Towards automated patient-specific optimization of deep brain stimulation for movement disorders

Annu Int Conf IEEE Eng Med Biol Soc. 2019 Jul:2019:6159-6162. doi: 10.1109/EMBC.2019.8857736.

Abstract

In this paper we present a simulation framework for automated optimization of deep brain stimulation (DBS) parameters based on the hand kinematics signal as the feedback signal, in patients with essential tremor. We used Gaussian Process regression (GPR) models to develop patient-specific models for predicting the effect of DBS on the hand kinematics using the clinical data that was recorded during DBS programming. In this framework, we characterized the performance of a Bayesian Optimization method to identify the optimal DBS parameters that maximized the clinical efficacy. Our results demonstrate the feasibility of using black-box optimization methods for automated identification of optimal DBS parameters in clinical settings.

MeSH terms

  • Bayes Theorem
  • Biomechanical Phenomena
  • Deep Brain Stimulation*
  • Essential Tremor* / therapy
  • Humans
  • Treatment Outcome