Abstract. Deep Brain Stimulation is a modern surgical technique for treating patients who suffer from affective or motion disorders such as Parkinson's disease. The efficiency of the procedure relies heavily on the accuracy of the placement of a micro-electrode which sends electrical pulses to a specific part of the brain that controls motion and affective symptoms. However, targeting this small anatomical structure is rendered difficult due to a series of brain shifts that take place during and after the procedure. This paper introduces a biomechanical simulation of the intra and postoperative stages of the procedure in order to determine lead deformation and electrode migration due to brain shift. To achieve this goal, we propose a global approach, which accounts for brain deformation but also for the numerous interactions that take place during the procedure (contacts between the brain and the inner part of the skull and falx cerebri, effect of the cerebro-spinal fluid, and biomechanical interactions between the brain and the electrodes and cannula used during the procedure). Preliminary results show a good correlation between our simulations and various results reported in the literature.

No abstract

In this paper we develop a framework for solving inverse deformation problems using the FEniCS Project finite-element software. We validate our approach with experimental imaging data acquired from a soft silicone beam under gravity. In contrast with inverse iterative algorithms that require multiple solutions of a standard elasticity problem, the proposed method can compute the undeformed configuration by solving only one modified elasticity problem. This modified problem has a complexity comparable to the standard one. The framework is implemented within an open-source pipeline enabling the direct and inverse deformation simulation directly from imaging data. We use the high-level unified form language (UFL) of the FEniCS Project to express the finite-element model in variational form and to automatically derive the consistent Jacobian. Consequently, the design of the pipeline is flexible: for example, it allows the modification of the constitutive models by changing a single line of code. We include a complete working example showing the inverse deformation of a beam deformed by gravity as supplementary material.

Abstract. During stereotactic neurosurgery, the brain shift could affect the accuracy of the procedure. However, this deformation of the brain is not often considered in the pre-operative planning step or intraoperatively, and may lead to surgical complications, side effects or ineffectiveness. In this paper, we present a method to update the preoperative planning based on a physical simulation of the brain shift. Because the simulation requires unknown input parameters, the method relies on a parameter estimation process to compute the intracranial state that matches the partial data taken from intra-operative modalities. The simulation is based on a biomechanical model of the brain and the cerebro-spinal fluid. In this paper, we show on an anatomical atlas that the method is numerically sound.