Cited by 101Deep Brain Stimulation and Movement DisordersAdvanced Neuroimaging Techniques and ApplicationsTranscranial Magnetic Stimulation Studies

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Tractography-Activation Models Applied to Subcallosal Cingulate Deep Brain Stimulation

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Lujan, J. Luis, Chaturvedi, Ashutosh, Choi, Ki Sueng, Holtzheimer, Paul E., Gross, Robert E., Mayberg, Helen S., McIntyre, Cameron C.·2013·Brain stimulation

DOI 10.1016/j.brs.2013.03.008PMC PMC3772993

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Abstract

Deep brain stimulation (DBS) of the subcallosal cingulate white matter (SCCWM) is an experimental therapy for major depressive disorder (MDD). The specific axonal pathways that mediate the anti-depressant effects of DBS remain unknown. Patient-specific tractography-activation models (TAMs) are a new tool to help identify pathways modulated by DBS. TAMs consist of four basic components: 1) anatomical and diffusion-weighted imaging data acquired on the patient; 2) probabilistic tractography from the brain region surrounding the implanted DBS electrode; 3) finite element models of the electric field generated by the patient-specific DBS parameter settings; and 4) application of the DBS electric field to multi-compartment cable models of axons, with trajectories defined by the tractography, to predict action potential generation in specific pathways. This study presents TAM predictions from DBS of the SCCWM in one MDD patient. Our findings suggest that small differences in electrode location can generate substantial differences in the directly activated pathways.

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Authors: Lujan, J. L., Chaturvedi, A., Choi, K. S., Holtzheimer, P. E., Gross, R. E., Mayberg, H. S., & McIntyre, C. C.
Affiliations: Cleveland Clinic (US)
Georgia Institute of Technology (US)
Dartmouth College (US)
Emory University (US)
Corresponding author: McIntyre, Cameron C.
ORCID: Choi, Ki Sueng
Holtzheimer, Paul E.
Gross, Robert E.
Mayberg, Helen S.
McIntyre, Cameron C.
Venue: Brain stimulation
Publisher: Elsevier BV
Published: 2013-09
Volume: 6
Issue: 5
Pages: 737-739
ISSN: 1876-4754 (ISSN-L)
1935-861X
DOI: 10.1016/j.brs.2013.03.008
PMC: PMC3772993
OpenAlex: W2123940881
Cited by: 101
References: 13
Citations by year: 2026: 2 · 2025: 4 · 2024: 7 · 2023: 4 · 2022: 9 · 2021: 5 · 2020: 11 · 2019: 4 · 2018: 10 · 2017: 10 · 2016: 11 · 2015: 13 · 2014: 9 · 2013: 2
FWCI: 7.40
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Brain stimulation (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders: National Institutes of Health (R01 NS059736)
Dana Foundation
Stanley Foundation
Topics: Health Sciences › Medicine › Clinical Neurology › Deep Brain Stimulation and Movement Disorders
Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
Keywords: deep brain stimulation, major depressive disorder, probabilistic tractography, action potential generation, electrode placement
MeSH terms: Brain Mapping, Major Depressive Disorder, Gyrus Cinguli, Humans, Models, Neurological, Finite Element Analysis, Deep Brain Stimulation, Diffusion Tensor Imaging

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Tractography-Activation Models Applied to Subcallosal Cingulate Deep Brain Stimulation

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