Division of Neuroradiology, Department of Radiology, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA.
Clin Sports Med. 2011 Jan;30(1):103-14, ix. doi: 10.1016/j.csm.2010.09.003.
This article describes some of the newer techniques that are being used in the clinical assessment of patients following mild to moderate TBI, addresses their use in the acute setting, and explores their potential role in long-term follow-up. Also addressed are the challenges faced before some of these newer techniques can be incorporated into routine clinical management. Large studies are needed with a special emphasis on the effects of repeated head trauma in the young athlete. This is especially relevant where conventional imaging does not demonstrate a macroscopic abnormality. The emphasis has to shift from identifying structural abnormalities on imaging studies to understanding the functional changes in the brain that may explain the long-term neuropsychological effects of concussion and mTBI.
本文介绍了一些在轻度至中度 TBI 患者的临床评估中使用的新技术,讨论了它们在急性期的应用,并探讨了它们在长期随访中的潜在作用。还讨论了在将这些新技术纳入常规临床管理之前所面临的挑战。需要进行大型研究,特别关注年轻运动员反复头部创伤的影响。在常规影像学检查未显示明显异常的情况下,这一点尤为重要。重点必须从影像学研究上识别结构异常转移到理解大脑的功能变化,这些变化可能解释脑震荡和 mTBI 的长期神经心理学影响。