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Multimodal 7T Imaging of Thalamic Nuclei for Preclinical Deep Brain Stimulation Applications

机译:丘脑核的多峰7T成像在临床前深部脑刺激应用中的应用

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摘要

Precise neurosurgical targeting of electrode arrays within the brain is essential to the successful treatment of a range of brain disorders with deep brain stimulation (DBS) therapy. Here, we describe a set of computational tools to generate in vivo, subject-specific atlases of individual thalamic nuclei thus improving the ability to visualize thalamic targets for preclinical DBS applications on a subject-specific basis. A sequential nonlinear atlas warping technique and a Bayesian estimation technique for probabilistic crossing fiber tractography were applied to high field (7T) susceptibility-weighted and diffusion-weighted imaging, respectively, in seven rhesus macaques. Image contrast, including contrast within thalamus from the susceptibility-weighted images, informed the atlas warping process and guided the seed point placement for fiber tractography. The susceptibility-weighted imaging resulted in relative hyperintensity of the intralaminar nuclei and relative hypointensity in the medial dorsal nucleus, pulvinar, and the medial/ventral border of the ventral posterior nuclei, providing context to demarcate borders of the ventral nuclei of thalamus, which are often targeted for DBS applications. Additionally, ascending fiber tractography of the medial lemniscus, superior cerebellar peduncle, and pallidofugal pathways into thalamus provided structural demarcation of the ventral nuclei of thalamus. The thalamic substructure boundaries were validated through in vivo electrophysiological recordings and post-mortem blockface tissue sectioning. Together, these imaging tools for visualizing and segmenting thalamus have the potential to improve the neurosurgical targeting of DBS implants and enhance the selection of stimulation settings through more accurate computational models of DBS.
机译:精确地对脑内电极阵列进行神经外科手术靶向,对于用深部脑刺激(DBS)治疗成功治疗一系列脑部疾病至关重要。在这里,我们描述了一组计算工具,用于生成单个丘脑核的体内,受试者特定地图集,从而提高在受试者特定基础上可视化丘脑靶点的临床前DBS应用程序的能力。在七个恒河猴中分别对高场(7T)磁化率加权和扩散加权成像分别应用了顺序非线性图集翘曲技术和贝叶斯估计技术,用于概率交叉纤维束成像。图像对比,包括磁化率加权图像在丘脑内的对比,为地图集翘曲过程提供了信息,并指导了种子点放置以进行纤维束成像。磁化率加权成像导致层内核的相对高信号强度和内侧背核,肺泡以及腹后核的内/腹边界的相对低信号强度,为划分丘脑腹核的边界提供了背景。通常针对DBS应用程序。此外,内侧韧带,上小脑梗和丘脑的古菌途径的纤维纤维增强成像提供了丘脑腹核的结构划分。丘脑下部结构边界已通过体内电生理记录和验尸表面组织切片得到验证。总之,这些用于可视化和分割丘脑的成像工具具有改善DBS植入物的神经外科靶向性和通过更精确的DBS计算模型增强刺激设置的潜力。

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