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Magnetic resonance imaging of the subthalamic nucleus for deep brain stimulation

Journal

JOURNAL OF NEUROSURGERY
Volume 124, Issue 1, Pages 96-105

Publisher

AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/2015.1.JNS142066

Keywords

subthalamic nucleus; magnetic resonance imaging; deep brain stimulation; functional neurosurgery

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The subthalamic nucleus (STN) is one of the most important stereotactic targets in neurosurgery, and its accurate imaging is crucial. With improving MRI sequences there is impetus for direct targeting of the STN. High-quality, distortion-free images are paramount. Image reconstruction techniques appear to show the greatest promise in balancing the issue of geometrical distortion and STN edge detection. Existing spin echo and susceptibility-based MRI sequences are compared with new image reconstruction methods. Quantitative susceptibility mapping is the most promising technique for stereotactic imaging of the STN.

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