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The MRI, histopathology reports and postsurgical seizure outcomes were recorded from the patient\u2019s charts.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The MRI and histopathology were concordant in 101 and discordant in 15\u00a0patients, 3 no hippocampal sclerosis\/gliosis only lesions were missed on MRI and 1\u00a0of 28\u00a0focal cortical dysplasia (FCD) type\u00a0II associated with a\u00a0glial scar was considered a\u00a0glial scar only on MRI. In another five patients, MRI was suggestive of FCD, the histopathology was uneventful but patients were seizure-free following surgery. The MRI and histopathology were concordant in 20\u00a0of 21\u00a0glioneuronal tumors, 6\u00a0cavernomas, and 7\u00a0glial scars. Histopathology was negative in 10\u00a0patients with temporal lobe epilepsy, 4\u00a0of them had anteroinferior meningoencephaloceles. Engel class IA outcome was reached in 71% of patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The proposed MRI protocol is highly accurate. No hippocampal sclerosis\/gliosis only lesions are typically MRI negative. Small MRI positive FCD can be histopathologically missed, most likely due to sampling errors resulting from insufficient harvesting of tissue.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00062-023-01265-3","type":"journal-article","created":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T09:03:03Z","timestamp":1677661383000},"page":"709-719","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Diagnostic Accuracy of Epilepsy-dedicated MRI with Post-processing"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7264-4807","authenticated-orcid":false,"given":"Horst","family":"Urbach","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Scheiwe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muskesh J.","family":"Shah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia M.","family":"Nakagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcel","family":"Heers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Victoria","family":"San Antonio-Arce","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk-Matthias","family":"Altenmueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Schulze-Bonhage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Juergen","family":"Huppertz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theo","family":"Demerath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soroush","family":"Doostkam","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,1]]},"reference":[{"key":"1265_CR1","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1136\/jnnp.73.6.643","volume":"73","author":"J Von Oertzen","year":"2002","unstructured":"Von Oertzen\u00a0J, Urbach\u00a0H, Jungbluth\u00a0S, Kurthen\u00a0M, Reuber\u00a0M, Fern\u00e1ndez\u00a0G, Elger\u00a0CE. 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Consent for publication: due to the retrospective analysis informed consent of patients was waived.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}