Altmeyer Wilson, Steven Andrew, Gutierrez Juan
Department of Radiology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900, USA.
Department of Radiology, University of Maryland Medical System, 22 South Green Street, Baltimore, MD 21201, USA.
Magn Reson Imaging Clin N Am. 2016 May;24(2):305-23. doi: 10.1016/j.mric.2015.11.011. Epub 2016 Feb 23.
MR imaging is an extremely useful tool in the evaluation of traumatic brain injury in the emergency department. Although CT still plays the dominant role in urgent patient triage, MR imaging's impact on traumatic brain injury imaging continues to expand. MR imaging has shown superiority to CT for certain traumatic processes, such as diffuse axonal injury, cerebral contusion, and infarction. Magnetic resonance angiography and magnetic resonance venography allow emergent vascular imaging for patients that should avoid ionizing radiation or intravenous contrast.
磁共振成像(MR成像)是急诊科评估创伤性脑损伤的一种极其有用的工具。尽管CT在紧急患者分诊中仍占主导地位,但MR成像在创伤性脑损伤成像方面的影响仍在不断扩大。对于某些创伤过程,如弥漫性轴索损伤、脑挫伤和梗死,MR成像已显示出优于CT的优势。磁共振血管造影和磁共振静脉造影可为应避免电离辐射或静脉造影剂的患者提供紧急血管成像。