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Diffuse reflectance spectroscopy measurements for tissue type discrimination during deep brain stimulation
Linköping University, Department of Biomedical Engineering, Biomedical Instrumentation. Linköping University, The Institute of Technology.
Linköping University, Department of Biomedical Engineering, Biomedical Instrumentation. Linköping University, The Institute of Technology.
Department of Neurosurgery, University Hospital, Umeå, Sweden.
Department of Neurosurgery, University Hospital, Umeå, Sweden.
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2008 (English)In: Journal of neural engineering, ISSN 1741-2560, Vol. 5, no 2, 185-190 p.Article in journal (Refereed) Published
Abstract [en]

Diffuse reflectance spectroscopy as a method for improving intracerebral guidance during functional neurosurgery has been investigated. An optical probe was developed for measurements during stereotactic and functional neurosurgery in man. The aim of the study was to investigate the spectral differences between white and grey matter and between white matter and functional targets. Diffuse reflectance spectroscopy measurements in ten patients were recorded at incremental steps towards and in three different functional targets (STN, GPi and Zi). The recorded spectra along the trajectory were sorted into white or grey matter, based on preoperative MRI images or the recorded spectral shape and intensity. The difference between tissue types was calculated as a quotient. Significant intensity differences between white and grey matter were found to be at least 14% (p < 0.05) and 20% (p < 0.0001) for MRI and spectral-sorted data respectively. The reflectance difference between white matter and the functional targets of GPi was higher than for STN and Zi. The results indicate that diffuse reflectance spectroscopy has a potential to be developed to a suitable complement to other intracerebral guidance methods.

Place, publisher, year, edition, pages
2008. Vol. 5, no 2, 185-190 p.
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:liu:diva-14235DOI: 10.1088/1741-2560/5/2/009ISI: 000257253800009PubMedID: 18460743Scopus ID: 2-s2.0-48949118315OAI: oai:DiVA.org:liu-14235DiVA: diva2:22962
Available from: 2007-01-26 Created: 2007-01-26 Last updated: 2017-02-10Bibliographically approved
In thesis
1. On optical methods for intracerebral measurements during stereotactic and functional neurosurgery: Experimental studies
Open this publication in new window or tab >>On optical methods for intracerebral measurements during stereotactic and functional neurosurgery: Experimental studies
2007 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Radio frequency (RF) lesioning and deep brain stimulation (DBS) are the two prevailing surgical treatments for movement disorders within the field of stereotactic and functional neurosurgery. For RF-lesioning, a small volume of brain tissue is coagulated and knowledge of the lesion size and growth is of great importance for the safety and outcome of the procedure. This thesis deals with adapting the laser Doppler perfusion monitoring (LDPM) technique for measurements in brain tissue during RF-lesioning. The relation between LDPM signal changes and developed lesion size was investigated. LDPM measurements were evaluated both in vitro (albumin protein solution) and in vivo in the porcine brain during RF-lesioning corresponding to a bilateral thalamotomy in man. The investigated signals from the LDPI measurements can be used for following the lesioning time course and to detect if a lesion was created, both in vitro and in the animal model. For the albumin model, both the total backscattered light intensity and the perfusion signal can be used as markers for estimating the final coagulation size, while in the animal model this conclusion was not statistical verified.

Independent on surgical method, RF-lesioning or DBS, intracerebral guidance is an important aspect within stereotactic and functional neurosurgery. To increase the accuracy and precision of reaching the correct target, different methods for intracerebral guidance exist, such as microelectrode recording and impedance methods. In this thesis, the possibility of developing an optical intracerebral guidance method has been investigated. Diffuse reflectance spectroscopy served as technology and all measurements were performed stereotactically in both porcine and human brain. Measurements of white and gray matter showed large differences, with higher reflectivity for white brain matter, both in porcine and in human brain. For the human measurements during DBS-implants, large differences between white matter and functional targets were found. Additionally, differences between native and lesioned porcine brain matter were detected. Both studies support the idea of using diffuse reflectance spectroscopy for developing an intracerebral guidance method.

Place, publisher, year, edition, pages
Institutionen för medicinsk teknik, 2007
Series
Linköping Studies in Science and Technology. Dissertations, ISSN 0345-7524 ; 1070
Keyword
Laser Doppler perfusion monitoring, Diffuse reflectance spectroscopy, Functional and stereotactic neurosurgery
National Category
Medical Laboratory and Measurements Technologies
Identifiers
urn:nbn:se:liu:diva-8081 (URN)978-91-85715-91-6 (ISBN)
Public defence
2007-02-02, Elsa Brändströms sal, Södra Entreén, Universitetssjukhuset, Linköping, 09:15 (English)
Opponent
Supervisors
Available from: 2007-01-26 Created: 2007-01-26 Last updated: 2016-05-04

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Antonsson, JohanEriksson, OlaRichter, JohanZsigmond, PeterWårdell, Karin

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