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注意缺陷多动障碍中的定量脑电图:面向临床医生和支付方的配套支付政策综述

Quantitative EEG in attention-deficit/hyperactivity disorder: A companion payment policy review for clinicians and payers.

作者信息

Nuwer Marc R, Buchhalter Jeffrey, Shepard Katie M

机构信息

University of California Los Angeles (MRN); University of Calgary (JB), Canada; and American Academy of Neurology (KMS), Minneapolis, MN.

出版信息

Neurol Clin Pract. 2016 Dec;6(6):543-548. doi: 10.1212/CPJ.0000000000000308.

DOI:10.1212/CPJ.0000000000000308
PMID:28058208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5200849/
Abstract

Quantitative EEG measurement of the scalp vertex theta/beta ratio (TBR) is marketed as a tool for use in the evaluation of patients who may have attention-deficit/hyperactivity disorder (ADHD). The American Academy of Neurology (AAN) recently assessed the literature about this tool. The assessment urged caution, considering that the TBR remains an investigational research tool at this time. This perspective comments further on that assessment and its rationale, and recommends a perspective for the clinician and payer.

摘要

头皮顶点θ/β比值(TBR)的定量脑电图测量作为一种工具用于评估可能患有注意力缺陷多动障碍(ADHD)的患者。美国神经病学学会(AAN)最近评估了有关该工具的文献。考虑到目前TBR仍是一种研究性工具,该评估敦促谨慎使用。本观点进一步评论了该评估及其基本原理,并为临床医生和付款人推荐了一种观点。

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本文引用的文献

1
Practice advisory: The utility of EEG theta/beta power ratio in ADHD diagnosis: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology.实践指南:脑电图θ/β功率比在注意力缺陷多动障碍诊断中的效用:美国神经病学学会指南制定、传播与实施小组委员会报告
Neurology. 2016 Nov 29;87(22):2375-2379. doi: 10.1212/WNL.0000000000003265. Epub 2016 Oct 19.
2
Editorial Perspective: How should child psychologists and psychiatrists interpret FDA device approval? Caveat emptor.编辑视角:儿童心理学家和精神科医生应如何解读美国食品药品监督管理局(FDA)的器械批准?买家自负。
J Child Psychol Psychiatry. 2016 May;57(5):656-8. doi: 10.1111/jcpp.12524.
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Integration of an EEG biomarker with a clinician's ADHD evaluation.脑电图生物标志物与临床医生对注意力缺陷多动障碍评估的整合。
Brain Behav. 2015 Apr;5(4):e00330. doi: 10.1002/brb3.330. Epub 2015 Mar 5.
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Resting electroencephalogram in attention deficit hyperactivity disorder: developmental course and diagnostic value.注意缺陷多动障碍的静息脑电图:发育过程和诊断价值。
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A decade of EEG Theta/Beta Ratio Research in ADHD: a meta-analysis.ADHD 中脑电图θ/β 比值研究的十年:一项荟萃分析。
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Brain Topogr. 2013 Jan;26(1):135-51. doi: 10.1007/s10548-012-0258-6. Epub 2012 Oct 9.
8
The quantitative EEG theta/beta ratio in attention deficit/hyperactivity disorder and normal controls: sensitivity, specificity, and behavioral correlates.注意缺陷多动障碍与正常对照的定量脑电图θ/β比值:敏感性、特异性和行为相关性。
Psychiatry Res. 2012 Aug 15;198(3):482-8. doi: 10.1016/j.psychres.2011.12.041. Epub 2012 Mar 16.
9
Using brain-based cognitive measures to support clinical decisions in ADHD.利用基于大脑的认知测量来支持 ADHD 的临床决策。
Pediatr Neurol. 2010 Feb;42(2):118-26. doi: 10.1016/j.pediatrneurol.2009.08.010.
10
Relation between resting EEG to cognitive performance and clinical symptoms in adults with attention-deficit/hyperactivity disorder.注意缺陷多动障碍成人静息脑电图与认知表现和临床症状的关系。
Neurosci Lett. 2010 Jan 18;469(1):102-6. doi: 10.1016/j.neulet.2009.11.053. Epub 2009 Nov 27.