调查目前的临床意见,以立体电脑图为基础的手术
John Thomas1,2, Chifaou Abdallah1, Zhengchen Cai1
1Montreal Neurological Institute and Hospital, McGill University, Montreal, Quebec, Canada.
Epilepsia
|August 3, 2024
概括
全球专家在立体电脑图 (SEEG) 术语和手术规划实践中显示出显著的差异. 这凸显了迫切需要标准化指导方针,以改善神经外科的沟通和研究.
科学领域:
- 神经外科 神经外科
- 发病学 (Epileptology) 是一个专业的学科.
- 医疗成像医学成像
背景情况:
- 立体电脑图 (SEEG) 是手术规划的关键工具.
- 在SEEG术语和解释方面缺乏国际共识.
- 在SEEG实践中的变化阻碍了临床解释和协作研究.
研究的目的:
- 评估全球专家对SEEG术语和手术前特征应用的观点.
- 分析手术结局得分的解释中的变异性.
- 调查专家人口统计学对这些意见的影响.
主要方法:
- 对具有专业SEEG培训的病学家进行了一项全球调查.
- 调查数据的定性分析,根据地区和经验对子组进行检查.
- 多级回归和分层后分析,以表征非响应者.
主要成果:
- 来自39个国家的321名专家回复显示了SEEG术语和实践的重大差异.
- 大多数人赞成卢德斯的发病区定义,但专家们对发病区定义持分歧的看法.
- 阴道的特征,特别是发作发作模式,优先于阴道间的特征.
结论:
- 在SEEG术语,实践和结果解释方面存在重大全球差异.
- 标准化术语和指导方针对于SEEG知情的手术至关重要.
- 这项研究为制定全球公认的SEEG标准提供了基础.
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