Klinische Neurophysiologie 2018; 49(02): e1-e18
DOI: 10.1055/s-0043-125304
Originalia
© Georg Thieme Verlag KG Stuttgart · New York

Standardisierter Computer-basiert-organisierter Report des EEG (SCORE) – Eine strukturierende Form der EEG-Befundung

Standardisied Computer-based Organised Reporting of EEG (SCORE) – A structuring method to report EEG-findings
F C Schmitt
1   Universitätsklinik für Neurologie, Otto-von-Guericke Universität, Magdeburg, Deutschland
,
H Aurlien
2   Department of Neurology, Haukeland University Hospital and Department of Clinical Medicine, University of Bergen, Bergen, Norwegen
,
J C Brøgger
2   Department of Neurology, Haukeland University Hospital and Department of Clinical Medicine, University of Bergen, Bergen, Norwegen
,
L J Hirsch
3   Comprehensive Epilepsy Center, Yale University School of Medicine, New Haven, CT, USA
,
D L Schomer
4   Department of Neurology, Laboratory of Clinical Neurophysiology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA
,
E Trinka
5   Universitätskliniklinik für Neurologie, Christian Doppler Klinik, Paracelsus Medizinische Universität und Zentrum für Kognitive Neurowissenschaften Salzburg, Österreich und Institut für Public Health, Versorgungsforschung & HTA, UMIT, Hall in Tirol, Österreich
,
R M Pressler
6   Department of Clinical Neurophysiology, Great Ormond Street Hospital und Clinical Neuroscience, UCL Great Ormond Street Institute of Child Health, London, Großbritannien
,
R Wennberg
7   Krembil Neuroscience Centre, Toronto Western Hospital, University of Toronto, Toronto, Ontario, Kanada
,
G H Visser
8   Department of Clinical Neurophysiology, Stichting Epilepsie Instellingen Nederland (SEIN), Niederlande
,
M Eisermann
9   Department of Clinical Neurophysiology, Necker Enfants Malades Hospital, Paris, Frankreich und INSERM U1129, Paris, France, Paris Descartes University, CEA, Gif sur Yvette, Paris, Frankreich
,
B Diehl
10   University College London, Department of Clinical and Experimental Epilepsy, Queen Square, London, Großbritannien
,
R P Lesser
11   Johns Hopkins Medical Institutions, Baltimore, MD, USA
,
P W Kaplan
12   Johns Hopkins University School of Medicine, Baltimore, Maryland, MD, USA
,
S N The Tich
13   Department of Pediatric Neurology, University Hospital of Lille, Lille, Frankreich
,
J W Lee
14   Department of Neurology, Brigham and Women’s Hospital, Boston, MA, USA
,
A Martins-da-Silva
15   Department of Neurophysiology, Hospital Santo António and UMIB/ICBAS – University of Porto, Porto, Portugal
,
H Stefan
16   Abteilung für Neurologie und Biomagnetismus, Universitätsklinikum Erlangen, Deutschland
,
M Neufeld
17   Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel
,
G Rubboli
18   Department of Neurology, Danish Epilepsy Center, Dianalund and University of Copenhagen, Kopenhagen, Dänemark
,
M Fabricius
19   Department of Clinical Neurophysiology, Rigshospitalet, Kopenhagen, Dänemark
,
E Gardella
20   University of Southern Denmark, Odense, Dänemark
21   Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Dänemark
,
D Terney
21   Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Dänemark
,
P Meritam
21   Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Dänemark
,
T Eichele
22   Department of Neurology, Haukeland University Hospital and Department of Biological and Medical Psychology, University of Bergen, Norwegen
,
E Asano
23   Departments of Pediatrics and Neurology, Children’s Hospital of Michigan, Wayne State University, Detroit, Michigan, US
,
F Cox
8   Department of Clinical Neurophysiology, Stichting Epilepsie Instellingen Nederland (SEIN), Niederlande
,
W van Emde Boas
8   Department of Clinical Neurophysiology, Stichting Epilepsie Instellingen Nederland (SEIN), Niederlande
,
R Mameniskiene
24   Department of Neurology and Neurosurgery, Center for Neurology, Vilnius University, Vilnius, Litauen
,
P Marusic
25   Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Tschechische Republik
,
J Zárubová
25   Department of Neurology, Charles University, 2nd Faculty of Medicine, Motol University Hospital, Tschechische Republik
,
I Rosén
26   Department of Clinical Sciences, University of Lund, Lund, Schweden
,
A Fuglsang-Frederiksen
27   Department of Clinical Neurophysiology, Aarhus University, Aarhus, Dänemark
,
A Ikeda
28   Department of Epilepsy, Movement Disorders and Physiology Kyoto University Graduate School of Medicine Shogoin, Sakyo-ku Kyoto, Japan
,
D B MacDonald
29   Department of Neurosciences, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabien
,
K Terada
30   Department of Neurology, Shizuoka Institute of Epilepsy and Neurological Disorders, Shizuoka, Japan
,
Y Ugawa
31   Department of Neurology, School of Medicine, Fukushima Medical University, Fukushima, Japan
,
D Zhou
32   Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
,
S T Herman
4   Department of Neurology, Laboratory of Clinical Neurophysiology, Beth Israel Deaconess Medical Center, Harvard University, Boston, MA, USA
,
S Beniczky
21   Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Dänemark
27   Department of Clinical Neurophysiology, Aarhus University, Aarhus, Dänemark
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2018 (online)

Zusammenfassung

Eine 2013 von der „International Federation of Clinical Neurophysiology“ gegründete Taskforce hat eine international konsensfähige EEG-Terminologie entwickelt. Im Folgenden soll das Resultat – die 2. Version des Standardized Computer-based Organized Reporting of EEG (SCORE) - vorgestellt werden. Die Terminologie wurde im Rahmen eines Softwarepaketes (SCORE-EEG) in der klinischen Praxis an über 12.000 EEGs getestet. Die Auswahl der Begriffe ist kontextabhängig: die initiale Auswahl bestimmt, welche weiteren Auswahlmöglichkeiten zur Verfügung stehen. Im Verlauf wird automatisch ein Befund erstellt und dessen Einzelmerkmale in eine Datenbank eingespeist. SCORE verfügt über Module spezifisch für die Befundung epileptischer Anfälle, sowie charakteristischer neonataler und intensivmedizinische EEG-Merkmale. SCORE ist nicht nur ein nützliches Werkzeug im ambulanten, klinischen und wissenschaftlichen Setting, es erleichtert auch Qualitätssicherung, Datenaustausch und die EEG-Aus und Weiterbildung.

Abstract

A taskforce formed in 2013 by the International Federation of Clinical Neurophysiology developed an EEG terminology with international consensus. In the following, the result – the second version of “Standardized Computer-based Organized Reporting of EEG” (SCORE) will be summarised. The terminology was tested in clinical practice using a software package (SCORE-EEG) applied to over 12,000 EEGs. The selection of terms is context-dependent: the initial selection determines which further options are available. A report is automatically generated and individual features are fed into a database. SCORE contains specialised modules for reporting on epileptic seizures, as well as for characteristic neonatal and intensive care EEG features. SCORE is a useful tool not only for outpatient, clinical and research settings, but also for quality control, data sharing and education.

 
  • Literatur

  • 1 Noachtar S, Binnie C, Ebersole J. et al. A glossary of terms most commonly used by clinical electroencephalographers and proposal for the report form for the EEG findings. The International Federation of Clinical Neurophysiology. Electroencephalogr Clin Neurophysiol Suppl 1999; 52: 21-41
  • 2 Noachtar S, Binnie C, Ebersole J. et al. Glossar der meistgebrauchten Begriffe in der klinischen Elektroenzephalographie und Vorschläge für die EEG-Befunderstellung. Klin Neurophysiol 2004; 35: 5-21
  • 3 Noachtar S, Binnie C, Ebersole J. et al. Glossar der meistgebrauchten Begriffe in der klinischen Elektroenzephalographie und Vorschläge für die EEG-Befunderstellung*. Z Für Epileptol 2005; 18: 71-77
  • 4 van Donselaar CA, Schimsheimer RJ, Geerts AT. et al. Value of the electroencephalogram in adult patients with untreated idiopathic first seizures. Arch Neurol 1992; 49: 231-237
  • 5 Stroink H, Schimsheimer R-J, de Weerd AW. et al. Interobserver reliability of visual interpretation of electroencephalograms in children with newly diagnosed seizures. Dev Med Child Neurol 2006; 48: 374-377
  • 6 Gerber PA, Chapman KE, Chung SS. et al. Interobserver agreement in the interpretation of EEG patterns in critically ill adults. J Clin Neurophysiol Off Publ Am Electroencephalogr Soc 2008; 25: 241-249
  • 7 Gaspard N, Hirsch LJ, LaRoche SM. et al. Critical Care EEG Monitoring Research Consortium. Interrater agreement for Critical Care. EEG Terminology. Epilepsia 2014; 55: 1366-1373
  • 8 Beniczky S, Aurlien H, Brøgger JC. et al. Standardized computer-based organized reporting of EEG: SCORE. Epilepsia 2013; 54: 1112-1124
  • 9 Beniczky S, Hirsch LJ, Kaplan PW. et al. Unified EEG terminology and criteria for nonconvulsive status epilepticus. Epilepsia 2013; 54 (Suppl. 06) 28-29
  • 10 Pressler RM, Schmitt FC, Beniczky S. et al. Standardisierter computer-basiert-organisierter Report des EEG. Z Für Epileptol 2014; 27: 120-125
  • 11 Morgan TA, Helibrun ME, Kahn CE. Reporting initiative of the Radiological Society of North America: progress and new directions. Radiology 2014; 273: 642-645
  • 12 Ellis DW, Srigley J. Does standardised structured reporting contribute to quality in diagnostic pathology? The importance of evidence-based datasets. Virchows Arch 2016; 468: 51-59
  • 13 Bretthauer M, Aabakken L, Dekker E. et al. Reporting systems in gastrointestinal endoscopy: Requirements and standards facilitating quality improvement: European Society of Gastrointestinal Endoscopy position statement. United Eur Gastroenterol J 2016; 4: 172-176
  • 14 Beniczky S, Aurlien H, Brøgger JC. et al. Standardized computer-based organized reporting of EEG: SCORE – Second version. Clin Neurophysiol 2017; 128: 2334-2346
  • 15 Acharya J, Benickzy S, Caboclo L et al. A revised glossary of terms most commonly used by clinical electroencephalographers and updated proposal for the report format of the EEG findings. Revision 2017. Clin Neurophysiol Pract 2017
  • 16 Fisher RS, Cross JH, French JA. et al. Operational classification of seizure types by the International League Against Epilepsy: Position Paper of the ILAE Commission for Classification and Terminology. Epilepsia 2017; 58: 522-530
  • 17 Scheffer IE, Berkovic S, Capovilla G. et al. ILAE classification of the epilepsies: Position paper of the ILAE Commission for Classification and Terminology. Epilepsia 2017; 58: 512-521
  • 18 Blume WT, Lüders HO, Mizrahi E. et al. Glossary of descriptive terminology for ictal semiology: report of the ILAE task force on classification and terminology. Epilepsia 2001; 42: 1212-1218
  • 19 Trinka E, Cock H, Hesdorffer D. et al. A definition and classification of status epilepticus – Report of the ILAE Task Force on Classification of Status Epilepticus. Epilepsia 2015; 56: 1515-1523
  • 20 Hirsch LJ, LaRoche SM, Gaspard N. et al. American Clinical Neurophysiology Society’s Standardized Critical Care EEG Terminology: 2012 version. J Clin Neurophysiol 2013; 30: 1-27
  • 21 Tsuchida TN, Wusthoff CJ, Shellhaas RA. et al. American clinical neurophysiology society standardized EEG terminology and categorization for the description of continuous EEG monitoring in neonates: report of the American Clinical Neurophysiology Society critical care monitoring committee. J Clin Neurophysiol 2013; 30: 161-173
  • 22 DGKN. Richtlinien zur Beschreibung und Beurteilung des EEG. Im Internet: http://www.dgkn.de/fileadmin/richtlinien_pdf/EEG7.pdf
  • 23 Tatum WO, Olga S, Ochoa JG. et al. American Clinical Neurophysiology Society Guideline 7: Guidelines for EEG Reporting. J Clin Neurophysiol 2016; 33: 328-332
  • 24 DIMDI – ICD-10-WHO – Versionsverlauf. Im Internet: http://www.dimdi.de/static/de/klassi/icd-10-who/historie/gueltigwho.htm
  • 25 Orphanet: Das Portal für seltene Krankheiten und Orphan Drugs. Copyright: INSERM 1997. 2017; Im Internet: http://www.orpha.net
  • 26 ATC-WHO-Liste. Im Internet: https://www.whocc.no/atc_ddd_index/
  • 27 Seeck M, Koessler L, Bast T. et al. The standardized EEG electrode array of the IFCN. Clin Neurophysiol 2017; 128: 2070-2077
  • 28 Kasteleijn-Nolst Trenité DG, Guerrini R, Binnie CD. et al. Visual sensitivity and epilepsy: a proposed terminology and classification for clinical and EEG phenomenology. Epilepsia 2001; 42: 692-701
  • 29 Beniczky S, Rubboli G, Aurlien H. et al. The new ILAE seizure classification: 63 seizure types?. Epilepsia 2017; 58: 1298-1300
  • 30 Engle WA. American Academy of Pediatrics Committee on Fetus and Newborn. Age terminology during the perinatal period. Pediatrics 2004; 114: 1362-1364
  • 31 Brogger J, Eichele T, Aanestad E et al. Visual EEG reviewing times with SCORE EEG. Clin Neurophysiol Pract in press
  • 32 Schomer DL, da Silva FHL. (Hrsg.) Niedermeyer’s Electroencephalography: Basic Principles, Clinical Applications, and Related Fields. New Edition Oxford, New York: Oxford University Press; 2018