Emma Foster
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View article: Self‐completed patient‐reported outcome measures in adults with epilepsy: A review
Self‐completed patient‐reported outcome measures in adults with epilepsy: A review Open
Epilepsy affects 65 million people worldwide, and is a World Health Organization priority disease as highlighted in their 2022–2031 Intersectoral Global Action Plan (IGAP) on Epilepsy and other Neurological Disorders. IGAP's objectives inc…
View article: AI-assisted anti-seizure medication selection? A qualitative study of the views of neurologists and epilepsy patients
AI-assisted anti-seizure medication selection? A qualitative study of the views of neurologists and epilepsy patients Open
PWE and neurologists were supportive of the prospects for MLCDS systems to improve ASM selection for people with epilepsy. However, their support was not unqualified and was often predicated on claims about the nature and role of these sys…
View article: Exploring the limits of LLMs in low-resource information extraction: Case study in brain MRI reports for Epilepsy
Exploring the limits of LLMs in low-resource information extraction: Case study in brain MRI reports for Epilepsy Open
Information extraction (IE) from specialized clinical texts such as brain MRI reports is important for various clinical and population health contexts. However, this topic is under-explored due to privacy concerns limiting data availabilit…
View article: First seizure care in Australia and Aotearoa/New Zealand: health service needs for addressing the intersectoral global action plan in epilepsy
First seizure care in Australia and Aotearoa/New Zealand: health service needs for addressing the intersectoral global action plan in epilepsy Open
First seizure services for adults are well established across Australia and Aotearoa/NZ. Despite broad metropolitan coverage in services, there remains a lack of first seizure clinics in regional areas of Australia and Aotearoa/NZ, and a n…
View article: Facilitators and barriers of antiseizure medication adherence from Australian healthcare providers' perspectives: A qualitative study
Facilitators and barriers of antiseizure medication adherence from Australian healthcare providers' perspectives: A qualitative study Open
Objectives Antiseizure medications (ASMs) are the mainstay of epilepsy treatment. Two‐thirds of people with epilepsy can become seizure‐free with appropriately selected ASMs. Adherence to ASMs is crucial for achieving seizure control. Unfo…
View article: Validation of the Seizure-Related Impact Assessment Scale
Validation of the Seizure-Related Impact Assessment Scale Open
SERIAS shows good psychometric reliability and strong test-retest stability. These findings suggest that SERIAS is a valid scale to measure epilepsy-related disability.
View article: Interictal Epileptiform Discharge Detection Using Probabilistic Diffusion Models and AUPRC Maximization
Interictal Epileptiform Discharge Detection Using Probabilistic Diffusion Models and AUPRC Maximization Open
Recently, automated Interictal Epileptiform Discharge (IED) detection has attracted significant attention as a challenging predictive data analysis task aimed at improving early epilepsy diagnosis. Automated IED detection simplifies visual…
View article: Speech Treatment for people with cerebellar Multiple System Atrophy (MSA-C): a pilot randomised controlled trial of two approaches.
Speech Treatment for people with cerebellar Multiple System Atrophy (MSA-C): a pilot randomised controlled trial of two approaches. Open
Speech problems are an early feature of Multiple System Atrophy (MSA). They can lead to social withdrawal and have significant impact on people’s quality of life. There is a considerable lack of clinical trials and clinicians lack guidance…
View article: Ten‐year projection of adult epilepsy burden in Australia
Ten‐year projection of adult epilepsy burden in Australia Open
Objective The World Health Organization's Intersectoral Global Action Plan on Epilepsy and Other Neurological Disorders calls for more epilepsy care centers, but a population‐level estimate of epilepsy's projected burden to justify this in…
View article: Personalised selection of medication for newly diagnosed adult epilepsy: study protocol of a first-in-class, double-blind, randomised controlled trial
Personalised selection of medication for newly diagnosed adult epilepsy: study protocol of a first-in-class, double-blind, randomised controlled trial Open
Introduction Selection of antiseizure medications (ASMs) for newly diagnosed epilepsy remains largely a trial-and-error process. We have developed a machine learning (ML) model using retrospective data collected from five international coh…
View article: Comparative risk of major health events among individuals prescribed different antiseizure medications following ischemic stroke
Comparative risk of major health events among individuals prescribed different antiseizure medications following ischemic stroke Open
Objective The aim of this study was to compare the risk of seizure, recurrent stroke, fall or fracture, and mortality in individuals prescribed different antiseizure medications (ASMs) following an ischemic stroke. Methods We identified al…
View article: Elevated plasma neurofilament light and glial fibrillary acidic protein in epilepsy versus nonepileptic seizures and nonepileptic disorders
Elevated plasma neurofilament light and glial fibrillary acidic protein in epilepsy versus nonepileptic seizures and nonepileptic disorders Open
Objective Research suggests that recurrent seizures may lead to neuronal injury. Neurofilament light chain protein (NfL) and glial fibrillary acidic protein (GFAP) levels increase in cerebrospinal fluid and blood in response to neuroaxonal…
View article: Validation of the Seizure-Related Impact Assessment Scale (SERIAS): a study protocol
Validation of the Seizure-Related Impact Assessment Scale (SERIAS): a study protocol Open
Introduction This study aims to validate the Seizure-Related Impact Assessment Scale (SERIAS). This novel patient-reported outcome measure (PROM) compares the ‘trade-off’ between seizures and treatment-related adverse effects, and measures…
View article: Early Access to First-Seizure Clinics, Subsequent Outcomes, and Factors Associated With Attendance
Early Access to First-Seizure Clinics, Subsequent Outcomes, and Factors Associated With Attendance Open
Importance First-seizure clinics (FSCs) aim to deliver prompt specialist care to patients with new-onset undifferentiated seizure events. Objective To determine whether FSC attendance and time to FSC are associated with subsequent health c…
View article: Australian Headache Epidemiology Data (AHEAD): a pilot study to assess sampling and engagement methodology for a nationwide population-based survey
Australian Headache Epidemiology Data (AHEAD): a pilot study to assess sampling and engagement methodology for a nationwide population-based survey Open
Background There are no robust population-based Australian data on prevalence and attributed burden of migraine and medication-overuse headache (MOH) data. In this pilot cross-sectional study, we aimed to capture the participation rate, pr…
View article: Elevated plasma neurofilament light & glial fibrillary acidic protein in epilepsy versus non-epileptic seizures & non-epileptic disorders
Elevated plasma neurofilament light & glial fibrillary acidic protein in epilepsy versus non-epileptic seizures & non-epileptic disorders Open
Background Research suggests that recurrent seizures may lead to neuronal injury. Neurofilament light chain protein (NfL) and glial fibrillary acidic protein (GFAP) levels increase in cerebrospinal fluid and blood following neuroaxonal dam…
View article: Work productivity, quality of life, and care needs: An unfolding epilepsy burden revealed in the Australian Epilepsy Project pilot study
Work productivity, quality of life, and care needs: An unfolding epilepsy burden revealed in the Australian Epilepsy Project pilot study Open
Objective Epilepsy is a common and serious neurological disorder. This cross‐sectional analysis addresses the burden of epilepsy at different stages of the disease. Methods This pilot study is embedded within the Australian Epilepsy Projec…
View article: Role of machine learning in the management of epilepsy: a systematic review protocol
Role of machine learning in the management of epilepsy: a systematic review protocol Open
Introduction Machine learning is a rapidly expanding field and is already incorporated into many aspects of medicine including diagnostics, prognostication and clinical decision-support tools. Epilepsy is a common and disabling neurologica…
View article: Shift from older‐ to newer‐generation antiseizure medications in people with acute ischemic stroke in Australia: A population‐based study
Shift from older‐ to newer‐generation antiseizure medications in people with acute ischemic stroke in Australia: A population‐based study Open
Objective To investigate the trends in antiseizure medications (ASMs) use following ischemic stroke and to examine factors associated with use of newer‐ and older‐generation ASMs. Methods A retrospective cohort study was conducted using st…
View article: 2715 Survey of headache education and training exposure amongst neurology advanced trainees in New South Wales and Victoria
2715 Survey of headache education and training exposure amongst neurology advanced trainees in New South Wales and Victoria Open
Background Headache remains a major public health concern, with patients experiencing difficulty accessing optimal, evidence-based care. Aim To evaluate gaps in education and training in headache amongst Neurology Advanced Trainees in New …
View article: Ex‐SPECTing success: Predictors of successful SPECT radiotracer injection during presurgical video‐EEG admissions
Ex‐SPECTing success: Predictors of successful SPECT radiotracer injection during presurgical video‐EEG admissions Open
Objectives To determine predictors of successful ictal single photon emission computed tomography (SPECT) injections during Epilepsy Monitoring Unit (EMU) admissions for patients undergoing presurgical evaluation for drug‐resistant focal e…
View article: Making migraine easier to stomach: the role of the gut−brain−immune axis in headache disorders
Making migraine easier to stomach: the role of the gut−brain−immune axis in headache disorders Open
Background and Purpose Headache disorders place a significant burden on the healthcare system, being the leading cause of disability in those under 50 years. Novel studies have interrogated the relationship between headache disorders and g…