Understanding Deep Brain Stimulation: In Vivo Metabolic Consequences of the Electrode Insertional Effect.
Marta Casquero-VeigaDavid García-GarcíaManuel DescoMaria Luisa Soto-MontenegroPublished in: BioMed research international (2018)
Deep brain stimulation (DBS) is a neurosurgery technique widely used in movement disorders, although its mechanism of action remains unclear. In fact, apart from the stimulation itself, the mechanical insertion of the electrode may play a crucial role. Here we aimed to distinguish between the insertional and the DBS effects on brain glucose metabolism. To this end, electrodes were implanted targeting the medial prefrontal cortex in five adult male Wistar rats. Positron Emission Tomography (PET) studies were performed before surgery (D0) and seven (D7) and nine days (D9) after that. DBS was applied during the 18FDG uptake of the D9 study. PET data were analysed with statistical parametric mapping. We found an electrode insertional effect in cortical areas, while DBS resulted in a more widespread metabolic pattern. The consequences of simultaneous electrode and DBS factors revealed a combination of both effects. Therefore, the insertion metabolic effects differed from the stimulation ones, which should be considered when assessing DBS protocols.
Keyphrases
- deep brain stimulation
- positron emission tomography
- parkinson disease
- computed tomography
- obsessive compulsive disorder
- pet ct
- pet imaging
- carbon nanotubes
- prefrontal cortex
- solid state
- minimally invasive
- machine learning
- white matter
- cancer therapy
- single cell
- coronary artery bypass
- brain injury
- electronic health record
- percutaneous coronary intervention
- mass spectrometry
- data analysis
- big data
- artificial intelligence
- acute coronary syndrome
- subarachnoid hemorrhage
- resting state