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The 7 Tesla Temporal Lobe Epilepsy Study

About the 7-TLE study

7-TLE piriform cortex

  • The 7-Tesla Temporal Lobe Epilepsy (7-TLE) Study is a prospective, case-control neuroimaging study of both children and adults with TLE being considered for epilepsy surgery.
  • The 7-TLE Study utilises the ability of the high-field, 7-Tesla MRI scanner at St Thomas’ Hospital (find more details here) to obtain high-resolution data of small structures (such as the piriform cortex) in the temporal lobe.
  • The 7-TLEÌýStudy will primarily investigate the connectivity of the piriform cortex and mesial temporal lobe structures by comparing functional MRI measures between patients with TLE and healthy participants.

Design

7-TLE Porject Study Design
  • ParticipantsÌýÌýare invited to attend a single visit during which they will have a single 7-Tesla MRI scan.
  • We are performing high-resolution functional and diffusion MRI to investigate the brain connectivity of temporal lobe structures.
  • We are also developing the use of electroencephalography (EEG) to run simultaneously with fMRI acquisition

Objectives

7-TLE study aims

Inclusion criteria for patients

Patients must have all of the following crietria for enrolment:

  • Age 5 to 65 years atÌýstudy enrolement
  • Suspected to have focal TLE and referred to their respective epilepsy surgery multidisciplinary team (MDTs)Ìý
  • Considered for epilepsy surgeryÌý

Inclusion criteria for healthy participants

Healthy participants must be:
•ÌýÌý ÌýAged between 5 – 65 years at study enrolmentÌý

Exclusion criteria for all participants

•ÌýÌý ÌýContraindications to MRI scanningÌý
•ÌýÌý ÌýPrevious inability to intolerance to MRI scan without sedation or general anaestheticÌý
•ÌýÌý ÌýYounger than 5 years or older than 65 years of ageÌý

Recruitment target

•ÌýÌý Ìý40 patients with temporal lobe epilepsy
•ÌýÌý Ìý30 healthy participants

Recruiting sites

•ÌýÌý ÌýGuys’ and St Thomas’ Hospital
•ÌýÌý ÌýGreat Ormond Street Hospital
•ÌýÌý ÌýThe National Hospital for Neurology and Neurosurgery

Sponsor and oversight:

The 7-TLE Study is Sponsored by the UCL Great Ormond Street Institute of Child Health