研究目的
To present and evaluate a system combining laser Doppler flowmetry (LDF) and microelectrode recording (MER) for reducing the risk of hemorrhage during stereotactic implantation of deep brain stimulation (DBS) electrodes.
研究成果
The combined MER-LDF probe was successfully applied during in-vitro experiments and in one patient, demonstrating technical feasibility and potential to reduce the risk of hemorrhage during DBS implantation. The forward-looking probe design allows for the detection of changes in microcirculatory blood flow during stimulation.
研究不足
The study was conducted in only one patient, and the MER cables' weight required a fixation for keeping the MER setup stable. The anesthetic protocol needs to be considered for recording MER data under general anesthesia.
1:Experimental Design and Method Selection:
The study designed an optical probe with an inner metal tube for the microelectrode to combine LDF and MER.
2:Sample Selection and Data Sources:
The system was tested in a standard microsphere solution and in one Parkinson patient undergoing DBS implantation.
3:List of Experimental Equipment and Materials:
The system consists of a laser Doppler flowmeter (LDF, Periflux 5010, Perimed AB, Sweden) and a microelectrode system (Isis Headbox, inomed GmbH, Germany).
4:Experimental Procedures and Operational Workflow:
The probe was moved down with the inserted MER electrode with a mechanical device, and LDF signals were recorded at fixed positions along the trajectory.
5:Data Analysis Methods:
The perfusion and total light intensity (TLI) were calculated at each measurement site, and the peak-to-peak (P-P) and heart rate (HR) were calculated from the signals.
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