重度颅脑损伤病例中磁共振成像与CT扫描成像的对比研究

Comparative study of magnetic resonance and CT scan imaging in cases of severe head injury.

作者信息

Ogawa T, Sekino H, Uzura M, Sakamoto T, Taguchi Y, Yamaguchi Y, Hayashi T, Yamanaka I, Oohama N, Imaki S

机构信息

Division of Neurosurgery, St. Marianna University School of Medicine, Yokohama, Japan.

出版信息

Acta Neurochir Suppl (Wien). 1992;55:8-10. doi: 10.1007/978-3-7091-9233-7_3.

DOI:10.1007/978-3-7091-9233-7_3

PMID:1414552

Abstract

The distribution, frequency, and appearance of head injuries were evaluated with MRI and CT in a prospective study of 155 patients with acute (n = 124) and chronic (n = 31) head injuries. MRI was significantly more sensitive than CT in the detection of intraaxial injury at any stage. In severe cases, central structure lesions were detected in approximately 80% of patients. Severity on admission was compatible with MR findings. However it was difficult to decide on neurobehavioural prognosis from initial MRI findings only.

摘要

在一项对155例急性（n = 124）和慢性（n = 31）头部损伤患者的前瞻性研究中，使用磁共振成像（MRI）和计算机断层扫描（CT）评估了头部损伤的分布、频率和外观。在检测任何阶段的轴内损伤方面，MRI比CT敏感得多。在严重病例中，约80%的患者检测到中央结构病变。入院时的严重程度与MRI结果相符。然而，仅根据最初的MRI结果很难判断神经行为预后。