Presurgical FMRI and DTI in epilepsy patients

Functional MRI, diffusion tensor imaging, and tractography support presurgical assessment in epilepsy.

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Overview

Description

Motor, sensory, language, and memory fMRI are examined through their indications, paradigms, and common challenges in patients with epilepsy. EEG-fMRI, diffusion tensor imaging, tractography, and the influence of functional and structural mapping on surgical planning and outcomes are also considered.

Learning Objectives

Select appropriate fMRI indications and paradigms for presurgical epilepsy assessment.
Interpret motor, language, and memory activation patterns while recognising common limitations.
Explain how DTI and tractography support surgical planning and risk assessment.
Describe the potential and practical limitations of EEG-fMRI in epilepsy evaluation.

Topics Covered

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00:00 - Introduction and Learning Objectives

01:13 - Epilepsy Surgery and Quality of Life

02:13 - fMRI Indications in Epilepsy

03:19 - Motor Sensory fMRI and Case Studies

05:49 - Congenital Malformation in Epilepsy

09:01 - Language fMRI: Indications and Tests

13:18 - Common Language Paradigms in fMRI

17:01 - Clinical Practice and Language Localization

23:07 - Challenges in Language fMRI for Epilepsy

24:52 - Accuracy and Evidence of fMRI in Epilepsy

26:22 - Memory fMRI and Its Clinical Implications

31:09 - Understanding fMRI Patterns in Epilepsy

33:24 - EEG-fMRI and Its Challenges

37:47 - Clinical Application of DTI and Tractography

39:34 - Impact of DTI on Surgical Outcomes

42:08 - Conclusion and Research Directions

45:02 - Case Studies and Practical Insights

Lecturers

Nuria Bargalló^{M.D. Ph.D.}

Barcelona, Spain

Consultant in Neuroradiology, Telemedicine Clinic, Barcelona Chief of Neuroradiology, Alomar medical center Coordinator of the Magnetic Resonance core facility of IDIBAPS Hospital Clinic de Barcelona, Spain Honorary consultant in National Hospital of Neurology and Neurosurgery, London

Senior Consultant in Neuroradiology of the Hospital Clínic de Barcelona focused on advanced image techniques applied to neurological diseases, mainly epilepsy, inflammatory and neurodegenerative diseases. Dr Bargallo has published more than 230 indexed articles and participated in more than 15 competitive national or international projects the last 10 years. She is currently the coordinator of the Magnetic Resonance core facility of IDIBAPS giving support to the research groups of this institution and the Hospital Clínic in studies involving advanced Magnetic Resonance images.

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