{"id":1549,"date":"2018-04-17T13:00:14","date_gmt":"2018-04-17T17:00:14","guid":{"rendered":"http:\/\/parkinsonpost.com\/?p=1549"},"modified":"2018-04-17T13:00:14","modified_gmt":"2018-04-17T17:00:14","slug":"shortening-the-path-to-a-successful-treatment","status":"publish","type":"post","link":"https:\/\/archiveparkinson.thedev.ca\/fr\/shortening-the-path-to-a-successful-treatment\/","title":{"rendered":"Shortening the path to a successful treatment"},"content":{"rendered":"<div id=\"attachment_1569\" style=\"width: 159px\" class=\"wp-caption alignright\"><a href=\"http:\/\/parkinsonpost.com\/wp-content\/uploads\/04_Alexandre-Boutet_photo_small.png\"><img aria-describedby=\"caption-attachment-1569\" loading=\"lazy\" class=\"size-full wp-image-1569\" src=\"http:\/\/parkinsonpost.com\/wp-content\/uploads\/04_Alexandre-Boutet_photo_small.png\" alt=\"image of person\" width=\"149\" height=\"196\" srcset=\"https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/04_Alexandre-Boutet_photo_small.png 149w, https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/04_Alexandre-Boutet_photo_small-114x150.png 114w, https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/04_Alexandre-Boutet_photo_small-100x132.png 100w\" sizes=\"(max-width: 149px) 100vw, 149px\" \/><\/a><p id=\"caption-attachment-1569\" class=\"wp-caption-text\"><span class=\"center-caption\">Alexandre Boutet<\/span><\/p><\/div>\n<p>For many people with Parkinson\u2019s disease who undergo deep brain stimulation, the treatment can appear nothing short of miraculous. The procedure involves surgically implanting a transmitter within the brain, to allow the application of electrical impulses that reduce or eliminate tremors and restore motor control.<\/p>\n<p>Achieving good results, though, calls for a great deal of fine-tuning. Alexandre Boutet, who is currently completing his doctorate in neuroscience at the University of Toronto, has seen some individuals take as long as a year to adjust to the implant. That\u2019s because it needs to be tuned to emit just the right amount of electricity to achieve the desired result in a patient\u2019s brain. For people who often travel across the country to gain access to this specialized treatment, the challenge is frustrating and expensive<\/p>\n<p>\u201cThe post-op period is often not as easy as patients hope it will be, because of all those logistical issues,\u201d he explains.<\/p>\n<p>Boutet is addressing this problem with another powerful technology, the imaging system known as functional magnetic resonance imaging (fMRI). This specialized MRI technique allows a strong magnetic field to compose a useful picture of blood flow, which also reveals those brain cells that are activated at any given moment. Depending on the type of stimulus \u2014 such as when an individual is reading, speaking, or listening to music \u2014 different parts of the brain \u201clight up\u201d accordingly in an fMRI image.<\/p>\n<p><a href=\"http:\/\/archiveparkinson.thedev.ca\/about-us\/national-volunteer-week\/\" target=\"_blank\" rel=\"noopener\"><img loading=\"lazy\" class=\"alignright wp-image-1595 size-full\" src=\"http:\/\/parkinsonpost.com\/wp-content\/uploads\/National-Volunteer-Week-Tombstone-Ad_websize.jpg\" alt=\"National Volunteer Week promo\" width=\"385\" height=\"513\" srcset=\"https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/National-Volunteer-Week-Tombstone-Ad_websize.jpg 385w, https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/National-Volunteer-Week-Tombstone-Ad_websize-225x300.jpg 225w, https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/National-Volunteer-Week-Tombstone-Ad_websize-113x150.jpg 113w, https:\/\/archiveparkinson.thedev.ca\/wp-content\/uploads\/National-Volunteer-Week-Tombstone-Ad_websize-100x133.jpg 100w\" sizes=\"(max-width: 385px) 100vw, 385px\" \/><\/a>This same strategy makes it possible to map out which parts of the brain DBS will activate as the DBS is turned on. If doctors could identify the optimal settings for the device with an MRI after surgery, it could reduce a patient\u2019s adjustment period \u2013 maybe even to a single day.<\/p>\n<p>\u201cIf we can cut down that first year to a one-day MRI, that would be great,\u201d Boutet says.<\/p>\n<p>The imaging technique also provides patients with highly accessible images so they can see exactly how DBS will help them.\u00a0 \u201cIt\u2019s very intuitive to understand,\u201d he says.<\/p>\n<p>Boutet also believes fMRI, combined with DBS, will have the potential to treat mental illness, the field where his research began. His original interest in the use of DBS for mental ailments drew him into the study of Parkinson\u2019s disease, which is in fact the most common reason for the use of this technology. He finds it satisfying that the innovation he is exploring could benefit patients facing all these different types of problems.<\/p>\n<p>\u201cThe whole goal of this research is very patient-oriented,\u201d he says.\u00a0 \u201cIt\u2019s to make their lives much better.\u201d<\/p>\n<p>Boutet\u2019s project is possible thanks to a two-year $30,000 Porridge for Parkinson\u2019s (Toronto) Graduate Student Award in Honour of Isabel M. Cerny. Read about\u00a0<a href=\"http:\/\/archiveparkinson.thedev.ca\/category\/profile-research\/research-2017-2019\/\">other researchers<\/a>\u00a0recently funded by the Parkinson Canada Research Program by visiting the research section of\u00a0<a href=\"http:\/\/archiveparkinson.thedev.ca\/\">archiveparkinson.thedev.ca<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>For many people with Parkinson\u2019s disease who undergo deep brain stimulation, the treatment can appear nothing short of miraculous. The &#8230; <a href=\"https:\/\/archiveparkinson.thedev.ca\/fr\/shortening-the-path-to-a-successful-treatment\/\" class=\"more-link\">En savoir plus<\/a><\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[237],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Shortening the path to a successful treatment - Parkinson Canada<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Shortening the path to a successful treatment - Parkinson Canada\" \/>\n<meta property=\"og:description\" content=\"For many people with Parkinson\u2019s disease who undergo deep brain stimulation, the treatment can appear nothing short of miraculous. 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