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[创伤性脑损伤的诊断影像学]

[Diagnostic imaging of traumatic brain injury].

作者信息

Zimmer A, Reith W

机构信息

Abteilung für Neuroradiologie, Radiologische Klinik, Universitätsklinikum des Saarlandes, 66421 , Homburg, Saar.

出版信息

Radiologe. 2008 May;48(5):503-16; quiz 517-8. doi: 10.1007/s00117-008-1661-6.

Abstract

Traumatic brain injury (TBI)--either in isolation or within the context of multiple trauma--is a major cause of disability and death in young adults. The prognosis depends not only on the extent and localization of traumatic lesions, but also on the promptness of surgical intervention if indicated. The following article presents diagnostic imaging strategies in the acute and sub-acute phases of head injury, discussing their relevance with regard to various clinical situations. In addition to standard CT and MRI techniques, the use of other methods such as perfusion measurements, magnetic resonance spectroscopy or diffusion tensor imaging is briefly discussed. By means of these relatively new techniques it is possible to visualize not only structural changes but also gain information relating to functional and metabolic aspects of traumatic brain injury.

摘要

创伤性脑损伤(TBI)——无论是单独发生还是在多发伤的情况下——都是年轻成年人残疾和死亡的主要原因。预后不仅取决于创伤性病变的范围和部位,还取决于如有必要时手术干预的及时性。以下文章介绍了头部损伤急性和亚急性期的诊断成像策略,并讨论了它们在各种临床情况下的相关性。除了标准的CT和MRI技术外,还简要讨论了其他方法的应用,如灌注测量、磁共振波谱或扩散张量成像。通过这些相对较新的技术,不仅可以可视化结构变化,还可以获得与创伤性脑损伤的功能和代谢方面相关的信息。

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