Imaging of Epilepsy Surgery, Minimally Invasive Techniques, and Neuromodulation

Area of Science:

• Neurology
• Radiology
• Medical Imaging

Background:

• Epilepsy surgery offers treatment for drug-resistant epilepsy.
• Modern techniques include resective surgery, ablative methods, and neuromodulation.
• Radiologists are integral to all phases of epilepsy treatment.

Purpose of the Study:

• To review the critical role of radiologists in modern epilepsy surgery.
• To discuss imaging considerations for various surgical interventions.
• To highlight how imaging expertise improves patient outcomes.

Main Methods:

• Review of imaging techniques for epilepsy surgery.
• Examination of preoperative, intraoperative, and postoperative imaging.
• Discussion of specific modalities: intracranial monitoring, resection, laser interstitial thermal therapy (LITT), radiofrequency ablation (RFA), and neuromodulation.

Main Results:

• Radiologists guide planning, procedural execution, and surveillance in epilepsy surgery.
• Characteristic imaging findings and temporal changes are crucial for monitoring.
• Adherence to MR imaging safety protocols is vital.

Conclusions:

• Radiologists' understanding of imaging is vital for successful epilepsy surgery.
• Optimizing imaging interpretation enhances patient care and seizure outcomes.
• Collaboration within multidisciplinary teams is essential for preserving neurologic function.