Emory University Department of Radiology and Imaging Sciences, Division of Neuroradiology, Atlanta, GA.
Emory University Department of Radiology and Imaging Sciences, Division of Nuclear Medicine and Molecular Imaging, Atlanta, GA.
Semin Ultrasound CT MR. 2020 Dec;41(6):551-561. doi: 10.1053/j.sult.2020.08.009. Epub 2020 Aug 29.
Epilepsy is generated by a plethora of varying pathologies, structural lesions, and pathways and may significantly impact a patient's livelihood. The combination of clinical semiology, electroencephalogram, and magnetic resonance imaging often fails to identify a structural seizure focus. The addition of functional radionuclide imaging is complementary to structural imaging and essential when structural imaging is discordant or inconclusive. The understanding of the key radiopharmaceuticals, imaging techniques, spectrum of disease processes, and potential pitfalls is necessary for diagnosis and surgical planning in epilepsy.
癫痫是由多种不同的病理、结构损伤和途径引起的，可能会对患者的生活产生重大影响。临床症状学、脑电图和磁共振成像的组合通常无法确定结构性癫痫灶。功能放射性核素成像的加入是对结构成像的补充，当结构成像不一致或不确定时则至关重要。了解关键放射性药物、成像技术、疾病过程谱以及潜在的陷阱对于癫痫的诊断和手术计划是必要的。
