{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:42:34Z","timestamp":1785300154474,"version":"3.55.0"},"reference-count":19,"publisher":"Korean Neurosurgical Society","issue":"5","license":[{"start":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T00:00:00Z","timestamp":1739750400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100003605","name":"Korea International Cooperation Agency","doi-asserted-by":"publisher","award":["2021-00020-4"],"award-info":[{"award-number":["2021-00020-4"]}],"id":[{"id":"10.13039\/501100003605","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jkns.or.kr"],"crossmark-restriction":true},"short-container-title":["J Korean Neurosurg Soc"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:p>Objective : This retrospective study aims to analyze hemorrhage complications in patients undergoing deep brain stimulation (DBS) surgery, focusing on the impact of imaging modalities and trajectory planning.Methods : We conducted a retrospective review of patients who underwent DBS at a single institution from September 2018 to February 2023. Surgical planning data were analyzed using a combination of 1.5 Tesla (T) and 3.0 T magnetic resonance image (MRI) for trajectory planning. Trajectories were classified into four types (type 1\u20134) based on the proximity of vascular structures within 2 mm on preoperative MRI scans, as defined in this study. Hemorrhage presence was evaluated through postoperative computed tomography scans.Results : Out of 200 patients analyzed, type 1 trajectories (no vascular structures within 2 mm on both MRIs) accounted for 72.70% of cases with the lowest hemorrhage rate. Significant differences in hemorrhage rates were observed among the types, with higher risks associated with type 4 trajectories. Additionally, significant variations in vascular structure types were noted across DBS targets, with subthalamic nucleus showing the highest risk.Conclusion : Meticulous trajectory planning using both 1.5 T and 3.0 T MRI is crucial in minimizing hemorrhagic complications in DBS. The study underscores the need for precise imaging and planning to enhance patient safety and surgical outcomes.<\/jats:p>","DOI":"10.3340\/jkns.2024.0198","type":"journal-article","created":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T19:40:07Z","timestamp":1739821207000},"page":"600-608","update-policy":"https:\/\/doi.org\/10.3340\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Minimizing Hemorrhage Complications in Deep Brain Stimulation Surgery - The Impact of Imaging Modalities and Trajectory Planning"],"prefix":"10.3340","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3021-5216","authenticated-orcid":true,"given":"Seung Woo","family":"Hong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7224-0745","authenticated-orcid":true,"given":"Phoung 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