title: Seizure Detection Software Used to Complement the Visual Screening Process for Long-Term EEG Monitoring.
abstract: It is widely recognized that visual screening of long-term EEG recordings can be time-consuming and labor-intensive due to the large volume of patient data produced daily in most Epilepsy Monitoring Units (EMUs). As a result, seizures, especially those with only electrographic changes, are sometimes overlooked, which for some patients could result in missed information for diagnosis, an unnecessarily prolonged hospital stay, and unavailable EMU beds for others. In this report, we propose that a better solution for identifying seizures in long-term EEG recording is to combine detection results from a reliable (high sensitivity and low false detection rate) automated detection system with EEG technologists' visual screening process. Using commercially available detection software, we present case studies that demonstrate potential benefits of this method that could help improve detection rates and bring greater efficiency to the seizure identification process in long-term EEG monitoring.
authors.affiliation: Department of Neurosciences, Medical University of South Carolina, Charleston, South Carolina.
authors.forename: Jonathan J
authors.initials: JJ
authors.lastname: Halford
authors.affiliation: Optima Neuroscience, Inc., Alachua, Florida.
authors.forename: Deng-Shan
authors.initials: DS
authors.lastname: Shiau
authors.affiliation: Optima Neuroscience, Inc., Alachua, Florida.
authors.forename: Ryan T
authors.initials: RT
authors.lastname: Kern
authors.affiliation: Optima Neuroscience, Inc., Alachua, Florida.
authors.forename: Conrad A
authors.initials: CA
authors.lastname: Stroman
authors.affiliation: Center for Neuroscience Research, Allegheny-Singer Research Institute, Allegheny General Hospital, Pittsburgh, Pennsylvania ; Department of Neurology, Philadelphia, Pennsylvania ; Department of Neurobiology and Anatomy, Philadelphia, Pennsylvania ; Drexel University College of Medicine, Philadelphia, Pennsylvania.
authors.forename: Kevin M
authors.initials: KM
authors.lastname: Kelly
authors.affiliation: Optima Neuroscience, Inc., Alachua, Florida.
authors.forename: J Chris
authors.initials: JC
authors.lastname: Sackellares
keywords: EEG review; epilepsy monitoring unit; long-term; scalp EEG; seizure detection; visual screening