Dear Colleagues,

Epilepsy is a neurological disorder characterized by recurrent seizures, and brain imaging plays a crucial role in its diagnosis, treatment planning, and understanding of its underlying causes.

The primary imaging techniques used in epilepsy include magnetic resonance imaging (MRI), positron emission tomography (PET), and single-photon emission computed tomography (SPECT). MRI is commonly employed to identify structural abnormalities in the brain that may contribute to seizures, such as tumors, vascular malformations, or scars from previous injuries. Advanced MRI techniques, such as functional MRI (fMRI) and diffusion tensor imaging (DTI), can also help map functional areas of the brain and identify abnormal connectivity patterns. PET and SPECT are functional imaging techniques that measure cerebral blood flow and metabolic activity in the brain.

Continuing research in the field of brain imaging in epilepsy is crucial for several reasons:

Improving diagnostic accuracy: Advancements in imaging techniques can lead to more accurate and early diagnosis of epilepsy. This can help identify the specific brain abnormalities associated with epilepsy and differentiate it from other conditions with similar symptoms.

Refining treatment planning: Ongoing research in brain imaging helps refine treatment planning for individuals with epilepsy. By identifying the precise location of the epileptic focus, imaging can guide the selection of appropriate treatment options, such as medication, surgery, or other interventions.

Exploring underlying mechanisms: Continued research in brain imaging allows for a deeper understanding of the underlying mechanisms of epilepsy. It helps uncover the structural and functional alterations in the brain that contribute to seizure generation and propagation.

Monitoring treatment effectiveness: Longitudinal brain imaging studies can help monitor the effectiveness of various treatments over time. By tracking changes in brain structure, function, and connectivity, researchers can evaluate treatment outcomes and determine the most effective strategies for long-term seizure management.

Exploring comorbidities: Epilepsy is often accompanied by other neurological conditions and comorbidities. Brain imaging research can help uncover the relationships between epilepsy and conditions such as cognitive impairments, psychiatric disorders, and developmental delays.

For this, continuing research in brain imaging in epilepsy is essential for advancing diagnostic capabilities, refining treatment planning, understanding underlying mechanisms, developing personalized approaches, monitoring treatment effectiveness, and exploring comorbidities. Research articles and reviews in this area of study are welcome.

We look forward to receiving your contributions.

Dr. Neda Akhoundi

Section editor