Evidence map›Paper›PMID 36693684›Full record

ArticleBMJ open2023

Computer-assisted analysis of routine electroencephalogram to identify hidden biomarkers of epilepsy: protocol for a systematic review.

Émile Lemoine, Joel Neves Briard, Bastien Rioux, Renata Podbielski, Bénédicte Nauche, Denahin Toffa, Mark Keezer, Frédéric Lesage, Dang K Nguyen, Elie Bou Assi

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Émile LemoineDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada emile.lemoine@umontreal.ca.ORCID 0000-0002-8977-3186
Joel Neves BriardDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.ORCID 0000-0002-1576-5669
Bastien RiouxDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.
Renata PodbielskiUniversity of Montreal Hospital Centre Research Centre, Montreal, Québec, Canada.
Bénédicte NaucheUniversity of Montreal Hospital Centre Research Centre, Montreal, Québec, Canada.
Denahin ToffaDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.
Mark KeezerDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.
Frédéric LesageInstitute of Biomedical Engineering, Ecole Polytechnique de Montreal, Montreal, Québec, Canada.
Dang K NguyenDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.
Elie Bou AssiDepartment of Neurosciences, University of Montreal, Montreal, Québec, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe diagnosis of epilepsy frequently relies on the visual interpretation of the electroencephalogram (EEG) by a neurologist. The hallmark of epilepsy on EEG is the interictal epileptiform discharge (IED). This marker lacks sensitivity: it is only captured in a small percentage of 30 min routine EEGs in patients with epilepsy. In the past three decades, there has been growing interest in the use of computational methods to analyse the EEG without relying on the detection of IEDs, but none have made it to the clinical practice. We aim to review the diagnostic accuracy of quantitative methods applied to ambulatory EEG analysis to guide the diagnosis and management of epilepsy. METHODS AND ANALYSIS: The protocol complies with the recommendations for systematic reviews of diagnostic test accuracy by Cochrane. We will search MEDLINE, EMBASE, EBM reviews, IEEE Explore along with grey literature for articles, conference papers and conference abstracts published after 1961. We will include observational studies that present a computational method to analyse the EEG for the diagnosis of epilepsy in adults or children without relying on the identification of IEDs or seizures. The reference standard is the diagnosis of epilepsy by a physician. We will report the estimated pooled sensitivity and specificity, and receiver operating characteristic area under the curve (ROC AUC) for each marker. If possible, we will perform a meta-analysis of the sensitivity and specificity and ROC AUC for each individual marker. We will assess the risk of bias using an adapted QUADAS-2 tool. We will also describe the algorithms used for signal processing, feature extraction and predictive modelling, and comment on the reproducibility of the different studies. ETHICS AND DISSEMINATION: Ethical approval was not required. Findings will be disseminated through peer-reviewed publication and presented at conferences related to this field. PROSPERO REGISTRATION NUMBER: CRD42022292261.

Indexed as

EpilepsyAdultBiomarkersChildComputersElectroencephalographyHumansMeta-Analysis as TopicReproducibility of ResultsSystematic Reviews as TopicBiomarkersepilepsyhealth informaticsneurologyneurophysiology

Identifiers

PMID36693684
PMCPMC9884857

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.