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A Method for Predicting the Outcomes of Combined Pharmacologic and Deep Brain Stimulation Therapy for Parkinson’s Disease

  • Reuben R. Shamir
  • Trygve Dolber
  • Angela M. Noecker
  • Anneke M. Frankemolle
  • Benjamin L. Walter
  • Cameron C. McIntyre
Part of the Lecture Notes in Computer Science book series (LNCS, volume 8674)

Abstract

Deep brain stimulation (DBS) is an established therapy for the management of advanced Parkinson’s disease (PD). However, the coupled adjustment of pharmacologic therapy and stimulation parameter settings is a time-consuming process and treatment outcomes are not always optimal. In this study, we develop a linear function that relates the DBS parameters, the levodopa dosage, and patient-specific preoperative clinical data with the actual treatment motor outcomes. To this end, we incorporate image-based patient-specific computer models of the volume of tissue activated by DBS in a multi-linear regression analysis (6 PD patients; 60 follow up visits). The resulting predictor function was highly correlated with the actual motor outcomes (r = 0.76; p<0.05). These results demonstrate that the outcomes of a combined pharmacologic-DBS therapy can be predicted and may facilitate patient-specific treatment optimization for maximal benefits and minimal adverse effects.

Keywords

Deep Brain Stimulation Subthalamic Nucleus Clinical Decision Support System Deep Brain Stimulation Surgery Multiple Comparison Correction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Reuben R. Shamir
    • 1
  • Trygve Dolber
    • 1
  • Angela M. Noecker
    • 1
  • Anneke M. Frankemolle
    • 1
  • Benjamin L. Walter
    • 2
    • 3
  • Cameron C. McIntyre
    • 1
    • 2
  1. 1.Department of Biomedical EngineeringCase Western Reserve UniversityClevelandUSA
  2. 2.Department of NeurologyCase Western Reserve UniversityClevelandUSA
  3. 3.Neurological InstituteUniversity Hospitals Case Medical CenterClevelandUSA

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