Francesco T. Mangano · Impact of radiotracer injection latency and seizure duration on subtraction ictal SPECT co-registered to MRI (SISCOM) performance in children.
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Article1 min read·Published Nov 2026

Impact of radiotracer injection latency and seizure duration on subtraction ictal SPECT co-registered to MRI (SISCOM) performance in children.

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Article · Nov 2026 · 1 min read

In brief

In brief

This retrospective study examines how timing factors—radiotracer injection delay and seizure duration after injection—affect SISCOM accuracy in localizing the epileptogenic zone in 113 children with drug-resistant epilepsy who underwent resective surgery. Findings inform optimal imaging protocols for pediatric epilepsy surgery candidates.

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Francesco T. Mangano

We evaluated the impact of radiotracer injection latency and post-injection seizure duration on subtraction ictal SPECT co-registered to MRI (SISCOM) test performance in identifying the epileptogenic zone (EZ) in children with drug-resistant epilepsy who had undergone a resective epilepsy surgery. SISCOM concordance with the EZ was retrospectively reviewed to evaluate its performance in 113 childr…

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