Web-based collection of expert opinion on routine scalp EEG: software development and interrater reliability.

Computerized detection of epileptiform transients (ETs), characterized by interictal spikes and sharp waves in the EEG, has been a research goal for the last 40 years. A reliable method for detecting ETs would assist physicians in interpretation and improve efficiency in reviewing long-term EEG reco...

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Publicado en:Journal of Clinical Neurophysiology Vol. 28; no. 2; pp. 178 - 185
Autores principales: Halford JJ, Pressly WB, Benbadis SR, Tatum WO 4th, Turner RP, Arain A, Pritchard PB, Edwards JC, Dean BC
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins 2011 Apr
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2011 Apr
      vid: 28
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        atl: Web-based collection of expert opinion on routine scalp EEG: software development and interrater reliability.
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        au:
          Halford JJ
          Pressly WB
          Benbadis SR
          Tatum WO 4th
          Turner RP
          Arain A
          Pritchard PB
          Edwards JC
          Dean BC
        affil: Department of Neurosciences, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA. halfordj@musc.edu
      sug:
        subj:
          Brain Physiopathology
          Diagnosis, Computer Assisted
          Electroencephalography Methods
          Epilepsy Diagnosis
          Expert Systems
          Signal Processing, Computer Assisted
          Software
          Algorithms
          Artifacts
          Epilepsy Physiopathology
          Human
          Internet
          Observer Bias
          Predictive Value of Tests
          Reproducibility of Results
          Scalp
          Time Factors
          User-Computer Interface
      ab: Computerized detection of epileptiform transients (ETs), characterized by interictal spikes and sharp waves in the EEG, has been a research goal for the last 40 years. A reliable method for detecting ETs would assist physicians in interpretation and improve efficiency in reviewing long-term EEG recordings. Computer algorithms developed thus far for detecting ETs are not as reliable as human experts, primarily due to the large number of false-positive detections. Comparing the performance of different algorithms is difficult because each study uses individual EEG test datasets. In this article, we present EEGnet, a distributed web-based platform for the acquisition and analysis of large-scale training datasets for comparison of different EEG ET detection algorithms. This software allows EEG scorers to log in through the web, mark EEG segments of interest, and categorize segments of interest using a conventional clinical EEG user interface. This software platform was used by seven board-certified academic epileptologists to score 40 short 30-second EEG segments from 40 patients, half containing ETs and half containing artifacts and normal variants. The software performance was adequate. Interrater reliability for marking the location of paroxysmal activity was low. Interrater reliability of marking artifacts and ETs was high and moderate, respectively.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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