Hwang Misun, Riggs Becky J, Katz Joseph, Seyfert Donna, Northington Frances, Shenandoah Robinson, Burd Irina, McArthur Justin, Darge Kassa, Thimm Matthew A, Huisman Thierry A G M
Division of Pediatric Radiology and Pediatric Neuroradiology, Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, Baltimore, MD.
Division of Pediatric Anesthesiology and Critical Care Medicine, Charlotte Bloomberg Children's Center, Johns Hopkins Hospital, Baltimore, MD.
J Neuroimaging. 2018 Mar;28(2):150-157. doi: 10.1111/jon.12492. Epub 2017 Dec 27.
Recent technical advances in neurosonography continue broadening the diagnostic utility, sensitivity, and specificity of ultrasound for detecting intracranial abnormalities bed side. The clinical and functional applications of neurosonography have significantly expanded since the 1980s when transcranial Doppler sonography first allowed anatomic and hemodynamic delineation of the intracranial vessels through the thin temporal skull. In the past few years, contrast-enhanced ultrasonography, elastography, 3D/4D reconstruction tools, and high-resolution microvessel imaging techniques have further enhanced the diagnostic significance of neurosonography. Given these advances, a thorough familiarity with these new techniques and devices is crucial for a successful clinical application allowing improved patient care. It is essential that future neurosonography studies compare these advanced techniques against the current "gold standard" computed tomography and magnetic resonance imaging to assure the accuracy of their diagnostic potential. This review will provide a comprehensive update on currently available advanced neurosonography techniques.
近年来，神经超声技术的进展不断拓宽了超声在床边检测颅内异常方面的诊断效用、敏感性和特异性。自20世纪80年代经颅多普勒超声首次能够通过颞部薄颅骨对颅内血管进行解剖和血流动力学描绘以来，神经超声的临床和功能应用显著扩展。在过去几年中，超声造影、弹性成像、三维/四维重建工具以及高分辨率微血管成像技术进一步提高了神经超声的诊断意义。鉴于这些进展，全面熟悉这些新技术和设备对于成功的临床应用至关重要，从而能够改善患者护理。未来的神经超声研究必须将这些先进技术与当前的“金标准”计算机断层扫描和磁共振成像进行比较，以确保其诊断潜力的准确性。本综述将全面更新目前可用的先进神经超声技术。
