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Iron concentration linked to structural connectivity in the subthalamic nucleus: implications for deep brain stimulation

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单位: [1]Weill Medical College of Cornell University, New York [2]Meinig School of Biomedical Engineering, Cornell University, Ithaca [3]Department of Radiology, Icahn School of Medicine at Mount Sinai, New York [4]The City College of the City University of New York, New York [5]Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China [6]Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York [7]Departments of Neurosurgery, Neurology, Psychiatry, and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, New York
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关键词: diffusion DWI DTI DBS QSM structural connectivity functional neurosurgery

摘要:
OBJECTIVE The objective of this study was to investigate the relationship between iron and white matter connectivity in the subthalamic nucleus (STN) in patients undergoing deep brain stimulation (DBS) of the STN for treatment of Parkinson's disease. METHODS Nine Parkinson's disease patients underwent preoperative 3T MRI imaging which included acquisition of T1-weighted anatomical images along with diffusion tensor imaging (DTI) and quantitative susceptibility mapping (QSM). MR tractography was performed for the seed voxels located within the STN, and the correlations between normalized QSM values and the STN's connectivity to a set of a priori chosen regions of interest were assessed. RESULTS A strong negative correlation was found between STN connectivity and QSM intensity for the thalamus, premotor, motor, and sensory regions, while a strong positive correlation was found for frontal, putamen, and brain stem areas. CONCLUSIONS Quantitative susceptibility mapping not only accurately delineates the STN borders but is also able to provide functional information about the STN functional subdivisions. The observed iron-to-connectivity correlation patterns may aid in planning DBS surgery to avoid unwanted side effects associated with DBS.

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出版当年[2019]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外科
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 临床神经病学 2 区 外科
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出版当年[2018]版:
Q1 CLINICAL NEUROLOGY Q1 SURGERY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q1 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

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第一作者单位: [1]Weill Medical College of Cornell University, New York [2]Meinig School of Biomedical Engineering, Cornell University, Ithaca
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通讯机构: [7]Departments of Neurosurgery, Neurology, Psychiatry, and Neuroscience, Icahn School of Medicine at Mount Sinai, New York, New York [*1]Icahn School of Medicine at Mount Sinai, New York, NY.
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