Machine learning-aided personalized DTI tractographic planning for deep brain stimulation of the superolateral medial forebrain bundle using HAMLET.

Journal: Acta neurochirurgica
Published Date:

Abstract

BACKGROUND: Growing interest exists for superolateral medial forebrain bundle (slMFB) deep brain stimulation (DBS) in psychiatric disorders. The surgical approach warrants tractographic rendition. Commercial stereotactic planning systems use deterministic tractography which suffers from inherent limitations, is dependent on manual interaction (ROI definition), and has to be regarded as subjective. We aimed to develop an objective but patient-specific tracking of the slMFB which at the same time allows the use of a commercial surgical planning system in the context of deep brain stimulation.

Authors

  • Volker A Coenen
    Department of Stereotactic and Functional Neurosurgery, Neurocenter - University Medical Center, Breisacher Straße 64, 79106, Freiburg i.Br., Germany. volker.coenen@uniklinik-freiburg.de.
  • Thomas E Schlaepfer
    Medical Faculty, Freiburg University, Freiburg, Germany.
  • Peter C Reinacher
    Department of Stereotactic and Functional Neurosurgery, Neurocenter - University Medical Center, Breisacher Straße 64, 79106, Freiburg i.Br., Germany.
  • Hansjoerg Mast
    Medical Faculty, Freiburg University, Freiburg, Germany.
  • Horst Urbach
    Department of Neuroradiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
  • Marco Reisert
    Medical Physics, Department of Diagnostic and Interventional Radiology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.