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Clin Neurophysiol. 2017 Nov;128(11):2334-2346. doi: 10.1016/j.clinph.2017.07.418. Epub 2017 Aug 9.

Standardized computer-based organized reporting of EEG: SCORE - Second version.

Author information

1
Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Denmark; Department of Clinical Neurophysiology, Aarhus University, Aarhus, Denmark. Electronic address: sbz@filadelfia.dk.
2
Department of Neurology, Haukeland University Hospital and Department of Clinical Medicine, University of Bergen, Bergen, Norway.
3
Comprehensive Epilepsy Center, Yale University School of Medicine, New Haven, CT, USA.
4
Department of Neurology, Laboratory of Clinical Neurophysiology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA.
5
Department of Neurology, Christian Doppler Klinik, Paracelsus Medical University and Centre for Cognitive Neuroscience Salzburg, Austria; Institute for Public Health, Medical Decision Making & HTA, UMIT, Hall in Tyrol, Austria.
6
Department of Clinical Neurophysiology, Great Ormond Street Hospital and Clinical Neuroscience, UCL Great Ormond Street Institute of Child Health, London, UK.
7
Krembil Neuroscience Centre, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Canada.
8
Department of Clinical Neurophysiology, Stichting Epilepsie Instellingen Nederland (SEIN), The Netherlands.
9
Department of Clinical Neurophysiology, Necker Enfants Malades Hospital, Paris, France; INSERM U1129, Paris, France; Paris Descartes University, CEA, Gif sur Yvette, Paris, France.
10
University College London, Department of Clinical and Experimental Epilepsy, Queen Square, London, UK.
11
Johns Hopkins Medical Institutions, Baltimore, MD, USA.
12
Johns Hopkins University School of Medicine, Balimore, MD, USA.
13
Department of Pediatric Neurology, University Hospital of Lille, Lille, France.
14
Department of Neurology, Brigham and Women's Hospital, Boston, MA, USA.
15
Department of Neurophysiology, Hospital Santo António and UMIB/ICBAS - University of Porto, Porto, Portugal.
16
Department of Neurology, University Hospital Erlangen, Germany.
17
Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
18
Department of Neurology, Danish Epilepsy Center, Dianalund and University of Copenhagen, Copenhagen, Denmark.
19
Department of Clinical Neurophysiology, Rigshospitalet, Copenhagen, Denmark.
20
Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Denmark; University of Southern Denmark, Odense, Denmark.
21
Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Denmark.
22
Department of Neurology, Haukeland University Hospital and Department of Biological and Medical Psychology, University of Bergen, Norway.
23
Departments of Pediatrics and Neurology, Children's Hospital of Michigan, Wayne State University, Detroit, MI, USA.
24
Department of Neurology and Neurosurgery, Center for Neurology, Vilnius University, Vilnius, Lithuania.
25
Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Czech Republic.
26
Department of Neurology, University of Magdeburg, Magdeburg, Germany.
27
Department of Clinical Sciences, University of Lund, Lund, Sweden.
28
Department of Clinical Neurophysiology, Aarhus University, Aarhus, Denmark.
29
Department of Epilepsy, Movement Disorders and Physiology, Kyoto University, Graduate School of Medicine Shogoin, Sakyo-ku, Kyoto, Japan.
30
Department of Neurosciences, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
31
Department of Neurology, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka, Japan.
32
Department of Neurology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
33
Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Abstract

Standardized terminology for computer-based assessment and reporting of EEG has been previously developed in Europe. The International Federation of Clinical Neurophysiology established a taskforce in 2013 to develop this further, and to reach international consensus. This work resulted in the second, revised version of SCORE (Standardized Computer-based Organized Reporting of EEG), which is presented in this paper. The revised terminology was implemented in a software package (SCORE EEG), which was tested in clinical practice on 12,160 EEG recordings. Standardized terms implemented in SCORE are used to report the features of clinical relevance, extracted while assessing the EEGs. Selection of the terms is context sensitive: initial choices determine the subsequently presented sets of additional choices. This process automatically generates a report and feeds these features into a database. In the end, the diagnostic significance is scored, using a standardized list of terms. SCORE has specific modules for scoring seizures (including seizure semiology and ictal EEG patterns), neonatal recordings (including features specific for this age group), and for Critical Care EEG Terminology. SCORE is a useful clinical tool, with potential impact on clinical care, quality assurance, data-sharing, research and education.

KEYWORDS:

Clinical assessment; Database; EEG; Report; Standardized; Terminology

PMID:
28838815
DOI:
10.1016/j.clinph.2017.07.418
[Indexed for MEDLINE]
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