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磁共振成像在癫痫瘤的诊断和治疗中的应用。

MRI in the diagnosis and management of epileptomas.

机构信息

Department of Clinical and Experimental Epilepsy, UCL Institute of Neurology, London, United Kingdom.

出版信息

Epilepsia. 2013 Dec;54 Suppl 9(Suppl 9):40-3. doi: 10.1111/epi.12442.

DOI:10.1111/epi.12442
PMID:24328871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4429894/
Abstract

High-resolution magnetic resonance imaging (MRI) is invaluable for identifying cerebral tumors that cause epilepsy. Serial voxel-based automated quantitative analyses are more sensitive than visual reading for detecting change in a lesion. Eloquent cortex can be identified with functional MRI (fMRI), with cautions about the precise location and extent of critical cortex. Tractography is useful for delineating critical white matter tracks as are MR venography and computerized tomography (CT) angiography for displaying veins and arteries. These data may be combined into a three-dimensional (3D) multimodal MR data presentation and displayed interoperatively to increase the precision and minimize the risk of neurosurgical treatment, and for the illustrations.

摘要

高分辨率磁共振成像(MRI)对于识别引起癫痫的脑肿瘤非常有价值。基于体素的自动定量分析比视觉阅读更敏感,可以检测病变的变化。功能磁共振成像(fMRI)可用于识别功能区皮质,但是要注意关键皮质的确切位置和范围。磁共振血管造影和计算机断层扫描(CT)血管造影对于显示静脉和动脉,对于描绘关键的白质轨道和追踪是有用的。这些数据可以组合成一个三维(3D)多模态磁共振数据展示,并进行交互式显示,以提高神经外科治疗的精度和降低风险,并用于插图。

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Language lateralization by fMRI and Wada testing in 229 patients with epilepsy: rates and predictors of discordance.229 例癫痫患者的 fMRI 和 Wada 测试的语言侧化:不一致的发生率和预测因素。
Epilepsia. 2013 Feb;54(2):314-22. doi: 10.1111/epi.12068. Epub 2013 Jan 7.
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Intracranial metastases: spectrum of MR imaging findings.颅内转移瘤:磁共振成像表现谱
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用于小儿癫痫手术的3-T术中磁共振成像(iMRI)。
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Epilepsy Behav. 2012 Sep;25(1):120-4. doi: 10.1016/j.yebeh.2012.05.019. Epub 2012 Jul 27.
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Neurosurgery. 2012 Sep;71(3):729-39; discussion 739-40. doi: 10.1227/NEU.0b013e31826213de.
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