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AJNR - American Journal of Neuroradiology

Published ahead of print on September 12, 2009
doi: 10.3174/ajnr.A1644

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American Journal of Neuroradiology 31:15-23, January 2010
© 2010 American Society of Neuroradiology

REVIEW ARTICLES

Neuroimaging and Deep Brain Stimulation

D. Dormont^a,b, D. Seidenwurm^c, D. Galanaud^a,b, P. Cornu^d, J. Yelnik^e and E. Bardinet^a

^aFrom Cogimage (D.D., D.G., E.B.), Université Pierre et Marie Curie Paris VI, CRICM, CNRS, UMR 7225, Groupe Hospitalier Pitié-Salpêtrière AP-HP, Paris, France
^bDepartment of Neuroradiology (D.D., D.G.), Groupe Hospitalier Pitié-Salpêtrière AP-HP, Paris, France
^cDepartment of Neuroradiology (D.S.), Radiological Associates of Sacramento, Sacramento, California
^dDepartment of Neurosurgery (P.C.), Groupe Hospitalier Pitié-Salpêtrière AP-HP, Paris, France
^eBehavior Emotion and Basal Ganglia Team (J.Y.), Université Pierre et Marie Curie Paris VI, CRICM, INSERM UMRS 975, CNRS UMR 7225, Groupe Hospitalier Pitié-Salpêtrière AP-HP, Paris, France.

Please address correspondence to Didier Dormont, Pitié-Salpêtrière Hospital–Neuroradiology, 47 Bd de l'hopital Paris 75651, France; e-mail: didier.dormont{at}psl.ap-hop-paris.fr

SUMMARY: Deep brain stimulation (DBS) is a new neurosurgical method principally used for the treatment of Parkinson disease (PD). Many new applications of DBS are under development, including the treatment of intractable psychiatric diseases. Brain imaging is used for the selection of patients for DBS, to localize the target nucleus, to detect complications, and to evaluate the final electrode contact position. In patients with implanted DBS systems, there is a risk of electrode heating when MR imaging is performed. This contraindicates MR imaging unless specific precautions are taken. Involvement of neuroradiologists in DBS procedures is essential to optimize presurgical evaluation, targeting, and postoperative anatomic results. The precision of the neuroradiologic correlation with anatomic data and clinical outcomes in DBS promises to yield significant basic science and clinical advances in the future.