Bydder G M, Rutherford M A
MRC Clinical Sciences Centre, Hammersmith Hospital, London, England, United Kingdom.
Magn Reson Imaging Clin N Am. 2001 Feb;9(1):83-98, viii.
Diffusion-weighted imaging provides novel and interesting insights into normal development and pathologic processes occurring in neonates and infants. Both myelinated and unmyelinated white matter show restricted diffusion. Focal infarction in perinatal stroke and more global injury associated with hypoxic ischemia encephalopathy produce high-signal lesions in the brain, in the acute phase. Diffusion-weighted imaging also demonstrates abnormalities of a variety of other diseases, when conventional imaging is relatively uninformative.
扩散加权成像为新生儿和婴儿正常发育及病理过程提供了新颖且有趣的见解。有髓鞘和无髓鞘的白质均显示扩散受限。围产期卒中的局灶性梗死以及与缺氧缺血性脑病相关的更广泛损伤在急性期会在大脑中产生高信号病变。当传统成像相对无信息价值时,扩散加权成像也能显示多种其他疾病的异常情况。