Department of Neurosurgery, Emory University Hospital, Atlanta, Georgia.
Department of Radiology and Imaging Sciences, Emory University Hospital, Atlanta, Georgia.
Neurosurgery. 2020 May 1;86(5):E414-E423. doi: 10.1093/neuros/nyaa029.
Intracerebral hemorrhage (ICH) accounts for 10% to 20% of strokes worldwide and is associated with high morbidity and mortality rates. Neuroimaging is indispensable for rapid diagnosis of ICH and identification of the underlying etiology, thus facilitating triage and appropriate treatment of patients. The most common neuroimaging modalities include noncontrast computed tomography (CT), CT angiography (CTA), digital subtraction angiography, and magnetic resonance imaging (MRI). The strengths and disadvantages of each modality will be reviewed. Novel technologies such as dual-energy CT/CTA, rapid MRI techniques, near-infrared spectroscopy, and automated ICH detection hold promise for faster pre- and in-hospital ICH diagnosis that may impact patient management.
脑出血（ICH）占全球中风的 10%至 20%，发病率和死亡率都很高。神经影像学对于快速诊断 ICH 和确定潜在病因是不可或缺的，从而有助于对患者进行分诊和适当治疗。最常见的神经影像学方式包括非对比 CT（NCCT）、CT 血管造影（CTA）、数字减影血管造影和磁共振成像（MRI）。将对每种方式的优缺点进行回顾。双能 CT/CTA、快速 MRI 技术、近红外光谱和自动 ICH 检测等新技术有望更快地进行住院前和住院期间的 ICH 诊断，从而可能影响患者的治疗。
