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一种用于改善经颅磁刺激治疗中目标定位的新设备。

A new device to improve target localization for transcranial magnetic stimulation therapy.

机构信息

Department of Psychiatry, University of Iowa, Iowa City, IA, United States.

Department of Pediatrics, University of Iowa, Iowa City, IA, United States.

出版信息

Brain Stimul. 2019 Nov-Dec;12(6):1600-1602. doi: 10.1016/j.brs.2019.07.028. Epub 2019 Aug 2.

Abstract

BACKGROUND

Accurate identification of cranial midline structures is essential for many targeting techniques that use repetitive transcranial magnetic stimulation (rTMS), including the Beam F3 method used for depression treatment.

OBJECTIVE

Evaluate whether a novel, laser-sighted device will assist with more accurate identification of the cranial midline relative to standard scalp-based measurement procedures.

METHODS

Three trained TMS technicians performed repeated scalp-based measurements to identify the inion and vertex on five subjects (n = 54 measurements). Measurements were compared to points identified with the midline localizer device and the true midline as defined by MRI midline structures.

RESULTS

Use of the midline localizer was more accurate for midline identification than technician measurement (p = 0.00025) and the ratio of localizing the midline within 5 mm was higher (78% versus 54%, p = 0.008).

CONCLUSION

Use of a laser-sighted midline localizer device can improve the accuracy of scalp measurements associated with target localization for rTMS treatment protocols.

摘要

背景

准确识别颅中线结构对于许多使用重复经颅磁刺激(rTMS)的靶向技术至关重要,包括用于治疗抑郁症的 Beam F3 方法。

目的

评估一种新型激光导向装置是否相对于标准头皮测量程序更有助于准确识别颅中线。

方法

三名经过培训的 TMS 技术员对五名受试者(n=54 次测量)进行了重复的头皮测量,以识别枕骨隆突和顶点。将测量结果与中线定位器确定的点以及 MRI 中线结构定义的真实中线进行比较。

结果

与技术员测量相比,中线定位器在中线识别方面更准确(p=0.00025),且定位中线在 5 毫米内的比例更高(78%对 54%,p=0.008)。

结论

使用激光导向中线定位器可以提高与 rTMS 治疗方案靶点定位相关的头皮测量的准确性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/36e7/7041559/1de6673d6229/nihms-1068235-f0001.jpg

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