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儿童神经影像学中的弥散加权 MRI。

Diffusion-weighted MRI in paediatric neuroimaging.

机构信息

Department of Neuroradiology, Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust, London, UK.

Department of Neuroradiology, Atkinson Morley Regional Neuroscience Centre, St George's University Hospitals NHS Foundation Trust, London, UK.

出版信息

Clin Radiol. 2018 Dec;73(12):999-1013. doi: 10.1016/j.crad.2018.07.101. Epub 2018 Aug 16.

Abstract

Diffusion-weighted imaging (DWI) is a well-established technique in neuroimaging, but the diagnostic value of DWI outside the setting of acute infarct and abscess is sometimes under-recognised particularly in paediatric neuroimaging. DWI also plays an important role in the evaluation of intracranial infection, brain tumours, demyelinating diseases, and metabolic disorders. DWI can assist in the early detection and characterisation of intraocular and skull-base pathology. The cases presented in this article demonstrate the utility of DWI in paediatric neuroimaging. DWI can improve diagnostic sensitivity and in conjunction with other magnetic resonance imaging (MRI) sequences can aid in early diagnosis and management. Obtaining an early diagnosis may avoid potential complications and improve patient outcome.

摘要

弥散加权成像(DWI)是神经影像学中一种成熟的技术,但在急性梗死和脓肿之外的情况下,DWI 的诊断价值有时未被充分认识,特别是在儿科神经影像学中。DWI 在颅内感染、脑肿瘤、脱髓鞘疾病和代谢性疾病的评估中也发挥着重要作用。DWI 可以帮助早期检测和特征化眼内和颅底病变。本文介绍的病例展示了 DWI 在儿科神经影像学中的应用。DWI 可以提高诊断的灵敏度,并且与其他磁共振成像(MRI)序列结合使用可以辅助早期诊断和管理。尽早诊断可以避免潜在的并发症并改善患者的预后。

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