Standardized computer-based organized reporting of EEG: SCORE - Second version.

Area of Science:

• Clinical Neurophysiology
• Medical Informatics

Background:

• Previous European efforts established standardized terminology for computer-based EEG assessment and reporting.
• The International Federation of Clinical Neurophysiology initiated a taskforce in 2013 to achieve international consensus on EEG reporting standards.

Purpose of the Study:

• To present the second, revised version of SCORE (Standardized Computer-based Organized Reporting of EEG).
• To introduce the SCORE EEG software package, implementing the revised standardized terminology.
• To evaluate the clinical utility and impact of the SCORE system.

Main Methods:

• The revised SCORE terminology was integrated into the SCORE EEG software.
• The software was clinically validated on a large dataset of 12,160 EEG recordings.
• A context-sensitive selection process guides the reporting of clinically relevant EEG features, automatically generating reports and populating a database.

Main Results:

• The SCORE EEG software successfully implemented standardized terms for reporting clinically relevant EEG features.
• The system demonstrated context-sensitive term selection, automating report generation and data entry.
• Specific modules were developed for seizures, neonatal recordings, and Critical Care EEG Terminology.

Conclusions:

• SCORE serves as a valuable clinical tool for standardized EEG assessment and reporting.
• The system has the potential to significantly impact clinical care, quality assurance, data sharing, research, and education in neurophysiology.