title: Standardized computer-based organized reporting of EEG: SCORE.
abstract: The electroencephalography (EEG) signal has a high complexity, and the process of extracting clinically relevant features is achieved by visual analysis of the recordings. The interobserver agreement in EEG interpretation is only moderate. This is partly due to the method of reporting the findings in free-text format. The purpose of our endeavor was to create a computer-based system for EEG assessment and reporting, where the physicians would construct the reports by choosing from predefined elements for each relevant EEG feature, as well as the clinical phenomena (for video-EEG recordings). A working group of EEG experts took part in consensus workshops in Dianalund, Denmark, in 2010 and 2011. The faculty was approved by the Commission on European Affairs of the International League Against Epilepsy (ILAE). The working group produced a consensus proposal that went through a pan-European review process, organized by the European Chapter of the International Federation of Clinical Neurophysiology. The Standardised Computer-based Organised Reporting of EEG (SCORE) software was constructed based on the terms and features of the consensus statement and it was tested in the clinical practice. The main elements of SCORE are the following: personal data of the patient, referral data, recording conditions, modulators, background activity, drowsiness and sleep, interictal findings, "episodes" (clinical or subclinical events), physiologic patterns, patterns of uncertain significance, artifacts, polygraphic channels, and diagnostic significance. The following specific aspects of the neonatal EEGs are scored: alertness, temporal organization, and spatial organization. For each EEG finding, relevant features are scored using predefined terms. Definitions are provided for all EEG terms and features. SCORE can potentially improve the quality of EEG assessment and reporting; it will help incorporate the results of computer-assisted analysis into the report, it will make possible the build-up of a multinational database, and it will help in training young neurophysiologists.
authors.affiliation: Department of Clinical Neurophysiology, Danish Epilepsy Centre, Dianalund, Denmark. sbz@filadelfia.dk
authors.forename: Sándor
authors.initials: S
authors.lastname: Beniczky
authors.forename: Harald
authors.initials: H
authors.lastname: Aurlien
authors.forename: Jan C
authors.initials: JC
authors.lastname: Brøgger
authors.forename: Anders
authors.initials: A
authors.lastname: Fuglsang-Frederiksen
authors.forename: António
authors.initials: A
authors.lastname: Martins-da-Silva
authors.forename: Eugen
authors.initials: E
authors.lastname: Trinka
authors.forename: Gerhard
authors.initials: G
authors.lastname: Visser
authors.forename: Guido
authors.initials: G
authors.lastname: Rubboli
authors.forename: Helle
authors.initials: H
authors.lastname: Hjalgrim
authors.forename: Hermann
authors.initials: H
authors.lastname: Stefan
authors.forename: Ingmar
authors.initials: I
authors.lastname: Rosén
authors.forename: Jana
authors.initials: J
authors.lastname: Zarubova
authors.forename: Judith
authors.initials: J
authors.lastname: Dobesberger
authors.forename: Jørgen
authors.initials: J
authors.lastname: Alving
authors.forename: Kjeld V
authors.initials: KV
authors.lastname: Andersen
authors.forename: Martin
authors.initials: M
authors.lastname: Fabricius
authors.forename: Mary D
authors.initials: MD
authors.lastname: Atkins
authors.forename: Miri
authors.initials: M
authors.lastname: Neufeld
authors.forename: Perrine
authors.initials: P
authors.lastname: Plouin
authors.forename: Petr
authors.initials: P
authors.lastname: Marusic
authors.forename: Ronit
authors.initials: R
authors.lastname: Pressler
authors.forename: Ruta
authors.initials: R
authors.lastname: Mameniskiene
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Hopfengärtner
authors.forename: Walter
authors.initials: W
authors.lastname: van Emde Boas
authors.forename: Peter
authors.initials: P
authors.lastname: Wolf
mesh_terms: D016477:Artifacts; D001921:Brain / Q000502:physiology / Q000503:physiopathology; D003936:Diagnosis, Computer-Assisted / Q000592:standards*; D004569:Electroencephalography / Q000592:standards*; D004827:Epilepsy / Q000175:diagnosis / Q000503:physiopathology; D006801:Humans; D012640:Seizures / Q000175:diagnosis / Q000503:physiopathology; D012890:Sleep / Q000502:physiology; D012894:Sleep Stages / Q000502:physiology