Department of Radiology and Radiological Sciences, Monroe Carell Jr. Children's Hospital, Vanderbilt University Medical Center, 2200 Children's Way, Nashville, TN, 37232, USA.
Pediatr Radiol. 2021 Feb;51(2):172-188. doi: 10.1007/s00247-020-04953-1. Epub 2021 Jan 26.
Part 1 of this series of two articles describes conventional and advanced MRI techniques that are useful for evaluating brainstem pathologies. In addition, it provides a review of the embryology, normal progression of myelination, and clinically and radiologically salient imaging anatomy of the normal brainstem. Finally, it discusses congenital diseases of the brainstem with a focus on distinctive imaging features that allow for differentiating pathologies. Part 2 of this series of two articles includes discussion of neoplasms; infections; and vascular, demyelinating, toxic and metabolic, and miscellaneous disease processes affecting the brainstem. The ultimate goal of this pair of articles is to empower the radiologist to add clinical value in the care of pediatric patients with brainstem pathologies.
本系列文章共两篇,第一篇介绍了常规和高级 MRI 技术,这些技术对评估脑干病变非常有用。此外,本文还回顾了脑干的胚胎学、髓鞘正常发育过程以及正常脑干的临床和放射学显著影像学解剖结构。最后,本文讨论了脑干先天性疾病,重点介绍了有助于区分病变的独特影像学特征。本系列文章的第二篇包括对影响脑干的肿瘤、感染、血管性、脱髓鞘性、毒性和代谢性以及其他疾病过程的讨论。这两篇文章的最终目标是使放射科医生能够在小儿脑干病变的治疗中增加临床价值。