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International Veterinary Epilepsy Task Force recommendations for a veterinary epilepsy-specific MRI protocol

机译:国际兽医癫痫特别工作组对兽用癫痫特异性MRI方案的建议

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摘要

Epilepsy is one of the most common chronic neurological diseases in veterinary practice. Magnetic resonance imaging (MRI) is regarded as an important diagnostic test to reach the diagnosis of idiopathic epilepsy. However, given that the diagnosis requires the exclusion of other differentials for seizures, the parameters for MRI examination should allow the detection of subtle lesions which may not be obvious with existing techniques. In addition, there are several differentials for idiopathic epilepsy in humans, for example some focal cortical dysplasias, which may only apparent with special sequences, imaging planes and/or particular techniques used in performing the MRI scan. As a result, there is a need to standardize MRI examination in veterinary patients with techniques that reliably diagnose subtle lesions, identify post-seizure changes, and which will allow for future identification of underlying causes of seizures not yet apparent in the veterinary literature.There is a need for a standardized veterinary epilepsy-specific MRI protocol which will facilitate more detailed examination of areas susceptible to generating and perpetuating seizures, is cost efficient, simple to perform and can be adapted for both low and high field scanners. Standardisation of imaging will improve clinical communication and uniformity of case definition between research studies. A 6–7 sequence epilepsy-specific MRI protocol for veterinary patients is proposed and further advanced MR and functional imaging is reviewed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12917-015-0466-x) contains supplementary material, which is available to authorized users.
机译:癫痫病是兽医实践中最常见的慢性神经系统疾病之一。磁共振成像(MRI)被认为是诊断特发性癫痫的重要诊断方法。但是,考虑到诊断需要排除癫痫发作的其他差异,因此MRI检查的参数应可以检测出细微的病变,而这在现有技术中可能并不明显。此外,人的特发性癫痫有几种差异,例如某些局灶性皮质发育异常,只有通过特殊序列,成像平面和/或用于执行MRI扫描的特定技术才能显现。因此,需要使用可靠诊断细微病变,识别癫痫发作后变化的技术来标准化兽医患者的MRI检查,这将有助于将来确定在兽医文献中尚不明显的癫痫发作的潜在原因。需要一种标准化的兽用癫痫特异性MRI协议,该协议将有助于更详细地检查易发生和持续性癫痫发作的区域,具有成本效益,易于执行且可适用于低场和高场扫描仪。成像的标准化将改善研究之间的临床交流和病例定义的统一性。提出了针对兽医患者的6-7序列癫痫特异性MRI方案,并对进一步的MR和功能成像进行了综述。电子补充材料本文的在线版本(doi:10.1186 / s12917-015-0466-x)包含补充材料,可供授权用户使用。

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