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Role of Diffusion MRI Tractography in Endoscopic Endonasal Skull Base Surgery
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Diffusion tensor tractography imaging in pediatric epilepsy - A systematic review.

Marta Szmuda1, Tomasz Szmuda2, Janusz Springer3

  • 1Department of Developmental Neurology, Medical University of Gdańsk, Gdańsk, Poland.

Neurologia I Neurochirurgia Polska
|February 7, 2016
PubMed
Summary

Adding diffusion tensor tractography imaging (DTI) to MRI may benefit pediatric epilepsy patients, especially for temporal lobe epilepsy and pre-surgical planning. This review evaluates current evidence for DTI in childhood epilepsy.

Keywords:
Diffusion tensor tractographyPediatric epilepsySystematic review

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Area of Science:

  • Neurology
  • Radiology
  • Medical Imaging

Background:

  • Diffusion Tensor Tractography (DTI) is increasingly reported in epilepsy research.
  • Its role in pediatric epilepsy diagnostics requires evaluation.

Purpose of the Study:

  • To assess the evidence for incorporating DTI into standard MRI protocols for pediatric epilepsy.
  • To determine the clinical utility of DTI in specific pediatric epilepsy cases.

Main Methods:

  • Rapid Evidence Assessment (RAE) of studies published in the last 7 years.
  • Systematic search of PubMed for "tractography AND epilepsy" in pediatric populations.
  • Quality appraisal of included studies.

Main Results:

  • 101 studies were aggregated from 144 screened records, with 73 used for synthesis.
  • Sufficient evidence supports DTI for temporal lobe epilepsy, cortical malformations, and pre-neurosurgery planning.
  • Some studies showed limitations in 'confirmability' and 'applicability'.

Conclusions:

  • DTI may offer clinical benefits when added to standard MRI for pediatric epilepsy.
  • Specifically recommended for childhood temporal lobe epilepsy and epilepsy surgery planning.
  • Qualitative RAE provides an interim assessment of DTI's clinical relevance.