Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT

Abstract Hybrid depth electrodes are increasingly being used for epilepsy monitoring and human neurophysiology research. Microwires extending from the tip of the Behnke‐Fried (BF) electrode into (sub)cortical areas allow to isolate single neurons and perform microstimulation. Conventional CT or MRI...

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Main Authors: Steven Smeijers, Walter Coudyzer, Elina Keirse, Vasiliki Bougou, Thomas Decramer, Tom Theys
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Epilepsia Open
Subjects:
Online Access:https://doi.org/10.1002/epi4.13080
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author Steven Smeijers
Walter Coudyzer
Elina Keirse
Vasiliki Bougou
Thomas Decramer
Tom Theys
author_facet Steven Smeijers
Walter Coudyzer
Elina Keirse
Vasiliki Bougou
Thomas Decramer
Tom Theys
author_sort Steven Smeijers
collection DOAJ
description Abstract Hybrid depth electrodes are increasingly being used for epilepsy monitoring and human neurophysiology research. Microwires extending from the tip of the Behnke‐Fried (BF) electrode into (sub)cortical areas allow to isolate single neurons and perform microstimulation. Conventional CT or MRI visualize the entire microwire bundle as an artifact extending from the BF electrode tip with low resolution, without proper identification of individual microwires. We illustrate the first direct visualization method of individual microwires using high‐resolution photon‐counting CT (PCCT). Coregistration of the PCCT scan with a preoperative MRI can visualize individual wires directly in cortex, which is an advantage as it provides feedback on the accuracy of the implantation method and can guide future implantations. This PCCT technique allows for accurately depicting individual microwires which could be relevant for neuroscientific research through improved visualization and implantation of specific cortical and subcortical brain areas. Plain Language Summary Researchers are using hybrid depth electrodes to study epilepsy and brain activity. These electrodes, called Behnke‐Fried (BF) electrodes, have microwires at the tip that can record single neurons and stimulate brain areas. Regular CT or MRI scans do not show the individual microwires clearly. The authors use a new high‐resolution photon‐counting CT (PCCT) technique, which can show each individual microwire in the brain. By combining PCCT with MRI, the authors can precisely see where the microwires are located. This could improve future implantation surgeries and brain research.
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spelling doaj-art-8a12af32f91a481d9f8696c49976d69b2024-12-11T17:10:11ZengWileyEpilepsia Open2470-92392024-12-01962518252110.1002/epi4.13080Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CTSteven Smeijers0Walter Coudyzer1Elina Keirse2Vasiliki Bougou3Thomas Decramer4Tom Theys5Department of Neurosurgery UZ Leuven Leuven BelgiumDepartment of Radiology UZ Leuven Leuven BelgiumResearch Group Experimental Neurosurgery and Neuroanatomy KU Leuven Leuven BelgiumResearch Group Experimental Neurosurgery and Neuroanatomy KU Leuven Leuven BelgiumDepartment of Neurosurgery UZ Leuven Leuven BelgiumDepartment of Neurosurgery UZ Leuven Leuven BelgiumAbstract Hybrid depth electrodes are increasingly being used for epilepsy monitoring and human neurophysiology research. Microwires extending from the tip of the Behnke‐Fried (BF) electrode into (sub)cortical areas allow to isolate single neurons and perform microstimulation. Conventional CT or MRI visualize the entire microwire bundle as an artifact extending from the BF electrode tip with low resolution, without proper identification of individual microwires. We illustrate the first direct visualization method of individual microwires using high‐resolution photon‐counting CT (PCCT). Coregistration of the PCCT scan with a preoperative MRI can visualize individual wires directly in cortex, which is an advantage as it provides feedback on the accuracy of the implantation method and can guide future implantations. This PCCT technique allows for accurately depicting individual microwires which could be relevant for neuroscientific research through improved visualization and implantation of specific cortical and subcortical brain areas. Plain Language Summary Researchers are using hybrid depth electrodes to study epilepsy and brain activity. These electrodes, called Behnke‐Fried (BF) electrodes, have microwires at the tip that can record single neurons and stimulate brain areas. Regular CT or MRI scans do not show the individual microwires clearly. The authors use a new high‐resolution photon‐counting CT (PCCT) technique, which can show each individual microwire in the brain. By combining PCCT with MRI, the authors can precisely see where the microwires are located. This could improve future implantation surgeries and brain research.https://doi.org/10.1002/epi4.13080Behnke‐Fried electrodeepilepsyhybrid depth electrodesmicroelectrodesphoton‐counting CT (PCCT)visualization
spellingShingle Steven Smeijers
Walter Coudyzer
Elina Keirse
Vasiliki Bougou
Thomas Decramer
Tom Theys
Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
Epilepsia Open
Behnke‐Fried electrode
epilepsy
hybrid depth electrodes
microelectrodes
photon‐counting CT (PCCT)
visualization
title Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
title_full Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
title_fullStr Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
title_full_unstemmed Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
title_short Direct visualization of microwires in hybrid depth electrodes using high‐resolution photon‐counting CT
title_sort direct visualization of microwires in hybrid depth electrodes using high resolution photon counting ct
topic Behnke‐Fried electrode
epilepsy
hybrid depth electrodes
microelectrodes
photon‐counting CT (PCCT)
visualization
url https://doi.org/10.1002/epi4.13080
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