• Reuben R Shamir, Adam Zaidel, Leo Joskowicz, Hagai Bergman, and Zvi Israel.
• Department of Medical Neurobiology (Physiology), Institute of Medical Research, Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, Israel. shamir.ruby@gmail.com
• Stereotact Funct Neurosurg. 2012 Jan 1; 90 (5): 325-34.

BackgroundAccurate detection of the boundaries of the subthalamic nucleus (STN) in deep brain stimulation (DBS) surgery using microelectrode recording (MER) is considered to refine localization and may therefore improve clinical outcome. However, MER tends to extend operation time and its cost-utility balance has been debated.ObjectivesTo quantify the tradeoff between accuracy of STN localization and the spatial and temporal parameters of MER that effect the operation time using an automated detection method.MethodsWe retrospectively estimated the accuracy of STN detection on data from 100 microelectrode trajectories. Our dense (average step = 0.12 mm) and long (average duration = 22.5 s) MER data was downsampled in the spatial and temporal domains. Then, the STN borders were detected automatically on both the downsampled and original data and compared to each other.ResultsWith a recording duration of 16 s, average accuracy for detecting STN entry ranged from 0.06 mm for a 0.1-mm step to 0.51 mm for a 1.0-mm step. Smaller effects were found along the temporal axis. For example, a 0.1-mm recording step yielded an STN entry average accuracy ranging from 0.06 mm for a 16-second recording duration to 0.16 mm for 0.1 s.ConclusionsSTN entry detection error was about half of the step size. Sampling duration of STN activity can be minimized to 1 s/record without compromising accuracy. We conclude that bilateral DBS surgery time utilizing MER may be significantly shortened without compromising targeting accuracy.Copyright © 2012 S. Karger AG, Basel.

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