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EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy

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Title: EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy
Authors: Traub-Weidinger, Tatjana, Arbizu, Javier, Barthel, Henryk, Boellaard, Ronald, Borgwardt, Lise, Brendel, Matthias, Cecchin, Diego, Chassoux, Francine, Fraioli, Francesco, Garibotto, Valentina, Guedj, Eric, Hammers, Alexander, Law, Ian, Morbelli, Silvia, Tolboom, Nelleke, Van Weehaeghe, Donatienne, Verger, Antoine, Van Paesschen, Wim, von Oertzen, Tim J., Zucchetta, Pietro, Semah, Franck
Contributors: MS Radiologie, Brain, Cancer, Ferrand, Patrick
Source: Eur J Nucl Med Mol Imaging
Traub-Weidinger, T, Arbizu, J, Barthel, H, Boellaard, R, Borgwardt, L, Brendel, M, Cecchin, D, Chassoux, F, Fraioli, F, Garibotto, V, Guedj, E, Hammers, A, Law, I, Morbelli, S, Tolboom, N, van Weehaeghe, D, Verger, A, van Paesschen, W, von Oertzen, T J, Zucchetta, P & Semah, F 2024, 'EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy', European Journal of Nuclear Medicine and Molecular Imaging, vol. 51, no. 7, pp. 1891-1908. https://doi.org/10.1007/s00259-024-06656-3
European journal of nuclear medicine and molecular imaging 51(7), 1891-1908 (2024). doi:10.1007/s00259-024-06656-3
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Drug-resistant epilepsy, Extratemporal epilepsy, Focal epilepsy, Ictal SPECT, Imaging, Interictal SPECT, MRI, Neurotransmitter PET, Paediatric epileptic syndromes, Presurgical evaluation, Surgery, Temporal lobe epilepsy, [, 18, F]FDG PET, TEMPORAL-LOBE EPILEPSY, TUBEROUS SCLEROSIS COMPLEX, FDG-PET/MRI COREGISTRATION, DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMORS, 616.0757, Radiology, Nuclear Medicine & Medical Imaging, methods [Positron-Emission Tomography], ICTAL SPECT, [ F]FDG PET, LENNOX-GASTAUT-SYNDROME, 3. Good health, [18F]FDG PET, Europe, Nuclear Medicine & Medical Imaging, Radiology Nuclear Medicine and imaging, CEREBRAL GLUCOSE-METABOLISM, diagnostic imaging [Epilepsy], Life Sciences & Biomedicine, Europe [MeSH], Tomography, Emission-Computed, Single-Photon [MeSH], Humans [MeSH], Guidelines, Epilepsy/diagnostic imaging [MeSH], Positron-Emission Tomography/standards [MeSH], Positron-Emission Tomography/methods [MeSH], Nuclear Medicine [MeSH], 0299 Other Physical Sciences, [F-18]FDG PET, standards [Positron-Emission Tomography], [SDV.IB.MN] Life Sciences [q-bio]/Bioengineering/Nuclear medicine, POSITRON-EMISSION-TOMOGRAPHY, FOCAL CORTICAL DYSPLASIA, Humans, ddc:610, STURGE-WEBER SYNDROME, Tomography, Emission-Computed, Single-Photon, Science & Technology, Epilepsy, 1103 Clinical Sciences, Positron-Emission Tomography, Nuclear Medicine
Description: Epilepsy is one of the most frequent neurological conditions with an estimated prevalence of more than 50 million people worldwide and an annual incidence of two million. Although pharmacotherapy with anti-seizure medication (ASM) is the treatment of choice, ~30% of patients with epilepsy do not respond to ASM and become drug resistant. Focal epilepsy is the most frequent form of epilepsy. In patients with drug-resistant focal epilepsy, epilepsy surgery is a treatment option depending on the localisation of the seizure focus for seizure relief or seizure freedom with consecutive improvement in quality of life. Beside examinations such as scalp video/electroencephalography (EEG) telemetry, structural, and functional magnetic resonance imaging (MRI), which are primary standard tools for the diagnostic work-up and therapy management of epilepsy patients, molecular neuroimaging using different radiopharmaceuticals with single-photon emission computed tomography (SPECT) and positron emission tomography (PET) influences and impacts on therapy decisions. To date, there are no literature-based praxis recommendations for the use of Nuclear Medicine (NM) imaging procedures in epilepsy. The aims of these guidelines are to assist in understanding the role and challenges of radiotracer imaging for epilepsy; to provide practical information for performing different molecular imaging procedures for epilepsy; and to provide an algorithm for selecting the most appropriate imaging procedures in specific clinical situations based on current literature. These guidelines are written and authorized by the European Association of Nuclear Medicine (EANM) to promote optimal epilepsy imaging, especially in the presurgical setting in children, adolescents, and adults with focal epilepsy. They will assist NM healthcare professionals and also specialists such as Neurologists, Neurophysiologists, Neurosurgeons, Psychiatrists, Psychologists, and others involved in epilepsy management in the detection and interpretation of epileptic seizure onset zone (SOZ) for further treatment decision. The information provided should be applied according to local laws and regulations as well as the availability of various radiopharmaceuticals and imaging modalities.
Document Type: Article
Other literature type
File Description: application/pdf
Language: English
ISSN: 1619-7089
1619-7070
DOI: 10.1007/s00259-024-06656-3
Access URL: https://pubmed.ncbi.nlm.nih.gov/38393374
https://research.vumc.nl/en/publications/18fed0cb-fc61-4551-9177-4da3cc28fd56
https://dspace.library.uu.nl/handle/1874/453779
https://archive-ouverte.unige.ch/unige:177274
https://doi.org/10.1007/s00259-024-06656-3
https://hdl.handle.net/11577/3512081
https://doi.org/10.1007/s00259-024-06656-3
https://repository.publisso.de/resource/frl:6518891
https://epub.ub.uni-muenchen.de/117672/
https://discovery-pp.ucl.ac.uk/id/eprint/10188667/
Rights: CC BY
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  Data: EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy
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  Data: <searchLink fieldCode="AR" term="%22Traub-Weidinger%2C+Tatjana%22">Traub-Weidinger, Tatjana</searchLink><br /><searchLink fieldCode="AR" term="%22Arbizu%2C+Javier%22">Arbizu, Javier</searchLink><br /><searchLink fieldCode="AR" term="%22Barthel%2C+Henryk%22">Barthel, Henryk</searchLink><br /><searchLink fieldCode="AR" term="%22Boellaard%2C+Ronald%22">Boellaard, Ronald</searchLink><br /><searchLink fieldCode="AR" term="%22Borgwardt%2C+Lise%22">Borgwardt, Lise</searchLink><br /><searchLink fieldCode="AR" term="%22Brendel%2C+Matthias%22">Brendel, Matthias</searchLink><br /><searchLink fieldCode="AR" term="%22Cecchin%2C+Diego%22">Cecchin, Diego</searchLink><br /><searchLink fieldCode="AR" term="%22Chassoux%2C+Francine%22">Chassoux, Francine</searchLink><br /><searchLink fieldCode="AR" term="%22Fraioli%2C+Francesco%22">Fraioli, Francesco</searchLink><br /><searchLink fieldCode="AR" term="%22Garibotto%2C+Valentina%22">Garibotto, Valentina</searchLink><br /><searchLink fieldCode="AR" term="%22Guedj%2C+Eric%22">Guedj, Eric</searchLink><br /><searchLink fieldCode="AR" term="%22Hammers%2C+Alexander%22">Hammers, Alexander</searchLink><br /><searchLink fieldCode="AR" term="%22Law%2C+Ian%22">Law, Ian</searchLink><br /><searchLink fieldCode="AR" term="%22Morbelli%2C+Silvia%22">Morbelli, Silvia</searchLink><br /><searchLink fieldCode="AR" term="%22Tolboom%2C+Nelleke%22">Tolboom, Nelleke</searchLink><br /><searchLink fieldCode="AR" term="%22Van+Weehaeghe%2C+Donatienne%22">Van Weehaeghe, Donatienne</searchLink><br /><searchLink fieldCode="AR" term="%22Verger%2C+Antoine%22">Verger, Antoine</searchLink><br /><searchLink fieldCode="AR" term="%22Van+Paesschen%2C+Wim%22">Van Paesschen, Wim</searchLink><br /><searchLink fieldCode="AR" term="%22von+Oertzen%2C+Tim+J%2E%22">von Oertzen, Tim J.</searchLink><br /><searchLink fieldCode="AR" term="%22Zucchetta%2C+Pietro%22">Zucchetta, Pietro</searchLink><br /><searchLink fieldCode="AR" term="%22Semah%2C+Franck%22">Semah, Franck</searchLink>
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  Data: Eur J Nucl Med Mol Imaging<br />Traub-Weidinger, T, Arbizu, J, Barthel, H, Boellaard, R, Borgwardt, L, Brendel, M, Cecchin, D, Chassoux, F, Fraioli, F, Garibotto, V, Guedj, E, Hammers, A, Law, I, Morbelli, S, Tolboom, N, van Weehaeghe, D, Verger, A, van Paesschen, W, von Oertzen, T J, Zucchetta, P & Semah, F 2024, 'EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy', European Journal of Nuclear Medicine and Molecular Imaging, vol. 51, no. 7, pp. 1891-1908. https://doi.org/10.1007/s00259-024-06656-3<br />European journal of nuclear medicine and molecular imaging 51(7), 1891-1908 (2024). doi:10.1007/s00259-024-06656-3
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  Data: 2024
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  Data: <searchLink fieldCode="DE" term="%22Drug-resistant+epilepsy%22">Drug-resistant epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Extratemporal+epilepsy%22">Extratemporal epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Focal+epilepsy%22">Focal epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22Ictal+SPECT%22">Ictal SPECT</searchLink><br /><searchLink fieldCode="DE" term="%22Imaging%22">Imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Interictal+SPECT%22">Interictal SPECT</searchLink><br /><searchLink fieldCode="DE" term="%22MRI%22">MRI</searchLink><br /><searchLink fieldCode="DE" term="%22Neurotransmitter+PET%22">Neurotransmitter PET</searchLink><br /><searchLink fieldCode="DE" term="%22Paediatric+epileptic+syndromes%22">Paediatric epileptic syndromes</searchLink><br /><searchLink fieldCode="DE" term="%22Presurgical+evaluation%22">Presurgical evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Surgery%22">Surgery</searchLink><br /><searchLink fieldCode="DE" term="%22Temporal+lobe+epilepsy%22">Temporal lobe epilepsy</searchLink><br /><searchLink fieldCode="DE" term="%22[%22">[</searchLink><br /><searchLink fieldCode="DE" term="%2218%22">18</searchLink><br /><searchLink fieldCode="DE" term="%22F]FDG+PET%22">F]FDG PET</searchLink><br /><searchLink fieldCode="DE" term="%22TEMPORAL-LOBE+EPILEPSY%22">TEMPORAL-LOBE EPILEPSY</searchLink><br /><searchLink fieldCode="DE" term="%22TUBEROUS+SCLEROSIS+COMPLEX%22">TUBEROUS SCLEROSIS COMPLEX</searchLink><br /><searchLink fieldCode="DE" term="%22FDG-PET%2FMRI+COREGISTRATION%22">FDG-PET/MRI COREGISTRATION</searchLink><br /><searchLink fieldCode="DE" term="%22DYSEMBRYOPLASTIC+NEUROEPITHELIAL+TUMORS%22">DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMORS</searchLink><br /><searchLink fieldCode="DE" term="%22616%2E0757%22">616.0757</searchLink><br /><searchLink fieldCode="DE" term="%22Radiology%2C+Nuclear+Medicine+%26+Medical+Imaging%22">Radiology, Nuclear Medicine & Medical Imaging</searchLink><br /><searchLink fieldCode="DE" term="%22methods+[Positron-Emission+Tomography]%22">methods [Positron-Emission Tomography]</searchLink><br /><searchLink fieldCode="DE" term="%22ICTAL+SPECT%22">ICTAL SPECT</searchLink><br /><searchLink fieldCode="DE" term="%22[+F]FDG+PET%22">[ F]FDG PET</searchLink><br /><searchLink fieldCode="DE" term="%22LENNOX-GASTAUT-SYNDROME%22">LENNOX-GASTAUT-SYNDROME</searchLink><br /><searchLink fieldCode="DE" term="%223%2E+Good+health%22">3. 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– Name: Abstract
  Label: Description
  Group: Ab
  Data: Epilepsy is one of the most frequent neurological conditions with an estimated prevalence of more than 50 million people worldwide and an annual incidence of two million. Although pharmacotherapy with anti-seizure medication (ASM) is the treatment of choice, ~30% of patients with epilepsy do not respond to ASM and become drug resistant. Focal epilepsy is the most frequent form of epilepsy. In patients with drug-resistant focal epilepsy, epilepsy surgery is a treatment option depending on the localisation of the seizure focus for seizure relief or seizure freedom with consecutive improvement in quality of life. Beside examinations such as scalp video/electroencephalography (EEG) telemetry, structural, and functional magnetic resonance imaging (MRI), which are primary standard tools for the diagnostic work-up and therapy management of epilepsy patients, molecular neuroimaging using different radiopharmaceuticals with single-photon emission computed tomography (SPECT) and positron emission tomography (PET) influences and impacts on therapy decisions. To date, there are no literature-based praxis recommendations for the use of Nuclear Medicine (NM) imaging procedures in epilepsy. The aims of these guidelines are to assist in understanding the role and challenges of radiotracer imaging for epilepsy; to provide practical information for performing different molecular imaging procedures for epilepsy; and to provide an algorithm for selecting the most appropriate imaging procedures in specific clinical situations based on current literature. These guidelines are written and authorized by the European Association of Nuclear Medicine (EANM) to promote optimal epilepsy imaging, especially in the presurgical setting in children, adolescents, and adults with focal epilepsy. They will assist NM healthcare professionals and also specialists such as Neurologists, Neurophysiologists, Neurosurgeons, Psychiatrists, Psychologists, and others involved in epilepsy management in the detection and interpretation of epileptic seizure onset zone (SOZ) for further treatment decision. The information provided should be applied according to local laws and regulations as well as the availability of various radiopharmaceuticals and imaging modalities.
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  Data: 1619-7089<br />1619-7070
– Name: DOI
  Label: DOI
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  Data: 10.1007/s00259-024-06656-3
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  Data: <link linkTarget="URL" linkTerm="https://pubmed.ncbi.nlm.nih.gov/38393374" linkWindow="_blank">https://pubmed.ncbi.nlm.nih.gov/38393374</link><br /><link linkTarget="URL" linkTerm="https://research.vumc.nl/en/publications/18fed0cb-fc61-4551-9177-4da3cc28fd56" linkWindow="_blank">https://research.vumc.nl/en/publications/18fed0cb-fc61-4551-9177-4da3cc28fd56</link><br /><link linkTarget="URL" linkTerm="https://dspace.library.uu.nl/handle/1874/453779" linkWindow="_blank">https://dspace.library.uu.nl/handle/1874/453779</link><br /><link linkTarget="URL" linkTerm="https://archive-ouverte.unige.ch/unige:177274" linkWindow="_blank">https://archive-ouverte.unige.ch/unige:177274</link><br /><link linkTarget="URL" linkTerm="https://doi.org/10.1007/s00259-024-06656-3" linkWindow="_blank">https://doi.org/10.1007/s00259-024-06656-3</link><br /><link linkTarget="URL" linkTerm="https://hdl.handle.net/11577/3512081" linkWindow="_blank">https://hdl.handle.net/11577/3512081</link><br /><link linkTarget="URL" linkTerm="https://doi.org/10.1007/s00259-024-06656-3" linkWindow="_blank">https://doi.org/10.1007/s00259-024-06656-3</link><br /><link linkTarget="URL" linkTerm="https://repository.publisso.de/resource/frl:6518891" linkWindow="_blank">https://repository.publisso.de/resource/frl:6518891</link><br /><link linkTarget="URL" linkTerm="https://epub.ub.uni-muenchen.de/117672/" linkWindow="_blank">https://epub.ub.uni-muenchen.de/117672/</link><br /><link linkTarget="URL" linkTerm="https://discovery-pp.ucl.ac.uk/id/eprint/10188667/" linkWindow="_blank">https://discovery-pp.ucl.ac.uk/id/eprint/10188667/</link>
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1007/s00259-024-06656-3
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 18
        StartPage: 1891
    Subjects:
      – SubjectFull: Drug-resistant epilepsy
        Type: general
      – SubjectFull: Extratemporal epilepsy
        Type: general
      – SubjectFull: Focal epilepsy
        Type: general
      – SubjectFull: Ictal SPECT
        Type: general
      – SubjectFull: Imaging
        Type: general
      – SubjectFull: Interictal SPECT
        Type: general
      – SubjectFull: MRI
        Type: general
      – SubjectFull: Neurotransmitter PET
        Type: general
      – SubjectFull: Paediatric epileptic syndromes
        Type: general
      – SubjectFull: Presurgical evaluation
        Type: general
      – SubjectFull: Surgery
        Type: general
      – SubjectFull: Temporal lobe epilepsy
        Type: general
      – SubjectFull: [
        Type: general
      – SubjectFull: 18
        Type: general
      – SubjectFull: F]FDG PET
        Type: general
      – SubjectFull: TEMPORAL-LOBE EPILEPSY
        Type: general
      – SubjectFull: TUBEROUS SCLEROSIS COMPLEX
        Type: general
      – SubjectFull: FDG-PET/MRI COREGISTRATION
        Type: general
      – SubjectFull: DYSEMBRYOPLASTIC NEUROEPITHELIAL TUMORS
        Type: general
      – SubjectFull: 616.0757
        Type: general
      – SubjectFull: Radiology, Nuclear Medicine & Medical Imaging
        Type: general
      – SubjectFull: methods [Positron-Emission Tomography]
        Type: general
      – SubjectFull: ICTAL SPECT
        Type: general
      – SubjectFull: [ F]FDG PET
        Type: general
      – SubjectFull: LENNOX-GASTAUT-SYNDROME
        Type: general
      – SubjectFull: 3. Good health
        Type: general
      – SubjectFull: [18F]FDG PET
        Type: general
      – SubjectFull: Europe
        Type: general
      – SubjectFull: Nuclear Medicine & Medical Imaging
        Type: general
      – SubjectFull: Radiology Nuclear Medicine and imaging
        Type: general
      – SubjectFull: CEREBRAL GLUCOSE-METABOLISM
        Type: general
      – SubjectFull: diagnostic imaging [Epilepsy]
        Type: general
      – SubjectFull: Life Sciences & Biomedicine
        Type: general
      – SubjectFull: Europe [MeSH]
        Type: general
      – SubjectFull: Tomography, Emission-Computed, Single-Photon [MeSH]
        Type: general
      – SubjectFull: Humans [MeSH]
        Type: general
      – SubjectFull: Guidelines
        Type: general
      – SubjectFull: Epilepsy/diagnostic imaging [MeSH]
        Type: general
      – SubjectFull: Positron-Emission Tomography/standards [MeSH]
        Type: general
      – SubjectFull: Positron-Emission Tomography/methods [MeSH]
        Type: general
      – SubjectFull: Nuclear Medicine [MeSH]
        Type: general
      – SubjectFull: 0299 Other Physical Sciences
        Type: general
      – SubjectFull: [F-18]FDG PET
        Type: general
      – SubjectFull: standards [Positron-Emission Tomography]
        Type: general
      – SubjectFull: [SDV.IB.MN] Life Sciences [q-bio]/Bioengineering/Nuclear medicine
        Type: general
      – SubjectFull: POSITRON-EMISSION-TOMOGRAPHY
        Type: general
      – SubjectFull: FOCAL CORTICAL DYSPLASIA
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: ddc:610
        Type: general
      – SubjectFull: STURGE-WEBER SYNDROME
        Type: general
      – SubjectFull: Tomography, Emission-Computed, Single-Photon
        Type: general
      – SubjectFull: Science & Technology
        Type: general
      – SubjectFull: Epilepsy
        Type: general
      – SubjectFull: 1103 Clinical Sciences
        Type: general
      – SubjectFull: Positron-Emission Tomography
        Type: general
      – SubjectFull: Nuclear Medicine
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      – TitleFull: EANM practice guidelines for an appropriate use of PET and SPECT for patients with epilepsy
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              Type: published
              Y: 2024
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            – TitleFull: European Journal of Nuclear Medicine and Molecular Imaging
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