Neuroimaging evaluation of deep brain stimulation in the treatment of representative neurodegenerative and neuropsychiatric disorders

Bioelectronic Medicine

Vijay Dhawan¹  David Eidelberg¹  Shichun Peng¹  Yilong Ma¹ 

[1] Center for Neurosciences, Institute of Molecular Medicine, The Feinstein Institutes for Medical Research, 350 Community Drive, Manhasset, 11030, New York, USA;

关键词: Multimodality neuroimaging;    PET;    SPECT;    MRI;    DTI;    Deep brain stimulation;    Vagus nerve stimulation;    Parkinson’s disease;    Alzheimer’s disease;    Obsessive compulsive disorder;    Depression;    Epilepsy;    Bioelectronic medicine;   

DOI  :  10.1186/s42234-021-00065-9

来源: Springer

【 摘 要 】

Brain stimulation technology has become a viable modality of reversible interventions in the effective treatment of many neurological and psychiatric disorders. It is aimed to restore brain dysfunction by the targeted delivery of specific electronic signal within or outside the brain to modulate neural activity on local and circuit levels. Development of therapeutic approaches with brain stimulation goes in tandem with the use of neuroimaging methodology in every step of the way. Indeed, multimodality neuroimaging tools have played important roles in target identification, neurosurgical planning, placement of stimulators and post-operative confirmation. They have also been indispensable in pre-treatment screen to identify potential responders and in post-treatment to assess the modulation of brain circuitry in relation to clinical outcome measures. Studies in patients to date have elucidated novel neurobiological mechanisms underlying the neuropathogenesis, action of stimulations, brain responses and therapeutic efficacy. In this article, we review some applications of deep brain stimulation for the treatment of several diseases in the field of neurology and psychiatry. We highlight how the synergistic combination of brain stimulation and neuroimaging technology is posed to accelerate the development of symptomatic therapies and bring revolutionary advances in the domain of bioelectronic medicine.

【 授权许可】

CC BY