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@ARTICLE{Behnke:279187,
author = {Behnke, Jennifer K and Peach, Robert L and Habets, Jeroen G
V and Busch, Johannes L and Kaplan, Jonathan and Roediger,
Jan and Mathiopoulou, Varvara and Feldmann, Lucia K and
Gerster, Moritz and Vivien, Juliette and Schneider,
Gerd-Helge and Faust, Katharina and Krause, Patricia and
Kühn, Andrea A},
title = {{L}ong-{T}erm {S}tability of {S}patial {D}istribution and
{P}eak {D}ynamics of {S}ubthalamic {B}eta {P}ower in
{P}arkinson's {D}isease {P}atients.},
journal = {Movement disorders},
volume = {40},
number = {6},
issn = {0885-3185},
address = {New York, NY},
publisher = {Wiley},
reportid = {DZNE-2025-00715},
pages = {1070 - 1084},
year = {2025},
abstract = {Subthalamic beta oscillations are a biomarker for
bradykinesia and rigidity in Parkinson's disease (PD),
incorporated as a feedback signal in adaptive deep brain
stimulation with potential for guiding electrode contact
selection. Understanding their longitudinal stability is
essential for successful clinical implementation.We aimed to
analyze the long-term dynamics of beta peak parameters and
beta power distribution along electrodes.We recorded local
field potentials from 12 channels per hemisphere of 33 PD
patients at rest, in a therapy-off state at two to four
sessions (0, 3, 12, 18-44 months) post-surgery. We analyzed
bipolar beta power (13-35 Hz) and estimated monopolar beta
power in subgroups with consistent recordings.During the
initial 3 months, beta peak power increased (P < 0.0001).
While detection of high-beta peaks was more consistent, low-
and high-beta peak frequencies shifted substantially in some
hemispheres during all periods. Spatial distribution of beta
power correlated over time. Maximal beta power across
segmented contact levels and directions was significantly
stable compared with chance and increased in stability over
time. Active contacts for therapeutic stimulation showed
consistently higher normalized beta power than inactive
contacts (P < 0.0001).Our findings indicate that beta power
is a stable chronic biomarker usable for beta-guided
programming. For adaptive stimulation, high-beta peaks might
be more reliable over time. Greater stability of beta power,
center frequency, and spatial distribution beyond an initial
stabilization period suggests that the microlesional effect
significantly impacts neuronal oscillations, which should be
considered in routine clinical practice when using beta
activity for automated programming algorithms. © 2025 The
Author(s). Movement Disorders published by Wiley Periodicals
LLC on behalf of International Parkinson and Movement
Disorder Society.},
keywords = {Humans / Parkinson Disease: physiopathology / Parkinson
Disease: therapy / Male / Deep Brain Stimulation: methods /
Beta Rhythm: physiology / Subthalamic Nucleus:
physiopathology / Female / Middle Aged / Aged / Parkinson's
disease (Other) / beta band oscillations (Other) / deep
brain stimulation (Other) / local field potentials (Other) /
subthalamic nucleus (Other)},
cin = {AG Kühn},
ddc = {610},
cid = {I:(DE-2719)5000008},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40099366},
pmc = {pmc:PMC12160969},
doi = {10.1002/mds.30169},
url = {https://pub.dzne.de/record/279187},
}