Standardized Computer-based Organized Reporting of EEG: SCORE

被引:87
作者
Beniczky, Sandor [1 ,2 ]
Aurlien, Harald [3 ,4 ]
Brogger, Jan C. [3 ,4 ]
Fuglsang-Frederiksen, Anders [2 ]
Martins-da-Silva, Antonio [5 ,6 ]
Trinka, Eugen [7 ]
Visser, Gerhard [8 ]
Rubboli, Guido [1 ,9 ]
Hjalgrim, Helle [1 ]
Stefan, Hermann [10 ]
Rosen, Ingmar [11 ]
Zarubova, Jana [12 ]
Dobesberger, Judith [7 ]
Alving, Jorgen [1 ]
Andersen, Kjeld V. [13 ,14 ]
Fabricius, Martin [13 ]
Atkins, Mary D. [1 ]
Neufeld, Miri [15 ]
Plouin, Perrine [16 ]
Marusic, Petr [17 ]
Pressler, Ronit [18 ]
Mameniskiene, Ruta [19 ,20 ]
Hopfengaertner, Ruediger [10 ]
Boas, Walter van Emde [8 ]
Wolf, Peter [21 ]
机构
[1] Danish Epilepsy Ctr, Dept Clin Neurophysiol, DK-4293 Dianalund, Denmark
[2] Univ Aarhus, Dept Clin Neurophysiol, Aarhus, Denmark
[3] Haukeland Hosp, Dept Neurol, N-5021 Bergen, Norway
[4] Univ Bergen, Dept Clin Med, Bergen, Norway
[5] Hosp Santo Antonio CHP, Dept Neurol Disorders, Oporto, Portugal
[6] Univ Porto, UMIB ICBAS, P-4100 Oporto, Portugal
[7] Paracelsus Med Univ, Dept Neurol, Salzburg, Austria
[8] Epilepsy Inst Netherlands SEIN, Dept Clin Neurophysiol, Heemstede, Netherlands
[9] Bellaria Hosp, IRCCS Inst Neurol Sci, Bologna, Italy
[10] Univ Hosp Erlangen, Neurol Clin, Epilepsy Ctr, Erlangen, Germany
[11] Lund Univ, Dept Clin Neurophysiol, Lund, Sweden
[12] Thomayer Hosp, Dept Neurol, Prague, Czech Republic
[13] Univ Copenhagen, Glostrup Hosp, Dept Clin Neurophysiol, Copenhagen, Denmark
[14] Normark Hosp, Ishoj, Denmark
[15] Tel Aviv Univ, Tel Aviv Sourasky Med Ctr, EEG & Epilepsy Unit, Dept Neurol, IL-69978 Tel Aviv, Israel
[16] Hop Necker Enfants Malad, Paris, France
[17] Charles Univ Prague, Fac Med 2, Dept Neurol, Motol Univ Hosp, Prague, Czech Republic
[18] NHS Fdn Trust, Great Ormond St Hosp Children, London, England
[19] Vilnius Univ Hosp Santariskiu Klinikos, Dept Neurol, Vilnius, Lithuania
[20] Vilnius State Univ, Fac Med, Clin Neurol & Neurosurg, Vilnius, Lithuania
[21] Danish Epilepsy Ctr, Dept Neurol, DK-4293 Dianalund, Denmark
关键词
Assessment; Database; Definitions; EEG; Semiology; Terms; EPILEPSY; REQUIREMENTS; COMMISSION;
D O I
10.1111/epi.12135
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features is achieved by visual analysis of the recordings. The interobserver agreement in EEG interpretation is only moderate. This is partly due to the method of reporting the findings in free-text format. The purpose of our endeavor was to create a computer-based system for EEG assessment and reporting, where the physicians would construct the reports by choosing from predefined elements for each relevant EEG feature, as well as the clinical phenomena (for video-EEG recordings). A working group of EEG experts took part in consensus workshops in Dianalund, Denmark, in 2010 and 2011. The faculty was approved by the Commission on European Affairs of the International League Against Epilepsy (ILAE). The working group produced a consensus proposal that went through a pan-European review process, organized by the European Chapter of the International Federation of Clinical Neurophysiology. The Standardised Computer-based Organised Reporting of EEG (SCORE) software was constructed based on the terms and features of the consensus statement and it was tested in the clinical practice. The main elements of SCORE are the following: personal data of the patient, referral data, recording conditions, modulators, background activity, drowsiness and sleep, interictal findings, episodes (clinical or subclinical events), physiologic patterns, patterns of uncertain significance, artifacts, polygraphic channels, and diagnostic significance. The following specific aspects of the neonatal EEGs are scored: alertness, temporal organization, and spatial organization. For each EEG finding, relevant features are scored using predefined terms. Definitions are provided for all EEG terms and features. SCORE can potentially improve the quality of EEG assessment and reporting; it will help incorporate the results of computer-assisted analysis into the report, it will make possible the build-up of a multinational database, and it will help in training young neurophysiologists.
引用
收藏
页码:1112 / 1124
页数:13
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