Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/20839
Title: 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.
Authors: Bernasconi, Andrea;Cendes, Fernando;Theodore, William H;Gill, Ravnoor S;Koepp, Matthias J;Hogan, Robert Edward;Jackson, Graeme D;Federico, Paolo;Labate, Angelo;Vaudano, Anna Elisabetta;Blümcke, Ingmar;Ryvlin, Philippe;Bernasconi, Neda
Affiliation: Neuroimaging of Epilepsy Laboratory, McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada..
Institute for Neurology, University College London, London, UK
Department of Neurology, University of Campinas, Campinas, Brazil
The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Heidelberg, Victoria, Australia
Clinical Epilepsy Section, National Institutes of Health, Bethesda, Maryland
Neuroimaging of Epilepsy Laboratory, McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada
Department of Neurology, Washington University School of Medicine, St Louis, Missouri
Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
Institute of Neurology, University of Catanzaro, Catanzaro, Italy
Neurology Unit, Azienda Ospedaliero Universitaria, University of Modena and Reggio Emilia, Modena, Italy
Department of Neuropathology, University Hospital Erlangen, Erlangen, Germany
Clinical Neurosciences, Lausanne University Hospital, Lausanne, Switzerland
Neuroimaging of Epilepsy Laboratory, McConnell Brain Imaging Centre, Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada
Issue Date: Jun-2019
EDate: 2019-05-28
Citation: Epilepsia 2019; 60(6): 1054-1068
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.
URI: http://ahro.austin.org.au/austinjspui/handle/1/20839
DOI: 10.1111/epi.15612
ORCID: 0000-0001-9358-5703
0000-0001-9336-9568
0000-0002-4669-5747
0000-0002-8827-7324
0000-0001-7775-6576
PubMed URL: 31135062
Type: Journal Article
Subjects: adults
epilepsy
pediatrics
structural magnetic resonance imaging
Appears in Collections:Journal articles

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