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Standardized Computer-based Organized Reporting of EEG: SCORE

Beniczky, Sandor ; Aurlien, Harald ; Brogger, Jan C. ; Fuglsang-Frederiksen, Anders ; Martins-da-Silva, Antonio ; Trinka, Eugen ; Visser, Gerhard ; Rubboli, Guido ; Hjalgrim, Helle and Stefan, Hermann , et al. (2013) In Epilepsia 54(6). p.1112-1124
Abstract
The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features is achieved by visual analysis of the recordings. The interobserver agreement in EEG interpretation is only moderate. This is partly due to the method of reporting the findings in free-text format. The purpose of our endeavor was to create a computer-based system for EEG assessment and reporting, where the physicians would construct the reports by choosing from predefined elements for each relevant EEG feature, as well as the clinical phenomena (for video-EEG recordings). A working group of EEG experts took part in consensus workshops in Dianalund, Denmark, in 2010 and 2011. The faculty was approved by the Commission on... (More)
The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features is achieved by visual analysis of the recordings. The interobserver agreement in EEG interpretation is only moderate. This is partly due to the method of reporting the findings in free-text format. The purpose of our endeavor was to create a computer-based system for EEG assessment and reporting, where the physicians would construct the reports by choosing from predefined elements for each relevant EEG feature, as well as the clinical phenomena (for video-EEG recordings). A working group of EEG experts took part in consensus workshops in Dianalund, Denmark, in 2010 and 2011. The faculty was approved by the Commission on European Affairs of the International League Against Epilepsy (ILAE). The working group produced a consensus proposal that went through a pan-European review process, organized by the European Chapter of the International Federation of Clinical Neurophysiology. The Standardised Computer-based Organised Reporting of EEG (SCORE) software was constructed based on the terms and features of the consensus statement and it was tested in the clinical practice. The main elements of SCORE are the following: personal data of the patient, referral data, recording conditions, modulators, background activity, drowsiness and sleep, interictal findings, episodes (clinical or subclinical events), physiologic patterns, patterns of uncertain significance, artifacts, polygraphic channels, and diagnostic significance. The following specific aspects of the neonatal EEGs are scored: alertness, temporal organization, and spatial organization. For each EEG finding, relevant features are scored using predefined terms. Definitions are provided for all EEG terms and features. SCORE can potentially improve the quality of EEG assessment and reporting; it will help incorporate the results of computer-assisted analysis into the report, it will make possible the build-up of a multinational database, and it will help in training young neurophysiologists. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Assessment, Database, Definitions, EEG, Semiology, Terms
in
Epilepsia
volume
54
issue
6
pages
1112 - 1124
publisher
Wiley-Blackwell
external identifiers
  • wos:000319873800021
  • scopus:84878542126
  • pmid:23506075
ISSN
0013-9580
DOI
10.1111/epi.12135
language
English
LU publication?
yes
id
e6c97ffe-6b58-4b56-b97a-0a419f417ab9 (old id 3927102)
date added to LUP
2016-04-01 09:49:28
date last changed
2022-04-11 23:11:42
@article{e6c97ffe-6b58-4b56-b97a-0a419f417ab9,
  abstract     = {{The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features is achieved by visual analysis of the recordings. The interobserver agreement in EEG interpretation is only moderate. This is partly due to the method of reporting the findings in free-text format. The purpose of our endeavor was to create a computer-based system for EEG assessment and reporting, where the physicians would construct the reports by choosing from predefined elements for each relevant EEG feature, as well as the clinical phenomena (for video-EEG recordings). A working group of EEG experts took part in consensus workshops in Dianalund, Denmark, in 2010 and 2011. The faculty was approved by the Commission on European Affairs of the International League Against Epilepsy (ILAE). The working group produced a consensus proposal that went through a pan-European review process, organized by the European Chapter of the International Federation of Clinical Neurophysiology. The Standardised Computer-based Organised Reporting of EEG (SCORE) software was constructed based on the terms and features of the consensus statement and it was tested in the clinical practice. The main elements of SCORE are the following: personal data of the patient, referral data, recording conditions, modulators, background activity, drowsiness and sleep, interictal findings, episodes (clinical or subclinical events), physiologic patterns, patterns of uncertain significance, artifacts, polygraphic channels, and diagnostic significance. The following specific aspects of the neonatal EEGs are scored: alertness, temporal organization, and spatial organization. For each EEG finding, relevant features are scored using predefined terms. Definitions are provided for all EEG terms and features. SCORE can potentially improve the quality of EEG assessment and reporting; it will help incorporate the results of computer-assisted analysis into the report, it will make possible the build-up of a multinational database, and it will help in training young neurophysiologists.}},
  author       = {{Beniczky, Sandor and Aurlien, Harald and Brogger, Jan C. and Fuglsang-Frederiksen, Anders and Martins-da-Silva, Antonio and Trinka, Eugen and Visser, Gerhard and Rubboli, Guido and Hjalgrim, Helle and Stefan, Hermann and Rosén, Ingmar and Zarubova, Jana and Dobesberger, Judith and Alving, Jorgen and Andersen, Kjeld V. and Fabricius, Martin and Atkins, Mary D. and Neufeld, Miri and Plouin, Perrine and Marusic, Petr and Pressler, Ronit and Mameniskiene, Ruta and Hopfengaertner, Ruediger and Boas, Walter van Emde and Wolf, Peter}},
  issn         = {{0013-9580}},
  keywords     = {{Assessment; Database; Definitions; EEG; Semiology; Terms}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{1112--1124}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Epilepsia}},
  title        = {{Standardized Computer-based Organized Reporting of EEG: SCORE}},
  url          = {{http://dx.doi.org/10.1111/epi.12135}},
  doi          = {{10.1111/epi.12135}},
  volume       = {{54}},
  year         = {{2013}},
}