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脑磁共振成像中颅内偶然发现的管理

Management of Intracranial Incidental Findings on Brain MRI.

作者信息

Langner S, Buelow R, Fleck S, Angermaier A, Kirsch M

机构信息

Institute for Diagnostic Radiology and Neuroradiology, Universitymedicine Greifswald, Germany.

Department of Neurosurgery, Universitymedicine Greifswald, Germany.

出版信息

Rofo. 2016 Dec;188(12):1123-1133. doi: 10.1055/s-0042-111075. Epub 2016 Jul 19.

Abstract

The wider use of MRI for imaging of the head in both research and clinical practice has led to an increasing number of intracranial incidental findings. Most of these findings have no immediate medical consequences. Nevertheless, knowledge of common intracranial incidental findings and their clinical relevance is necessary to adequately discuss the findings with the patient. Based on the author´s experiences from a large population-based study, the most common incidental MR findings in the brain will be presented, discussing their clinical relevance and giving recommendations for management according to the current literature and guidelines. • Intracranial incidental findings are common.• The majority of these findings have no immediate medical consequences.• Knowledge of common incidental findings is necessary for appropriate management. • Langner S, Buelow R, Fleck S et al. Management of Intracranial Incidental Findings on Brain MRI. Fortschr Röntgenstr 2016; 188: 1123 - 1133.

摘要

在研究和临床实践中,磁共振成像(MRI)在头部成像方面的广泛应用导致颅内偶然发现的数量不断增加。这些发现大多不会立即产生医学后果。然而,了解常见的颅内偶然发现及其临床相关性对于与患者充分讨论这些发现是必要的。基于作者在一项大型人群研究中的经验,将介绍大脑中最常见的偶然磁共振成像发现,讨论其临床相关性,并根据当前文献和指南给出管理建议。

  • 颅内偶然发现很常见。

  • 这些发现大多不会立即产生医学后果。

  • 了解常见的偶然发现对于适当的管理是必要的。

  • Langner S, Buelow R, Fleck S等。脑MRI颅内偶然发现的管理。《Fortschr Röntgenstr》2016年;188: 1123 - 1133。

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