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Abstract #4187

Millimetres Matter - Improving registration of DBS MRI using deep learning

Sriranga Kashyap1, Jürgen Germann1,2,3, and Kâmil Uludağ1,4,5
1Krembil Brain Institute, University Health Network, Toronto, ON, Canada, 2Division of Neurosurgery, Toronto Western Hospital, Toronto, ON, Canada, 3Center for Advancing Neurotechnological Innovation to Application (CRANIA), Toronto, ON, Canada, 4Department of Medical Biophysics, University of Toronto, Toronto, ON, Canada, 5Center for Neuroscience Imaging Research, Institute for Basic Science, Sungkyunkwan University, Suwon, Korea, Republic of

Synopsis

Keywords: Parkinson's Disease, Software Tools

Motivation: Precise electrode localisation in DBS surgery determines success or failure of neurostimulation and associated side-effects. Brainshift and electrode artefacts in post-op MRI complicate registration to pre-op data, impacting the study of immediate and longitudinal clinical outcomes.

Goal(s): To develop a new DBS MRI registration framework using deep learning and advanced image processing to overcome limitations of current approaches and improve registration.

Approach: Post-op MRI is preprocessed to ameliorate artefacts and an artefact-free image is synthesised using deep learning and super resolution, followed by optimised non-linear registration.

Results: Proposed method demonstrably outperforms standard approaches, reducing errors near electrodes and improved matching of brain regions.

Impact: This work transforms DBS neuroimage processing offering a means for much improved electrode localisation and assessment of DBS outcomes. It's a promising step towards improved patient care and clinical success. Public availability of our tools will benefit the neuroimaging community.

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