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A Protocol Entry Catalog for Intraoperative Neuromonitoring - Steps Towards an Ontology.

Chantal Zbinden1,2, Moritz Strickler1, Murat Sariyar1

  • 1Bern University of Applied Sciences, Bern, Switzerland.

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Summary

Standardizing intraoperative neurophysiological monitoring (IOM) data recording is crucial. This study developed a catalog of standard expressions to improve data collection and analysis, aiming to reduce postoperative neurological deficits.

Keywords:
Intraoperative NeuromonitoringIntraoperative NeurophysiologyOntologyProtocol EntriesStandardized Data

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Area of Science:

  • Neurosurgery
  • Neuroscience
  • Medical Informatics

Background:

  • Intraoperative neurophysiological monitoring (IOM) is vital in neurosurgery to minimize postoperative deficits.
  • Current IOM practices lack a standardized method for recording neural electrical activity and associated events.
  • Consistent data recording is essential for analyzing clinical events and their impact on patient outcomes.

Purpose of the Study:

  • To develop and validate a standardized protocol for recording IOM data in neurosurgery.
  • To facilitate data input and enable diverse analyses of neurophysiological, surgical, and anesthesia events.
  • To establish a foundation for systematic research linking intraoperative events to postoperative neurological deficits.

Main Methods:

  • Development of a protocol entry catalog with 200 standard expressions across four initial categories: IOM, surgical procedure, anesthesia, and others.
  • Empirical assessment of the catalog by an IOM team to identify areas for improvement.
  • Refinement of the catalog into a final version with 25 categorized subcategories for enhanced data organization.

Main Results:

  • A comprehensive catalog of 200 standard expressions was created.
  • Empirical feedback led to the refinement of the catalog into 25 distinct subcategories.
  • The standardized catalog enhances the systematic recording of IOM-related events.

Conclusions:

  • The developed catalog represents a significant step towards standardizing IOM data collection in neurosurgery.
  • Standardization will support research into the relationship between intraoperative events and postoperative neurological deficits.
  • This initiative has the potential to improve surgical procedures and patient outcomes through data-driven insights.