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非侵入性移动脑电图作为癫痫监测和管理工具的系统评价。

Noninvasive mobile EEG as a tool for seizure monitoring and management: A systematic review.

作者信息

Biondi Andrea, Santoro Viviana, Viana Pedro F, Laiou Petroula, Pal Deb K, Bruno Elisa, Richardson Mark P

机构信息

Department of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.

Faculty of Medicine, University of Lisbon, Lisbon, Portugal.

出版信息

Epilepsia. 2022 May;63(5):1041-1063. doi: 10.1111/epi.17220. Epub 2022 Mar 27.

Abstract

In the last two decades new noninvasive mobile electroencephalography (EEG) solutions have been developed to overcome limitations of conventional clinical EEG and to improve monitoring of patients with long-term conditions. Despite the availability of mobile innovations, their adoption is still very limited. The aim of this study is to review the current state-of-the-art and highlight the main advantages of adopting noninvasive mobile EEG solutions in clinical trials and research studies of people with epilepsy or suspected seizures. Device characteristics are described, and their evaluation is presented. Two authors independently performed a literature review in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A combination of different digital libraries was used (Embase, MEDLINE, Global Health, PsycINFO and https://clinicaltrials.gov/). Twenty-three full-text, six conference abstracts, and eight webpages were included, where a total of 14 noninvasive mobile solutions were identified. Published studies demonstrated at different levels how EEG recorded via mobile EEG can be used for visual detection of EEG abnormalities and for the application of automatic-detection algorithms with acceptable specificity and sensitivity. When the quality of the signal was compared with scalp EEG, many similarities were found in the background activities and power spectrum. Several studies indicated that the experience of patients and health care providers using mobile EEG was positive in different settings. Ongoing trials are focused mostly on improving seizure-detection accuracy and also on testing and assessing feasibility and acceptability of noninvasive devices in the hospital and at home. This review supports the potential clinical value of noninvasive mobile EEG systems and their advantages in terms of time, technical support, cost, usability, and reliability when applied to seizure detection and management. On the other hand, the limitations of the studies confirmed that future research is needed to provide more evidence regarding feasibility and acceptability in different settings, as well as the data quality and detection accuracy of new noninvasive mobile EEG solutions.

摘要

在过去二十年中,新型非侵入式移动脑电图(EEG)解决方案得以开发,以克服传统临床脑电图的局限性,并改善对患有长期病症患者的监测。尽管有了移动创新技术,但它们的采用仍然非常有限。本研究的目的是回顾当前的技术现状,并突出在癫痫患者或疑似癫痫发作患者的临床试验和研究中采用非侵入式移动EEG解决方案的主要优势。描述了设备特性并给出了评估。两位作者根据系统评价和Meta分析的首选报告项目(PRISMA)指南独立进行了文献综述。使用了不同数字图书馆的组合(Embase、MEDLINE、全球健康、PsycINFO和https://clinicaltrials.gov/)。纳入了23篇全文、6篇会议摘要和8个网页,共识别出14种非侵入式移动解决方案。已发表的研究在不同层面表明,通过移动EEG记录的脑电图可用于视觉检测脑电图异常,以及应用具有可接受特异性和敏感性的自动检测算法。当将信号质量与头皮脑电图进行比较时,在背景活动和功率谱中发现了许多相似之处。几项研究表明,患者和医疗保健提供者在不同环境中使用移动EEG的体验是积极的。正在进行的试验主要集中在提高癫痫发作检测准确性,以及测试和评估非侵入式设备在医院和家庭中的可行性和可接受性。本综述支持非侵入式移动EEG系统的潜在临床价值及其在应用于癫痫发作检测和管理时在时间、技术支持、成本、可用性和可靠性方面的优势。另一方面,研究的局限性证实,未来需要开展更多研究,以提供更多关于不同环境中的可行性和可接受性,以及新型非侵入式移动EEG解决方案的数据质量和检测准确性的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2e4/9311406/d2960907e2a3/EPI-63-1041-g001.jpg

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