Clement Mariza O
Department of Radiology, Boston Medical Center of Boston University, 820 Harrison Avenue FGH3, Boston, MA 02118, USA.
Radiol Clin North Am. 2019 Jul;57(4):733-744. doi: 10.1016/j.rcl.2019.02.008. Epub 2019 Apr 6.
Conventional imaging in the acute setting of brain trauma, relevant pathophysiology of injury, and advanced imaging techniques that may provide value in understanding the immediate management and long-term sequela of traumatic brain injury are reviewed. Key imaging findings that can guide clinical management related to such injuries as concussions, hematomas, dissections, dural atrioventricular fistula, and diffuse axonal injury are discussed. The role and accuracy of computed tomography, dual-energy computed tomography, computed tomography angiography, and magnetic resonance angiography in the acute setting are evaluated. In addition, caveats related to imaging the elderly and pediatric population are addressed.
本文回顾了脑外伤急性期的传统影像学检查、相关损伤的病理生理学,以及在理解创伤性脑损伤的即时处理和长期后遗症方面可能具有价值的先进影像学技术。讨论了可指导与脑震荡、血肿、夹层、硬脑膜房室瘘和弥漫性轴索损伤等损伤相关临床处理的关键影像学表现。评估了计算机断层扫描、双能计算机断层扫描、计算机断层扫描血管造影和磁共振血管造影在急性期的作用和准确性。此外,还讨论了针对老年人和儿童群体进行影像学检查的注意事项。