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缺血性脑卒中后影像学检查及其临床相关性评价

Review of Post Ischemic Stroke Imaging and Its Clinical Relevance.

机构信息

Division of Neurology, Department of Medicine, National University Health System, Singapore; Department of Neuroradiology, Karolinska University Hospital, Stockholm, Sweden; Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Division of Neurology, Department of Medicine, National University Health System, Singapore.

出版信息

Eur J Radiol. 2017 Nov;96:145-152. doi: 10.1016/j.ejrad.2017.02.013. Epub 2017 Feb 14.

Abstract

In this day and age, multiple imaging modalities are available to the stroke physician in the post-treatment phase.The practical challenge for physicians who treat stroke is to evaluate the pros and cons of each technique and select the best choice for the situation. The choice of imaging modality remains contentious at best and varies among different institutions and centres. This is no simple task an there are many factors to consider, including the differential diagnosis which need to be evaluated, the availability and reliability of the imaging technique and time and expertise required to perform and interpret the scanning. Other ancillary competing interest also come into play such as the financial cost of the modality, the requirement for patient monitoring during the imaging procedure and patient comfort. In an effort to clear some of the ambiguity surrounding this topic we present some of the current techniques in use and others, which are still in the realm of research and have not yet transitioned into clinical practice.

摘要

在当今时代,中风医生在治疗后阶段可以使用多种成像方式。对于治疗中风的医生来说,实际的挑战是评估每种技术的优缺点,并为具体情况选择最佳选择。成像方式的选择充其量仍然存在争议,并且在不同的机构和中心之间有所不同。这不是一项简单的任务,需要考虑许多因素,包括需要评估的鉴别诊断、成像技术的可用性和可靠性以及执行和解释扫描所需的时间和专业知识。其他辅助竞争利益也会产生影响,例如该方式的财务成本、成像过程中对患者的监测要求以及患者的舒适度。为了消除围绕该主题的一些模糊性,我们介绍了一些当前使用的技术以及其他仍处于研究领域且尚未过渡到临床实践的技术。

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