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A System for Combined Laser Doppler Flowmetry and Microelectrode Recording during Deep Brain Stimulation Implantation
Linköping University, Department of Biomedical Engineering, Division of Biomedical Engineering. Linköping University, Faculty of Science & Engineering.ORCID iD: 0000-0002-0012-7867
Linköping University, Department of Biomedical and Clinical Sciences, Division of Neurobiology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Department of Neurosurgery.
Linköping University, Department of Biomedical Engineering. Linköping University, Faculty of Science & Engineering. Univ Appl Sci & Arts Northwestern Switzerland, Switzerland.
2019 (English)In: 2019 41ST ANNUAL INTERNATIONAL CONFERENCE OF THE IEEE ENGINEERING IN MEDICINE AND BIOLOGY SOCIETY (EMBC), IEEE , 2019, p. 3758-3761Conference paper, Published paper (Refereed)
Abstract [en]

Microelectrode recording (MER) and intraoperative test stimulations are commonly used during stereotactic implantation of deep brain stimulation (DBS) electrodes but they can increase the risk of hemorrhage. The aim of the study is to present and evaluate a system combining laser Doppler flowmetry (LDF) and MER. An optical probe was designed with an inner metal tube for the microelectrode. Calibration of the MER-LDF probe in a standard microsphere solution showed expected LDF pattern. No interferences of the MER probe with the LDF signals could be observed. LDF was also acquired in one Parkinson patient undergoing DBS implantation. LDF data were obtained along the precalculated trajectory i.e. from cortex towards the target in the subthalamic nucleus (STN). Results demonstrated the technical feasibility of the combined MER-LDF probe during in-vitro experiences and in one patient. The perfusion signal representing the microcirculation showed stable values with clear peaks from each heartbeat. This agreed with previous investigation using an optical probe without the MER function. Due to the forward-looking probe design, this new technology has a high potential to avoid vessels during MER recording. In addition, it could be possible to detect changes in microcirculatory blood flow during stimulation.

Place, publisher, year, edition, pages
IEEE , 2019. p. 3758-3761
Series
IEEE Engineering in Medicine and Biology Society Conference Proceedings, ISSN 1557-170X
National Category
Medical Laboratory Technologies
Identifiers
URN: urn:nbn:se:liu:diva-169295DOI: 10.1109/EMBC.2019.8856373ISI: 000557295304042PubMedID: 31946692ISBN: 978-1-5386-1311-5 (electronic)ISBN: 978-1-5386-1312-2 (print)OAI: oai:DiVA.org:liu-169295DiVA, id: diva2:1466586
Conference
41st Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), Berlin, GERMANY, jul 23-27, 2019
Note

Funding Agencies|Vinnova-MedTech4Health [2017-01402]; Swedish Foundation for Strategic ResearchSwedish Foundation for Strategic Research [BD15-0032]

Available from: 2020-09-12 Created: 2020-09-12 Last updated: 2025-02-09

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Wårdell, KarinZsigmond, PeterHemm-Ode, Simone
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