Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy
Introduction. The MRI method has revolutionized the diagnosis of epilepsy. However, the widespread adoption of MRI in clinical practice is slowed by an insufficient number of high-field MRI scanners, a shortage of trained specialists, and the lack of standard examination protocols. The aim of this a...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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IRBIS LLC
2019-10-01
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| Series: | Эпилепсия и пароксизмальные состояния |
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| Online Access: | https://www.epilepsia.su/jour/article/view/483 |
| _version_ | 1797879414062579712 |
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| author | G. N. Avakyan D. V. Blinov A. A. Alikhanov E. M. Perepelova V. A. Perepelov S. G. Burd A. V. Lebedeva G. G. Avakyan |
| author_facet | G. N. Avakyan D. V. Blinov A. A. Alikhanov E. M. Perepelova V. A. Perepelov S. G. Burd A. V. Lebedeva G. G. Avakyan |
| author_sort | G. N. Avakyan |
| collection | DOAJ |
| description | Introduction. The MRI method has revolutionized the diagnosis of epilepsy. However, the widespread adoption of MRI in clinical practice is slowed by an insufficient number of high-field MRI scanners, a shortage of trained specialists, and the lack of standard examination protocols. The aim of this article is to present the Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy.Materials and methods. As a structural element of the International League Against Epilepsy (ILAE), the RLAE considers it important to adapt the Protocol developed by ILAE for specialists in Russia and EAEU countries. The working group analyzed and generalized the clinical practice existing in the Russian Federation, the Republic of Kazakhstan, the Republic of Belarus and the Republic of Uzbekistan. These recommendations are intended for doctors in specialized centers of epilepsy surgery, and for doctors in general medical centers. The recommendations are applicable primarily to adult patients, but the general principles are relevant to children as well.Results. In all patients with convulsive seizures shortly after the first seizure, or patients diagnosed with epilepsy who have an unexplained increase in the frequency of seizures, rapid decrease in cognitive functions or the appearance / worsening of neuropsychiatric symptoms, the RLAE recommends using a unified MR protocol for the neuroimaging of structural sequences in epilepsy with three-dimensional pulse sequences T1 and T2 FLAIR with isotropic voxel 1 × 1 × 1 mm3 and two-dimensional T2- weighted pulse sequences with a pixel size of 1 × 1 mm2 or less. The MRI examination should be combined with EEG or EEG-video monitoring. Using this protocol allows one to set a unified standard for examining patients with epilepsy in order to detect (with high sensitivity) brain lesions playing a key role in the occurrence of seizures. Here, all 13 recommendations are presented.Conclusion. Implementation of these recommendations in clinical practice will improve the access to high-tech medical care and optimize health care costs. |
| first_indexed | 2024-04-10T02:47:14Z |
| format | Article |
| id | doaj.art-e0583c3c43d8400abea5778aa222fab2 |
| institution | Directory Open Access Journal |
| issn | 2077-8333 2311-4088 |
| language | Russian |
| last_indexed | 2024-04-10T02:47:14Z |
| publishDate | 2019-10-01 |
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| series | Эпилепсия и пароксизмальные состояния |
| spelling | doaj.art-e0583c3c43d8400abea5778aa222fab22023-03-13T07:44:17ZrusIRBIS LLCЭпилепсия и пароксизмальные состояния2077-83332311-40882019-10-0111320823210.17749/2077-8333.2019.11.3.208-232451Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsyG. N. Avakyan0D. V. Blinov1A. A. Alikhanov2E. M. Perepelova3V. A. Perepelov4S. G. Burd5A. V. Lebedeva6G. G. Avakyan7Pirogov Russian National Research Medical UniversityInstitute for Preventive and Social Medicine; Moscow Haass Medical – Social Institute; Lapino Clinic Hospital, MD Medical GroupPirogov Russian National Research Medical UniversitySechenov UniversityRussian Medical Academy of Postgraduate EducationPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversityIntroduction. The MRI method has revolutionized the diagnosis of epilepsy. However, the widespread adoption of MRI in clinical practice is slowed by an insufficient number of high-field MRI scanners, a shortage of trained specialists, and the lack of standard examination protocols. The aim of this article is to present the Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy.Materials and methods. As a structural element of the International League Against Epilepsy (ILAE), the RLAE considers it important to adapt the Protocol developed by ILAE for specialists in Russia and EAEU countries. The working group analyzed and generalized the clinical practice existing in the Russian Federation, the Republic of Kazakhstan, the Republic of Belarus and the Republic of Uzbekistan. These recommendations are intended for doctors in specialized centers of epilepsy surgery, and for doctors in general medical centers. The recommendations are applicable primarily to adult patients, but the general principles are relevant to children as well.Results. In all patients with convulsive seizures shortly after the first seizure, or patients diagnosed with epilepsy who have an unexplained increase in the frequency of seizures, rapid decrease in cognitive functions or the appearance / worsening of neuropsychiatric symptoms, the RLAE recommends using a unified MR protocol for the neuroimaging of structural sequences in epilepsy with three-dimensional pulse sequences T1 and T2 FLAIR with isotropic voxel 1 × 1 × 1 mm3 and two-dimensional T2- weighted pulse sequences with a pixel size of 1 × 1 mm2 or less. The MRI examination should be combined with EEG or EEG-video monitoring. Using this protocol allows one to set a unified standard for examining patients with epilepsy in order to detect (with high sensitivity) brain lesions playing a key role in the occurrence of seizures. Here, all 13 recommendations are presented.Conclusion. Implementation of these recommendations in clinical practice will improve the access to high-tech medical care and optimize health care costs.https://www.epilepsia.su/jour/article/view/483magnetic resonance imagingmrineuroimagingconvulsive syndromeepilepsymesial temporal lobe epilepsyhippocampal sclerosisfocal cortical dysplasiapharmacoresistanceepi- protocolmr scannert1t2flairswi |
| spellingShingle | G. N. Avakyan D. V. Blinov A. A. Alikhanov E. M. Perepelova V. A. Perepelov S. G. Burd A. V. Lebedeva G. G. Avakyan Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy Эпилепсия и пароксизмальные состояния magnetic resonance imaging mri neuroimaging convulsive syndrome epilepsy mesial temporal lobe epilepsy hippocampal sclerosis focal cortical dysplasia pharmacoresistance epi- protocol mr scanner t1 t2 flair swi |
| title | Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| title_full | Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| title_fullStr | Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| title_full_unstemmed | Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| title_short | Recommendations of the Russian League Against Epilepsy (RLAE) on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| title_sort | recommendations of the russian league against epilepsy rlae on the use of magnetic resonance imaging in the diagnosis of epilepsy |
| topic | magnetic resonance imaging mri neuroimaging convulsive syndrome epilepsy mesial temporal lobe epilepsy hippocampal sclerosis focal cortical dysplasia pharmacoresistance epi- protocol mr scanner t1 t2 flair swi |
| url | https://www.epilepsia.su/jour/article/view/483 |
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