Evidence map›Paper›PMID 39943698›Full record

ArticleEpilepsia open2025

Harmonization of MRI sequences across ERN EpiCARE centers.

Sophie Adler, Felice D'Arco, Kshitij Mankad, Martin Kyncl, Alexis Arzimanoglou, Petr Marusic

Abstract readMulticenter Study
In one paragraph

Article in Epilepsia open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. AI in epilepsy neuroimaging.Current opinion in neurology · 2026
    Review
  3. Review
  4. Article
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

6 authors.

Sophie AdlerUCL Great Ormond Street Institute of Child Health, London, UK.ORCID https://orcid.org/0000-0002-3978-7424
Felice D'ArcoCollaborating Partner of the ERN EpiCARE, Great Ormond Street Hospital, London, UK.ORCID https://orcid.org/0000-0001-7396-591X
Kshitij MankadCollaborating Partner of the ERN EpiCARE, Great Ormond Street Hospital, London, UK.ORCID https://orcid.org/0000-0001-5979-9337
Martin KynclDepartment of Radiology, Second Faculty of Medicine and Motol University Hospital, Member of the ERN EpiCARE, Charles University, Prague, Czech Republic.ORCID https://orcid.org/0000-0001-6210-6351
Alexis ArzimanoglouEpilepsy Unit, Child Neurology Department, Hospital San Juan de Dios, Member of the ERN EpiCARE, Barcelona, Spain.ORCID https://orcid.org/0000-0002-7233-2771
Petr MarusicDepartment of Neurology, Second Faculty of Medicine and Motol University Hospital, Member of the ERN EpiCARE, Charles University, Prague, Czech Republic.ORCID https://orcid.org/0000-0002-1240-653X

Funding

Epilepsy Research Institute UK P2208ERN EpiCAREMinistry of Health of the Czech Republic NU21-08-00228Rosetrees TrustA2665
6 · The paper itself

Abstract

Neuroimaging investigations are fundamental in the diagnosis of patients with epilepsy. The International League Against Epilepsy (ILAE) harmonized neuroimaging of epilepsy structural sequences (HARNESS-MRI) protocol was intended as a generalizable structural MRI protocol. The European Reference Network for Rare and Complex Epilepsies, EpiCARE, includes 50 centers, across 26 countries, with expertise in epilepsy. We investigated adherence to the HARNESS-MRI protocol across EpiCARE. A survey on the clinical use of imaging and postprocessing methods in epilepsy patients was distributed among the centers. A descriptive analysis was performed, and results were compared to existing guidelines, as well as a previous survey in 2016. 79% of centers were adhering to the HARNESS-MRI protocol in all epilepsy patients. All centers were acquiring 3D T1-weighted sequences, 90% were acquiring 3D FLAIR and 87% were acquiring high in-plane 2D coronal T2 MRI sequences in all epilepsy patients. In comparison, in 2016, only 50% of centers were following MRI recommendations at the time. Across European expert epilepsy centers, there has been increased harmonization of MRI sequences since the introduction of the HARNESS-MRI protocol. This standardization supports optimal radiological review at individual centers as well as enabling harmonization of multicenter datasets for research. PLAIN LANGUAGE SUMMARY: Neuroimaging investigations are a fundamental component of epilepsy diagnosis. The International League Against Epilepsy (ILAE) has created guidelines about what MRI images to obtain in all epilepsy patients. In this study, we assessed the adherence of expert European epilepsy centers to these guidelines and found that 79% are acquiring the minimum set of MRI scans in all epilepsy patients. Standardization of MRI imaging serves to improve epilepsy diagnosis across Europe.

Indexed as

BrainEpilepsyMagnetic Resonance ImagingNeuroimagingEuropeGuideline AdherenceHumansepilepsymagnetic resonance imagingpostprocessing

Identifiers

PMID39943698
PMCPMC12014919

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Registered trials

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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.