programming Time and Strong Symptom Control Even in Chronic Course Through Imaging-Based DBS Programming

  • Florian Lange,
  • Frank Steigerwald,
  • Tobias Malzacher,
  • Gregor Alexander Brandt,
  • Thorsten Michael Odorfer,
  • Jonas Roothans,
  • Martin M. Reich,
  • Patrick Fricke,
  • Jens Volkmann,
  • Cordula Matthies,
  • Philipp D. Capetian

DOI
https://doi.org/10.3389/fneur.2021.785529
Journal volume & issue
Vol. 12

Abstract

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Objectives: Deep brain stimulation (DBS) programming is based on clinical response testing. Our clinical pilot trial assessed the feasibility of image-guided programing using software depicting the lead location in a patient-specific anatomical model.Methods: Parkinson's disease patients with subthalamic nucleus-DBS were randomly assigned to standard clinical-based programming (CBP) or anatomical-based (imaging-guided) programming (ABP) in an 8-week crossover trial. Programming characteristics and clinical outcomes were evaluated.Results: In 10 patients, both programs led to similar motor symptom control (MDS-UPDRS III) after 4 weeks (medicationOFF/stimulationON; CPB: 18.27 ± 9.23; ABP: 18.37 ± 6.66). Stimulation settings were not significantly different, apart from higher frequency in the baseline program than CBP (p = 0.01) or ABP (p = 0.003). Time spent in a program was not significantly different (CBP: 86.1 ± 29.82%, ABP: 88.6 ± 29.0%). Programing time was significantly shorter (p = 0.039) with ABP (19.78 ± 5.86 min) than CBP (45.22 ± 18.32).Conclusion: Image-guided DBS programming in PD patients drastically reduces programming time without compromising symptom control and patient satisfaction in this small feasibility trial.

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