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
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
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DOI：
10.1111/epi.15612
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发表时间：
2019-06-01
期刊：
影响因子：
5.6
通讯作者：
Bernasconi, Neda
中科院分区：
文献类型：
--
作者：
Bernasconi, Andrea;Cendes, Fernando;Bernasconi, Neda
结构磁共振成像（MRI）是诊断和治疗癫痫的基础重要性，特别是当手术正在考虑。尽管有以前的建议和指南，但MRI的使用实践在世界范围内是可变的，可能无法利用最新技术进步的全部潜力来造福癫痫患者。因此，国际抗癫痫联盟诊断方法委员会（International League Against Epilepsy Diagnosis Methods Commission）已责成2013-2017年神经影像工作组（Neuroimaging Task Force）制定一系列建议，以解决以下问题：（1）谁应该接受MRI？(2)MRI癫痫方案的最低要求是什么？(3)如何评估磁共振（MR）图像？(4)如何优化病变检测？这些建议针对的是已建立的癫痫中心的临床医生和综合/地区医院的神经科医生。他们支持对新发全身性和局灶性癫痫进行常规结构成像，并描述了需要进行详细评估的情况范围。神经影像工作组确定了一组序列，其核心是三维采集，癫痫结构序列的协调神经影像-HARNESS-MRI方案。由于这些序列在大多数MR扫描仪上可用，因此HARNESS-MRI方案是可推广的，无论临床环境和国家如何。神经影像工作组也赞同使用计算机辅助的图像后处理方法，以提供一个客观的帐户个人的大脑解剖和病理。通过讨论MRI的广度和深度，本报告强调了这种非侵入性研究在癫痫患者护理中的独特作用。
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.