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Bahners, B. H.

Publications and source records attributed to Bahners, B. H..

2 recordsLinked to original sources

Deep brain stimulation device-specific artefacts in MEG recordings

BackgroundDeep brain stimulation (DBS) has strong beneficial effects for treating movement disorders. The related cortical mechanisms can be studied with magnetoencephalography (MEG) during active DBS. However, MEG is prone to artefacts induced by the electrical stimulation and the movement of ferromagnetic DBS components. Although artefacts might vary between DBS devices from different manufacturers, no such comparison has been performed. To date, no combined MEG-DBS studies have been conducted within Yokogawa MEG systems. ObjectiveThe aim of the present study was to compare DBS artefacts in MEG phantom recordings acquired with two MEG systems (Neuromag, Yokogawa) using DBS devices from three different manufacturers (Abbott, Boston Scientifc, Medtronic) and to test whether established cleaning methods can sufficiently reduce artefacts. MethodsDBS devices, electrodes, and extension cables were attached to a gelatine MEG phantom, and data was acquired in a Neuromag and a Yokogawa MEG system. ResultsThere are device-specific differences in movement-related artefacts with weaker artefacts for Boston Scientific (BSC) devices. Stimulation-, movement- and IPG-related artefacts are best cleaned when combining the ICA-MI and Hampel filter across recordings and DBS devices. However, the cleaning of movement-related artefacts can result in artefactual spectral peaks in physiologically relevant frequencies below 20 Hz. ConclusionsDevice-specific IPG-related artefacts have to be considered for MEG-DBS studies and can be cleaned with combinations of published cleaning methods for MEG and EEG data. Critically, cleaning movement-related artefacts can potentially result in spectral peaks, which resemble physiological activity. Finally, combined MEG-DBS recordings are feasible in Yokogawa-MEG systems.

neuroscience↗

Subthalamic stimulation evoked cortical responses relate to motor performance in Parkinson's disease

Subthalamic deep brain stimulation is effective in alleviating motor symptoms in Parkinsons disease. Establishing the clinically best stimulation settings often requires time-consuming test sessions and creates a need for biomarkers to optimize this process. While stimulation-evoked cortical responses have been proposed as such a neurophysiological marker, their relationship to motor performance has not yet been studied systematically. For this aim, we recorded finger-tapping movements and cortical responses evoked by different stimulation amplitudes of 22 patients with Parkinsons disease using magnetoencephalography. The motor cortex amplitude was a significant predictor of a higher finger tap frequency and a more regular tapping profile. In addition, subthalamic stimulation evoked responses in the inferior and middle frontal gyrus, and the supplementary motor area. While earlier studies relied on a limited cortical coverage, we reveal a cortical distribution of responses that aligns with the basal ganglia-thalamo-cortical network. Our study sheds light on the relationship between cortical responses evoked by subthalamic stimulation and motor performance based on objective quantitative parameters. Stimulation-evoked responses could guide clinical programming in the future.

neuroscience↗