Williams E J, Bunch C S, Carpenter T A, Downey S P, Kendall I V, Czosnyka M, Pickard J D, Martin J, Menon D K
Wolfson Brain Imaging Centre and Department of Medical Physics, Addenbrookes Hospital, Cambridge, United Kingdom.
J Neurosurg. 1999 Oct;91(4):706-9. doi: 10.3171/jns.1999.91.4.0706.
There is increasing recognition that magnetic resonance (MR) imaging and spectroscopy may provide important information in the assessment of patients with acute brain injury. However, optimum care of the acutely head injured patient requires monitoring of intracranial pressure (ICP). Although many monitoring modalities have been integrated into commercially available MR-compatible systems, there have been no reports of commonly used intraparenchymal ICP sensors in an MR environment. The authors describe the use of an ICP micromanometer probe in an MR environment, with a fiberoptic connection that interfaces the probe with a commercially available MR-compatible monitoring system. Phantom studies were performed to demonstrate the safety and compatibility of the modified MR system at 0.5 tesla. The safety of the device was assessed in relation to its interaction with the static, gradient, and radiofrequency fields used in MR imaging. The MR compatibility was documented by demonstrating that its performance was unaffected by the operation of imaging sequences and by showing that there was no degradation of the diagnostic quality of imaging data obtained during ICP monitoring.
人们越来越认识到,磁共振(MR)成像和波谱分析可能在急性脑损伤患者的评估中提供重要信息。然而,对急性颅脑损伤患者的最佳护理需要监测颅内压(ICP)。尽管许多监测方式已被集成到市售的MR兼容系统中,但尚无关于在MR环境中使用常用的脑实质内ICP传感器的报道。作者描述了在MR环境中使用ICP微压计探头,该探头通过光纤连接与市售的MR兼容监测系统相连。进行了体模研究以证明改良后的MR系统在0.5特斯拉时的安全性和兼容性。根据该设备与MR成像中使用的静磁场、梯度场和射频场的相互作用评估了其安全性。通过证明其性能不受成像序列操作的影响,并表明在ICP监测期间获得的成像数据的诊断质量没有下降,记录了MR兼容性。