机构:[1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经外科首都医科大学宣武医院[2]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院
Background: Introducing multiple different stereoelectroencephalography electrodes in a three-dimensional (3D) network to create a 3D-lesioning field or stereo-crossed radiofrequency thermocoagulation (scRF-TC) might create larger lesioning size; however, this has not been quantified to date. This study aimed to quantify the configurations essential for scRF-TC. Methods: By using polyacrylamide gel (PAG), we investigated the effect of electrode conformation (angled/parallel/multiple edges) and electrode distance of creating an electrode network. Volume, time, and temperature were analyzed quantitatively with magnetic resonance imaging, video analysis, and machine learning. A network of electrodes to the pathological left area 47 was created in a patient; the seizure outcome and coverage range were further observed. Results: After the compatibility test between the PAG and brain tissue, the sufficient distance of contacts (from different electrodes) for confluent lesioning was 7 mm with the PAG. Connection to the lesioning field could be achieved even with a different arrangement of electrodes. One contact could achieve at least six connections with different peripheral contacts. Coagulation with a network of electrodes can create more significant lesioning sizes, 1.81-2.12 times those of the classic approaches. The confluent lesioning field created by scRF-TC had a volume of 38.7 cm(3); the low metabolic area was adequately covered. The representative patient was free of seizures throughout the 12-month follow up. Conclusion: Lesioning with electrodes in a network manner is practical for adequate 3D coverage. A secondary craniotomy could be potentially prevented by combining both monitoring and a large volume of lesions.
基金:
National Key R&D Program of China [2016YFC0103909]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81871009, 81801288]; Key Project of Beijing Science and Technology Commission [Z161100000516008]
第一作者机构:[1]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[*1]Department of Neurosurgery, Xuan Wu Hospital, Capital Medical University, No. 45 Changchun Street, Xuanwu District, Beijing 100053, China[*2]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China
推荐引用方式(GB/T 7714):
Wei Peng-Hu,Fan Xiao-Tong,Wang Yi-He,et al.Stereo-crossed ablation guided by stereoelectroencephalography for epilepsy: comprehensive coagulationsviaa network of multi-electrodes[J].THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS.2020,13:doi:10.1177/1756286420928657.
APA:
Wei, Peng-Hu,Fan, Xiao-Tong,Wang, Yi-He,Lu, Chao,Ou, Si-Qi...&Zhao, Guo-Guang.(2020).Stereo-crossed ablation guided by stereoelectroencephalography for epilepsy: comprehensive coagulationsviaa network of multi-electrodes.THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS,13,
MLA:
Wei, Peng-Hu,et al."Stereo-crossed ablation guided by stereoelectroencephalography for epilepsy: comprehensive coagulationsviaa network of multi-electrodes".THERAPEUTIC ADVANCES IN NEUROLOGICAL DISORDERS 13.(2020)