Mesh : Humans Terminology as Topic Electroencephalography / standards methods Electrodes, Implanted Stereotaxic Techniques / standards Epilepsy / diagnosis physiopathology Female Male Brain / physiopathology physiology Drug Resistant Epilepsy / diagnosis physiopathology classification

来  源:   DOI:10.1097/WNP.0000000000001032

Abstract:
OBJECTIVE: Stereoelectroencephalography (SEEG) is widely performed on individuals with medically refractory epilepsy for whom invasive seizure localization is desired. Despite increasing adoption in many centers across the world, no standardized electrode naming convention exists, generating confusion among both clinical and research teams.
METHODS: We have developed a novel nomenclature, named the Standardized Electrode Nomenclature for SEEG Applications system. Concise, unique, informative, and unambiguous labels provide information about entry point, deep targets, and relationships between electrodes. Inter-rater agreement was evaluated by comparing original electrode names from 10 randomly sampled cases (including 136 electrodes) with those prospectively assigned by four additional blinded raters.
RESULTS: The Standardized Electrode Nomenclature for SEEG Application system was prospectively implemented in 40 consecutive patients undergoing SEEG monitoring at our institution, creating unique electrode names in all cases, and facilitating implantation design, SEEG recording and mapping interpretation, and treatment planning among neurosurgeons, neurologists, and neurophysiologists. The inter-rater percent agreement for electrode names among two neurosurgeons, two epilepsy neurologists, and one neurosurgical fellow was 97.5%.
CONCLUSIONS: This standardized naming convention, Standardized Electrode Nomenclature for SEEG Application, provides a simple, concise, reproducible, and informative method for specifying the target(s) and relative position of each SEEG electrode in each patient, allowing for successful sharing of information in both the clinical and research settings. General adoption of this nomenclature could pave the way for improved communication and collaboration between institutions.
摘要:
目的:立体脑电图(SEEG)广泛用于需要侵入性癫痫发作定位的医学难治性癫痫患者。尽管在世界各地的许多中心越来越多的采用,没有标准化的电极命名惯例存在,在临床和研究团队之间产生混乱。
方法:我们开发了一种新的命名法,命名为SEEG应用系统的标准化电极命名法。简洁,独特,翔实,和明确的标签提供有关入口点的信息,深层目标,和电极之间的关系。通过将10个随机抽样的病例(包括136个电极)的原始电极名称与另外4个盲目评估者前瞻性分配的电极名称进行比较,来评估评估者之间的一致性。
结果:在我们机构接受SEEG监测的40名连续患者中,前瞻性地实施了SEEG应用系统的标准化电极命名法,在所有情况下创建唯一的电极名称,促进植入设计,SEEG记录和绘图解释,和神经外科医生的治疗计划,神经学家,和神经生理学家。两位神经外科医生对电极名称的评分者百分比一致,两位癫痫神经学家,一名神经外科研究员的比例为97.5%。
结论:这种标准化的命名约定,SEEG应用的标准化电极命名法,提供了一个简单的,简洁,可重复,以及用于指定每个患者中每个SEEG电极的目标和相对位置的信息方法,允许在临床和研究环境中成功共享信息。普遍采用这一术语可以为改善机构之间的沟通和合作铺平道路。
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