In this insightful discussion, Dr. Christopher Skidmore, an associate professor of neurology and vice-chair at Thomas Jefferson University, shares his expertise on the pivotal role of neuroimaging in epilepsy. He emphasizes the importance of optimizing MRI protocols for accurate diagnosis and highlights various imaging techniques, including PET and fMRI, essential for surgical planning. He also delves into the nuances of identifying subtle brain malformations, illustrating how these advancements can significantly improve patient outcomes.