Category: Surgical Therapy: Parkinson's Disease
Objective: To establish a pathway for utilisation of beta-sensing using the Percept technology which is applicable to real world clinical practice and optimises the utility of the new technology.
Background: The availability of beta sensing offered a new opportunity to utilise the new technology to optimise deep brain stimulation in patients with Parkinson’s disease. To date publication outlining the technology has been research based and in this study we integrated the technology into our clinical pathway and adjusted practice to use the new information. The multiple iterations of the pathway has led to a refined algorithm which has been applied to our patients.
Method: 10 patients with Parkinson’s disease post surgery STN implanted with Medtronic Percept IPG. Pathway devised to standardise patient care using new technology of Brainsensing
Results: To best utilise the beta sensing technology a discovery phase is needed to identify the contacts with the highest beta peaks and to set up the timeline recordings prior to the first programming session. Acquiring seven days of beta timeline data asks a baseline for comparison of therapy at future visits and interrogation of the system. Beta Streaming acts as an important visual tool for establishing therapy thresholds but also allows for improved dialogue with the patient and thus empowering the patient to feel more in control of the programming session comparison to traditional methods. BrainSense event markers can be set up when patients identify specific problematic symptoms, these events can be marked and stored on the IPG alongside the beta timeline data allowing clear visualisation of whether a problem is due to over or under stimulation.
Conclusion: The Newcastle Beta-sensing algorithm allows for Percept sensing technology to be used in real world clinical practice and offers an advantage over traditional programming.
To cite this abstract in AMA style:
M. Gibbs, R. Mills, A. Hussain, A. Jenkins, C. Nicholson, N. Pavese, D. Ledingham. Development of a Beta-sensing Pathway in Deep brain stimulation to optimise utility of Local field potential recordings using the Percept system. (Newcastle Beta-sensing Algorithm – NBA) [abstract]. Mov Disord. 2024; 39 (suppl 1). https://www.mdsabstracts.org/abstract/development-of-a-beta-sensing-pathway-in-deep-brain-stimulation-to-optimise-utility-of-local-field-potential-recordings-using-the-percept-system-newcastle-beta-sensing-algorithm-nba/. Accessed May 9, 2025.« Back to 2024 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/development-of-a-beta-sensing-pathway-in-deep-brain-stimulation-to-optimise-utility-of-local-field-potential-recordings-using-the-percept-system-newcastle-beta-sensing-algorithm-nba/