Slavkovsky P, Uhliar R
Institute of Pathophysiology, Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Bratisl Lek Listy. 2004;105(7-8):245-9.
Imaging of human internal organs by exact and non-invasive methods is very important for medical diagnosis, treatment and follow-up. 2003 Nobel Laureates in Physiology or Medicine have made original discoveries in the use of magnetic resonance to visualize different structures. Their discoveries have led to the development of modern magnetic resonance imaging, MRI, which represents a breakthrough in medical diagnostics and research. Atomic nuclei within a strong magnetic field rotate with a frequency depending on the strength of the magnetic field. Their energy can increase if they absorb radio waves with the same frequency (resonance). When atomic nuclei return to their previous energy status, radio waves are emitted. These discoveries were awarded the Nobel Prize in Physics in 1952. During the following decades, magnetic resonance was used mainly for studies of the chemical structure of substances. In the beginning of the 1970s, 2003 Nobel Laureates made pioneering contributions, which later led to the applications of magnetic resonance in medical imaging. Paul Lauterbur (born 1929), Urbana, Illinois, USA, discovered the possibility to create a two-dimensional picture by introducing gradients to a magnetic field. Analysing the characteristics of the emitted radio waves he could determine their origin. This fact made it possible to build up a two-dimensional picture of structures that could not be visualized by other methods. Peter Mansfield (born 1933), Nottingham, England, further developed the utilization of gradients in the magnetic field. He showed, that the signals could be mathematically analysed, which made it possible to develop a useful imaging technique. Mansfield also showed how extremely fast imaging could be. It became technically possible within a decade. Magnetic resonance imaging, MRI, is now a routine method in medical diagnostics. Worldwide, more than 60 million investigations are performed each year, and the method is still rapidly evolving. MRI is often superior to other imaging techniques and significantly improves diagnostics in many diseases. MRI has replaced several invasive methods of examination and in this way has reduced the risk and discomfort of many patients. (Fig. 3, Ref. 3.).
通过精确且无创的方法对人体内部器官进行成像,对于医学诊断、治疗及后续跟进非常重要。2003年诺贝尔生理学或医学奖获得者在利用磁共振可视化不同结构方面有原创性发现。他们的发现推动了现代磁共振成像(MRI)的发展,这代表了医学诊断和研究领域的一项突破。在强磁场中,原子核会以取决于磁场强度的频率旋转。如果它们吸收相同频率的无线电波(共振),其能量会增加。当原子核回到先前的能量状态时,就会发射无线电波。这些发现在1952年被授予诺贝尔物理学奖。在随后的几十年里,磁共振主要用于物质化学结构的研究。20世纪70年代初,2003年诺贝尔生理学或医学奖获得者做出了开创性贡献,这些贡献后来促成了磁共振在医学成像中的应用。保罗·劳特布尔(生于1929年),美国伊利诺伊州厄巴纳市,他发现了通过在磁场中引入梯度来创建二维图像的可能性。通过分析发射的无线电波的特征,他能够确定其来源。这一事实使得构建其他方法无法可视化的结构的二维图像成为可能。彼得·曼斯菲尔德(生于1933年),英国诺丁汉市,进一步发展了磁场梯度的利用。他表明,信号可以进行数学分析,这使得开发一种有用的成像技术成为可能。曼斯菲尔德还展示了成像速度可以有多快。在十年内这在技术上成为了可能。磁共振成像(MRI)现在是医学诊断中的常规方法。在全球范围内,每年进行超过6000万次检查,并且该方法仍在迅速发展。MRI通常优于其他成像技术,并在许多疾病的诊断中显著提高了诊断效果。MRI已经取代了几种侵入性检查方法,从而降低了许多患者的风险和不适感。(图3,参考文献3)