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USING NORMATIVE CONNECTOMES TO
ANALYZE DATA IN LEAD CONNECTOME
MAPPER
LEAD-DBS WORKSHOP QUEENSLAND| FEB 2020 | Friederike Irmen
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
The use of normative connectomes
Irmen et al., AoN, in revision Li et al., submitted
Elias et al. (2020), Brain Stim
Why normative connectomes?
• After DBS surgery, patients cannot be scanned in the MRI without
restrictions, acquiring high quality data is difficult if not impossible
• Normative connectomes: “average wiring diagrams” of the
human brain
• Based on diffusion-weighted or resting-state functional MRI
• Advantages: Recorded on specialized MRI hardware, high signal-
to-noise ratio, large samples
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
• Select patient folders
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Connectivity from seeds or connectivity matrices
Select the connectome
(and resolution)
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Connectivity map from seed
• Connectivity seeding from
VTAs of each patient
• Based on the normative
connectome data for
healthy subjects or e.g. PD
patients
• Calculation may take a
while
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Example: calculate functional connectivity
profile based on PD connectome
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
• Files generated:
Example: calculate
functional connectivity
profile based on PD
connectome
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Other options
• Select BER001-BER003
• Generate a connectivity
matrix for the VTA contacts
and the other voxels in the
connectivity map
• Export time series of
patients within all the
connected voxels
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
v
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Create a folder with specific patient files/VTAs
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
Results
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS
fMRI-based connectivity from BER001, BER002, BER003 to the
depression network, could be correlated e.g. with depression
score
friederike.irmen@charite.deLead-DBS Workshop
Normative connectomic analyses in Lead-DBS

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Normative Connectomes Leadmapper

Editor's Notes

  1. In their work, Li et al. compare two different patient cohorts undergoing DBS for treatment resistant obsessive compulsive disorder (OCD) from two study centers, Grenoble (n = 14) and Cologne (n = 22) with DBS in two different brain targets, the anteromedial subthalamic nucleus (amSTN) in Grenoble and the anterior limb of the internal capsule = ALIC in Cologne