Open-source neuronavigation for multimodal non-invasive brain stimulation using 3D Slicer

Abstract: In recent years, non-invasive neuro-modulation methods such as Focused Ultrasound (FUS) have gained popularity. The aim of this work is to introduce the use of existing open-source technology for surgical navigation to the field of multimodal non-invasive brain stimulation. Unlike homegrown and commercial systems, the use of well-documented, well maintained, and freely available open-source components minimizes the learning curve, maximizes technology transfer outcome, and fosters reproducible science for complex, guided neuromodulation systems. The described system significantly lowers the entry bar to clinical research and experimentation in the field of non-invasive brain stimulation. Our contribution is two-fold. First, a high-level overview of the components of the descried system is given in this manuscript. Second, all files are made available online, with a comprehensive step-by-step manual, quickly allowing researchers to build a custom system. A spatial accuracy of 0.93 mm was found through validation using a robotic positioning system.