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TRACTOGRAPHY: TARGET THE PATHWAY
- The DRTT illustrates the move from nuclei to fibres
- DRT / DRTT
- Dentate
- SCP
- Red nucleus
- Thalamus / VIM
- TRACT-BASED THINKING
- ANATOMY — Where is the nucleus?
- PATHWAY — Which fibres carry the relevant signal?
- FIELD — Which fibres does the stimulation recruit?
- OUTCOME — Does pathway engagement predict benefit?
- For tremor, DRTT-based targeting can complement VIM coordinates and anatomy; tractography remains sensitive to acquisition and modelling choices.
- Dr Vikas Kathuria | MCh Neurosurgery
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34A PATIENT-SPECIFIC TRACTOGRAPHY — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeTractography
DescriptionAuthentic patient diffusion reconstruction, consent and licensing confirmed. Never synthesize tractography.
Clinical purposeSupport fellowship-level interpretation without fabricating imaging or tractography.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE (licensing confirmed)
Copyright statusSource and reproduction rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 07 · Slide 34
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34B VIM–DRT PATHWAY — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeTractography
DescriptionPublished or institutional DRT reconstruction displayed with the thalamic target.
Clinical purposeSupport fellowship-level interpretation without fabricating imaging or tractography.
Suggested sourceINSERT AUTHENTIC CLINICAL / PUBLISHED IMAGE HERE (licensing confirmed)
Copyright statusSource and reproduction rights must be confirmed before use.
CaptionTo be written with the final image
AssociationModule 07 · Slide 34