Burger Rahel M, Miron Gadi, Fenske Pascal, Potratz Cornelia, Kaindl Angela M, Meisel Christian
Charité-Universitätsmedizin Berlin, Department of Pediatric Neurology and Center for Chronically Sick Children, Berlin, Germany.
Charité-Universitätsmedizin Berlin, German Epilepsy Center for Children and Adolescents, Berlin, Germany.
Epilepsy Behav Rep. 2025 Jul 30;31:100811. doi: 10.1016/j.ebr.2025.100811. eCollection 2025 Sep.
Home videos are increasingly presented in clinical practice, and secure digital tools for clinical video sharing are urgently needed. This study evaluated the feasibility of a secure video-sharing digital platform in pediatric epilepsy diagnostics. We conducted a prospective pilot study that included 60 children (median age 5.5 years) with suspected seizures and their caregivers at a tertiary pediatric center. Participants were invited to submit videos of suspected events through a secure smartphone application. Videos were reviewed by an epileptologist and in parallel participants underwent standard diagnostic evaluation. Outcome measures included video quality, concordance of video assessment with diagnostic workup, and user evaluation questionnaires. Of recruited participants, 16 (26.7 %) used the app to submit 81 videos (median 5.1 videos per patient), with 94 % (76/81 videos) having sufficient quality for meaningful clinical review. Among these participants, 11 (68.8 %) had confirmed epilepsy as their final diagnosis, while 5 (31.2 %) did not. Expert review classified 48.1 % of videos as likely epileptic events, with generalized tonic-clonic seizures being most common (24.7 %). Concordance between submitted videos and final clinical diagnosis was demonstrated in 68.8 % of cases, with higher concordance significantly related to the number of videos submitted (mean 6.4 vs. 2.2 videos per patient, p = 0.04). User evaluation showed favorable ratings for app usability (mean score 5.4/7). This study demonstrates the feasibility of secure digital video transfer in pediatric epilepsy diagnostics, emphasizing the importance of multiple video submissions for accurate diagnosis. Future implementation should address barriers to wider adoption and investigate clinical impact.
家庭视频在临床实践中越来越常见，因此迫切需要用于临床视频共享的安全数字工具。本研究评估了一个安全视频共享数字平台在儿科癫痫诊断中的可行性。我们在一家三级儿科中心开展了一项前瞻性试点研究，纳入了60名疑似癫痫发作的儿童（中位年龄5.5岁）及其照顾者。邀请参与者通过一个安全的智能手机应用程序提交疑似发作事件的视频。一名癫痫专家对视频进行了评估，与此同时，参与者接受了标准诊断评估。结果指标包括视频质量、视频评估与诊断检查结果的一致性以及用户评价问卷。在招募的参与者中，16名（26.7%）使用该应用程序提交了81个视频（每位患者中位数为5.1个视频），其中94%（76/81个视频）的质量足以进行有意义的临床评估。在这些参与者中，11名（68.8%）最终确诊为癫痫，而5名（31.2%）未确诊。专家评估将48.1%的视频分类为可能的癫痫发作事件，其中全身强直阵挛性发作最为常见（24.7%）。68.8%的病例显示提交的视频与最终临床诊断结果一致，一致性较高与提交的视频数量显著相关（每位患者平均6.4个视频与2.2个视频，p = 0.04）。用户评价显示对应用程序的可用性评价良好（平均得分5.4/7）。本研究证明了安全数字视频传输在儿科癫痫诊断中的可行性，强调了多次提交视频对准确诊断的重要性。未来的实施应解决更广泛采用的障碍，并调查其临床影响。
