JAMA. 1988 Feb 26;259(8):1211-22.
This report reviews the current applications of magnetic resonance imaging of the central nervous system. Since its introduction into the clinical environment in the early 1980s, this technology has had a major impact on the practice of neurology. It has proved to be superior to computed tomography for imaging many diseases of the brain and spine. In some instances it has clearly replaced computed tomography. It is likely that it will replace myelography for the assessment of cervicomedullary junction and spinal regions. The magnetic field strengths currently used appear to be entirely safe for clinical application in neurology, except in patients with cardiac pacemakers or vascular metallic clips. Some shortcomings of magnetic resonance imaging include its expense, the time required for scanning, and poor visualization of cortical bone.
本报告回顾了磁共振成像在中枢神经系统的当前应用。自20世纪80年代初引入临床环境以来，这项技术对神经病学实践产生了重大影响。事实证明，在对许多脑和脊柱疾病进行成像方面，它优于计算机断层扫描。在某些情况下，它显然已取代了计算机断层扫描。它很可能会取代脊髓造影用于评估颈髓交界处和脊柱区域。目前使用的磁场强度在神经病学临床应用中似乎完全安全，除了有心脏起搏器或血管金属夹的患者。磁共振成像的一些缺点包括费用高、扫描所需时间长以及皮质骨可视化效果差。
