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April 3, 2026Stereotactic and Functional Neurosurgery0 citations

Postoperative Determination of Directional DBS Lead Orientation: A Comparison of CT-Based Software and Rotational Fluoroscopy

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PDParesh K. DoshiRARaj AgarbattiwalaCKChandresh Karnavat

Key Points

  • This research aims to evaluate the consistency between two methods of determining directional lead orientation in deep brain stimulation (DBS).
  • Used interobserver agreement metrics to assess the ISM.
  • Evaluated Brainlab Elements™ software for lead orientation estimation.
  • Compared the results of both methods using limits of agreement analysis.
  • Interobserver agreement for the ISM was excellent with an ICC of 0.983.
  • Brainlab Elements™ showed a good correlation with the ISM, with an ICC of 0.864.
  • The limits of agreement for Brainlab Elements™ estimates were approximately ±15°.

Abstract

Interobserver agreement using the ISM was excellent ICC(2,1) = 0.983. Brainlab Elements™ estimations ICC(3,1) = 0.864; limits of agreement ≈ ±15° correlated well with the ISM.

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Cite This Study

Doshi et al. (2026) studied this question.

synapsesocial.com/papers/69cf5e995a333a821460cffbhttps://doi.org/10.1159/000551821
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