Study of the Potential of MRI (Magnetic Resonance Imaging) in Detecting Epileptogenic Zones in the Brain

Abstract

The epileptogenic zone is an area of the brain that is a source of uncontrolled epileptic activity. MRI can produce images of the brain with high spatial resolution, allowing detailed visualization of brain structure. This allows identification of pathological changes, such as lesions, hemorrhages, or vascular malformations, that may be a cause or indicator of an epileptogenic zone. MRI offers a variety of scanning techniques, including structural MRI (T1-weighted and T2-weighted), diffusion MRI, functional MRI (fMRI), and proton spectroscopy MRI. The literature search process was carried out on various databases (PubMed, Web of Sciences, EMBASE, Cochrane Libraries, and Google Scholar) regarding the potential of MRI (Magnetic Resonance Imaging) in detecting epileptogenic zones in the brain. This study follows the preferred reporting items for systematic reviews and meta-analysis (PRISMA) recommendations. MRI can produce images of the brain with high spatial resolution, allowing detailed identification of brain structures that may be associated with the epileptogenic zone. Lesions such as tumors, blood clots, or scar tissue that are the focus of epileptic activity can be clearly seen on MRI. Various MRI techniques, such as structural MRI, diffusion MRI, functional MRI, and proton spectroscopy MRI, can be used together to provide comprehensive information about the epileptogenic zone. MRI allows monitoring of brain structural changes over time, which is useful in determining the evolution of the epileptogenic zone. fMRI techniques help understand brain activity during epileptic attacks or as part of the epileptogenic zone.