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[儿童中枢神经系统疾病中质子自旋断层扫描的适应症。164例病例的4年经验报告]

[Indications for proton spin tomography in central nervous system diseases in childhood. A 4-year experience report on 164 cases].

作者信息

Reither M, Binder K, Imschweiler E, Lindner R

机构信息

Radiol. Zentrum, Städt. Klinikums Nürnberg.

出版信息

Klin Padiatr. 1990 Sep-Oct;202(5):321-7. doi: 10.1055/s-2007-1025539.

DOI:10.1055/s-2007-1025539
PMID:2214591
Abstract
  1. Magnetic Resonance Tomography (MRT) is the method of choice for precise, comprehensive and reproducible imaging of congenital malformations and space occupying lesions. 2. MRT indicates inflammatory processes of the CNS earlier than CT by which extension and localization are visualized more precisely. MRT gains particular importance for follow-up studies because there is no radiation burden. In cases of disseminated inflammatory lesions or concerning early diagnosis of Herpes-encephalitis an exact and rapid diagnosis is possible. 3. In patients suffering from convulsions with or without focal lesions in EEG MRT instead of CT should be applied as MRT allows three-dimensional imaging not influenced by bone artifacts. 4. CT is superior to MRT if small calcifications or acute hemorrhage are looked for. MRT enables us to differentiate several stages of bleeding. 5. In patients with cerebral AV-malformations angiography can be replaced by MRT. However, angiography is indispensable for small aneurysms and AV-malformations in the spinal canal. 6. Due to high soft tissue contrast MRT is the imaging modality of choice in patients with metabolic and degenerative diseases and disturbances of brain maturation. 7. In infants sonography should be done first and supplemented by MRT and/or CT.
摘要
  1. 磁共振断层扫描(MRT)是对先天性畸形和占位性病变进行精确、全面且可重复成像的首选方法。2. MRT比CT更早显示中枢神经系统的炎症过程,通过MRT能更精确地观察炎症的范围和定位。MRT在随访研究中尤为重要,因为不存在辐射负担。对于播散性炎症性病变或疑似疱疹性脑炎的早期诊断,MRT能够实现准确快速的诊断。3. 对于脑电图显示有或无局灶性病变的惊厥患者,应采用MRT而非CT,因为MRT可进行不受骨伪影影响的三维成像。4. 若要查找小钙化灶或急性出血,CT优于MRT。MRT能让我们区分出血的几个阶段。5. 对于患有脑动静脉畸形的患者,MRT可替代血管造影。然而,对于小动脉瘤和椎管内动静脉畸形,血管造影是必不可少的。6. 由于软组织对比度高,MRT是代谢性疾病、退行性疾病及脑发育障碍患者的首选成像方式。7. 对于婴儿,应首先进行超声检查,并辅以MRT和/或CT。

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