Naggara O, Létourneau-Guillon L, Mellerio C, Belair M, Pruvo J-P, Leclerc X, Meder J-F, Oppenheim C
Unité de Recherche en Neuroradiologie Interventionnelle, Département de Radiologie, Centre hospitalier de l'Université de Montréal, Hôpital Notre-Dame, Montréal, Canada.
J Radiol. 2010 Mar;91(3 Pt 2):329-49; quiz 350-1. doi: 10.1016/s0221-0363(10)70050-0.
Imaging of water diffusion or diffusion-weighted MR imaging provides physiological information about brain diseases that cannot be obtained from conventional sequences. This technique is very sensitive for the detection of cerebral ischemia from arterial origin and can distinguish cerebral ischemia from other non-vascular brain pathologies in patients presenting with abrupt onset of focal neurological deficit. Diffusion-weighted imaging is used for the evaluation of non-vascular diseases as well. Combined with conventional sequences, it is helpful to differentiate brain abscesses from necrotic tumors. Quantitative diffusion-weighted imaging provides additional information in the characterization of tumors or inflammatory, degenerative and metabolic lesions. Finally, diffusion-weighted imaging data also has prognostic value.
水扩散成像或扩散加权磁共振成像能够提供有关脑部疾病的生理信息,而这些信息是传统序列无法获取的。该技术对检测源于动脉的脑缺血非常敏感,并且能够在出现局灶性神经功能缺损急性发作的患者中,将脑缺血与其他非血管性脑部病变区分开来。扩散加权成像也用于评估非血管性疾病。与传统序列相结合,有助于鉴别脑脓肿与坏死性肿瘤。定量扩散加权成像在肿瘤、炎症、退行性和代谢性病变的特征描述方面提供了额外信息。最后,扩散加权成像数据也具有预后价值。