Parkinson's disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age between 18 and 75 years, with a diagnosis of idiopathic Parkinson’s disease according to the MDS clinical diagnostic criteria; 2. Disease duration of at least 5 years; 3. Markedly reduced therapeutic response to oral antiparkinsonian medications; 4. Presence of intolerable medication-related adverse effects; 5. No severe concomitant medical or neurological comorbidities; 6. Improvement of >=30% on the levodopa challenge test; 7. Undergoing bilateral STN-DBS implantation using the domestically developed PINS G106R/RS 3T MRI-compatible DBS system; 8. Ability and willingness of the patient and their legal guardians to provide written informed consent and to comply with follow-up assessments.
Exclusion criteria
Exclusion criteria: 1. Presence of significant cognitive impairment or severe psychiatric disorders; 2. Severe tremor or dyskinesia resulting in excessive head motion and compromised MRI data quality; 3. Implantation of the implantable pulse generator in the left subclavicular region; 4. Contraindications to MRI or inability to tolerate repeated MRI examinations; 5. MRI evidence of marked white matter abnormalities, vascular malformations, or other structural brain lesions; 6. Severe metal-related artifacts interfering with image analysis; 7. Significant deviation of electrode placement from the intended target associated with suboptimal postoperative clinical efficacy; 8. MRI scans acquired on different scanners or imaging platforms.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Resting-State Functional Magnetic Resonance Imaging;Diffusion Kurtosis Imaging; | — |
Secondary
| Measure | Time frame |
|---|---|
| Movement Disorder Society-Unified Parkinson's Disease Rating Scale Part III;T1-weighted imaging; | — |
Countries
China
Contacts
The First Affiliated Hospital, Sun Yat-sen University