Recommendations for the use of structural magnetic resonance imaging in the care of patients with epilepsy: A consensus report from the International League Against Epilepsy Neuroimaging Task Force.
Andrea Bernasconi,Fernando Cendes,William H. Theodore,Ravnoor S. Gill,Matthias J. Koepp,Robert Hogan,Graeme D. Jackson,Paolo Federico,Angelo Labate,Anna Elisabetta Vaudano,Ingmar Blümcke,Philippe Ryvlin,Neda Bernasconi +12 more
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TLDR
The Neuroimaging Task Force endorses the use of computer‐aided image postprocessing methods to provide an objective account of an individual's brain anatomy and pathology and emphasizes the unique role of this noninvasive investigation in the care of people with epilepsy.Abstract:
Structural magnetic resonance imaging (MRI) is of fundamental importance to the diagnosis and treatment of epilepsy, particularly when surgery is being considered. Despite previous recommendations and guidelines, practices for the use of MRI are variable worldwide and may not harness the full potential of recent technological advances for the benefit of people with epilepsy. The International League Against Epilepsy Diagnostic Methods Commission has thus charged the 2013-2017 Neuroimaging Task Force to develop a set of recommendations addressing the following questions: (1) Who should have an MRI? (2) What are the minimum requirements for an MRI epilepsy protocol? (3) How should magnetic resonance (MR) images be evaluated? (4) How to optimize lesion detection? These recommendations target clinicians in established epilepsy centers and neurologists in general/district hospitals. They endorse routine structural imaging in new onset generalized and focal epilepsy alike and describe the range of situations when detailed assessment is indicated. The Neuroimaging Task Force identified a set of sequences, with three-dimensional acquisitions at its core, the harmonized neuroimaging of epilepsy structural sequences-HARNESS-MRI protocol. As these sequences are available on most MR scanners, the HARNESS-MRI protocol is generalizable, regardless of the clinical setting and country. The Neuroimaging Task Force also endorses the use of computer-aided image postprocessing methods to provide an objective account of an individual's brain anatomy and pathology. By discussing the breadth and depth of scope of MRI, this report emphasizes the unique role of this noninvasive investigation in the care of people with epilepsy.read more
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Response to commentary on recommendations for the use of structural MRI in the care of patients with epilepsy: A consensus report from the ILAE Neuroimaging Task Force.
Andrea Bernasconi,Fernando Cendes,William H. Theodore,Ravnoor S. Gill,Matthias J. Koepp,Robert Hogan,Graeme D. Jackson,Paolo Federico,Angelo Labate,Anna Elisabetta Vaudano,Ingmar Blümcke,Philippe Ryvlin,Neda Bernasconi +12 more
TL;DR: The authors point out that gradient recall echo (GRE‐T2*) or susceptibility weighted imaging (SWI) should be integrated in a standard workup of epilepsy, and the Committee is of the opinion that dedicated sequences could be added in appropriate clinical circumstances.
Journal ArticleDOI
From Genetic Testing to Precision Medicine in Epilepsy
TL;DR: The most recent advances in genetic testing are summarized and up-to-date approaches for the choice of the correct test for some epileptic disorders and tailored treatments that are already applicable in some monogenic epilepsies are provided.
Journal ArticleDOI
Connectome biomarkers of drug-resistant epilepsy.
TL;DR: A systematic review on existing DRE network biomarker candidates and their contribution to three key application areas: modeling of cognitive impairments, localization of the surgical target, and prediction of clinical and cognitive outcomes after surgery is performed.
Journal ArticleDOI
The ILAE consensus classification of focal cortical dysplasia: An update proposed by an ad hoc task force of the ILAE diagnostic methods commission
Imad Najm,Dennis Lal,Mario A. Alonso Vanegas,Fernando Cendes,Iscia Lopes-Cendes,André Palmini,Eliseu Paglioli,Harvey B. Sarnat,Christopher T. Walsh,Samuel Wiebe,Eleonora Aronica,Stéphanie Baulac,Roland Coras,Katja Kobow,J. Helen Cross,Rita Garbelli,Hans Holthausen,Karl Rössler,Maria Thom,Assam El-Osta,Jeong Ho Lee,Hajime Miyata,Renzo Guerrini,Yue-Shan Piao,Dong Zhou,Ingmar Blümcke +25 more
TL;DR: The TF proposes to include mMCDs, MOGHE, and “no definite FCD on histopathology” as new categories in the updated FCD classification, which may help to foster multidisciplinary efforts toward a better understanding of FCD and the development of novel targeted treatment options.
Journal ArticleDOI
Automated detection of hippocampal sclerosis using clinically empirical and radiomics features.
Jiajie Mo,Zhenyu Liu,Kai Sun,Yanshan Ma,Wenhan Hu,Chao Zhang,Yao Wang,Xiu Wang,Chang Liu,Baotian Zhao,Kai Zhang,Jianguo Zhang,Jie Tian +12 more
TL;DR: MRI‐negative hippocampal sclerosis can hamper early diagnosis and surgical intervention for patients in clinical practice, resulting in disease progression, so the aim was to automatically detect and evaluate the structural alterations of HS.
References
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The clinicopathologic spectrum of focal cortical dysplasias: A consensus classification proposed by an ad hoc Task Force of the ILAE Diagnostic Methods Commission
Ingmar Blümcke,Maria Thom,Eleonora Aronica,Dawna D. Armstrong,Harry V. Vinters,André Palmini,Thomas S. Jacques,Giuliano Avanzini,A. James Barkovich,Giorgio Battaglia,Albert J. Becker,Carlos Cepeda,Fernando Cendes,Nadia Colombo,Peter B. Crino,J. Helen Cross,Olivier Delalande,François Dubeau,John S. Duncan,Renzo Guerrini,Philippe Kahane,Gary W. Mathern,Imad Najm,Cigdem Ozkara,Charles Raybaud,Alfonso Represa,Steven N. Roper,Noriko Salamon,Andreas Schulze-Bonhage,Laura Tassi,Annamaria Vezzani,Roberto Spreafico +31 more
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Journal ArticleDOI
Is the underlying cause of epilepsy a major prognostic factor for recurrence
Franck Semah,M.-C. Picot,Claude Adam,D. Broglin,Alexis Arzimanoglou,B. Bazin,D. Cavalcanti,Michel Baulac +7 more
TL;DR: In adults, partial epilepsy is more difficult to treat than idiopathic generalized epilepsy, and in patients who have partial epilepsy, the location of the epileptogenic zone does not seem to be a determining factor.
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