Karaarslan E, Arslan A
Department of Radiology, American Hospital, Sişli, Istanbul, Turkey.
Eur J Radiol. 2008 Mar;65(3):402-16. doi: 10.1016/j.ejrad.2007.04.023. Epub 2007 Jun 6.
Diffusion weighted imaging (DWI) is a relatively new method in which the images are formed by the contrast produced by the random microscopic motion of water molecules in different tissues. Although DWI has been tried for different organ systems, it has been found its primary use in the central nervous system. The most widely used clinical application is in the detection of hyperacute infarcts and the differentiation of acute or subacute infarction from chronic infarction. Recently DWI has been applied to various other cerebral diseases. In this pictorial paper the authors demonstrated different DWI patterns of non-infarct lesions of the brain which are hyperintense in the diffusion trace image, such as infectious, neoplastic and demyelinating diseases, encephalopathies - including hypoxic-ischemic, hypertensive, eclamptic, toxic, metabolic and mitochondrial encephalopathies - leukodystrophies, vasculitis and vasculopathies, hemorrhage and trauma.
扩散加权成像(DWI)是一种相对较新的方法,其图像由不同组织中水分子随机微观运动产生的对比度形成。尽管DWI已在不同器官系统中进行了尝试,但发现其主要应用于中枢神经系统。最广泛使用的临床应用是检测超急性梗死以及区分急性或亚急性梗死与慢性梗死。最近,DWI已应用于各种其他脑部疾病。在这篇图文报告中,作者展示了脑部非梗死性病变在扩散追踪图像中呈高信号的不同DWI表现模式,如感染性、肿瘤性和脱髓鞘性疾病、脑病(包括缺氧缺血性、高血压性、子痫性、中毒性、代谢性和线粒体脑病)、脑白质营养不良、血管炎和血管病变、出血和创伤。