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To evaluate the accuracies of simultaneous F-fluorodeoxyglucose positron emission tomography/magnetic resonance imaging ([ F]-FDG PET/MRI) in preoperative localization and the postsurgical prediction. This retrospective study was performed on ninety-eight patients diagnosed with refractory epilepsy whose presurgical evaluation included [ F]-FDG PET/MRI, with 1-year post-surgery follow-up between August 2016 and December 2018. PET/MRI images were interpreted by two radiologists and a nuclear medicine physician to localize the EOZ using s