Gandhi Dheeraj, Kathuria Sudhir, Ansari Sameer A, Shah Gaurang, Gemmete Joseph J
Department of Radiology, Division of Interventional Neuroradiology, Johns Hopkins University and Hospitals, Baltimore, MD 21287, USA.
Neuroimaging Clin N Am. 2009 May;19(2):133-47, Table of Contents. doi: 10.1016/j.nic.2009.02.002.
Recent technologic advances including multidetector CT, dynamic CT angiography, high-field MR imaging, four-dimensional MR angiography, and physiologic studies, such as perfusion imaging, have revolutionized the imaging work-up of head, neck, and skull base lesions. These techniques not only provide accurate diagnostic information, but also help plan endovascular therapy. The future holds great promise for interventional neuroradiologists because excellent imaging tools are becoming available that are capable of providing morphologic, hemodynamic, and physiologic information. Furthermore, availability of faster, real-time guidance systems and hybrid systems improves the ability to perform procedures not only in a rapid and safe manner but also with great precision.
包括多排螺旋CT、动态CT血管造影、高场强磁共振成像、四维磁共振血管造影以及灌注成像等生理研究在内的近期技术进步，彻底改变了头颈部及颅底病变的影像学检查方法。这些技术不仅能提供准确的诊断信息，还有助于规划血管内治疗。对于介入神经放射学家来说，未来前景广阔，因为越来越多优秀的成像工具能够提供形态学、血流动力学和生理学信息。此外，更快的实时引导系统和混合系统的出现，提高了不仅能快速、安全而且能高精度地进行手术的能力。
