The 5-SENSE score includes extent of the lesion on magnetic resonance imaging, extent of the ictal discharge, extent of interictal epileptiform discharges (IEDs), strength of localizing semiology, and localizing neuropsychological deficit. The area under the curve (AUC) demonstrates good discrimination (0.831 [95% CI, 0.757-0.906]) and good calibration. Sensitivity and specificity were 83.3% (95% CI, 72.3-94.1) and 76.3% (95% CI, 66.7-85.8), respectively. For classifying predicted probabilities into the focal and nonfocal categories, the optimal mean (SD) probability cutoff was 37.6 (3.5). EEG indicates electroencephalography; ROC, receiver operating characteristic curve.