The aerospace screening electroencephalogram: an analysis of benefits and costs in the U.S. Air Force

Using the techniques of decision analysis, three possible EEG screening strategies for U.S. Air Force pilots are evaluated. Available clinical and epidemiological data are organized so that the relative merits of the three strategies can be assessed by decision makers. The optimal strategy is found to be screening fighter pilot candidates only. Screening all pilot candidates is less "cost-effective" and using the EEG as a routine screening test in evaluating combat-qualified pilots for nonneurological conditions is the least effective strategy. Needs for further research and unanswered questions are discussed.