American Clinical Neurophysiology Society's Standardized Critical Care EEG Terminology: 2021 Version

作者：Lawrence J. Hirsch, Michael W. K. Fong, Markus Leitinger, Suzette M. LaRoche, Sándor Beniczky, Nicholas Scott Abend, Jong Woo Lee, Courtney J. Wusthoff, Cecil D. Hahn, Michael Brandon Westover, Elizabeth E. Gerard, Susan T. Herman, Hiba Arif Haider, Gamaleldin Osman, Andrés Rodríguez, Carolina B. Maciel, Emily J. Gilmore, Andres Fernandez, Eric S. Rosenthal, Jan Claassen, Aatif M. Husain, Ji Yeoun Yoo, Elson L. So, Peter W. Kaplan, Marc R. Nuwer, Michel J. A. M. van Putten, Raoul Sutter, Frank W. Drislane, Eugen Trinka, Nicolas Gaspard · 发表于：Journal of Clinical Neurophysiology · 年份：2021 · DOI：10.1097/wnp.0000000000000806 · 被引用次数：1138 · 研究领域：Epilepsy research and treatment、EEG and Brain-Computer Interfaces、Neonatal and fetal brain pathology

INTRODUCTION In the early 2000s, a subcommittee of the American Clinical Neurophysiology Society (ACNS) set out to “standardize terminology of periodic and rhythmic EEG patterns in the critically ill to aid in future research involving such patterns.” The initial proposed terminology was published in 2005.1 This was presented at many meetings on several continents, subjected to multiple rounds of testing of interrater reliability, underwent many revisions, and was then published as an ACNS guideline in 2013.2 Interrater agreement of the 2012 version (published in early 2013) was very good, with almost perfect agreement for seizures, main terms 1 and 2, the +S modifier, sharpness, absolute amplitude, frequency, and number of phases.3 Agreement was substantial for the +F and +R modifiers (66% and 67%) but was only moderate for triphasic morphology (58%) and fair for evolution (21%, likely at least partly because of the short EEG samples provided).3 The authors concluded that interrater agreement for most terms in the ACNS critical care EEG terminology was high and that these terms were suitable for multicenter research on the clinical significance of these critical care EEG patterns. With the help of infrastructure funding from the American Epilepsy Society and administrative and website support from the ACNS, a database that incorporated the ACNS terminology was developed for clinical and research purposes, tested during routine clinical care in multiple centers,4 and made ava...