Jeon Byeong-Uk, Yu In Kyu, Kim Tae Kun, Kim Ha Youn, Hwang Seungbae
Taehan Yongsang Uihakhoe Chi. 2021 Jan;82(1):99-115. doi: 10.3348/jksr.2020.0054. Epub 2021 Jan 20.
Various sequences have been developed for MRI to aid in the radiologic diagnosis. Among the various MR sequences, susceptibility-weighted imaging (SWI) is a high-spatial-resolution, three-dimensional gradient-echo MR sequence, which is very sensitive in detecting deoxyhemoglobin, ferritin, hemosiderin, and bone minerals through local magnetic field distortion. In this regard, SWI has been used for the diagnosis and treatment of various neurologic disorders, and the improved image quality has enabled to acquire more useful information for radiologists. Here, we explain the principle of various signals on SWI arising in neurological disorders and provide a retrospective review of many cases of clinically or pathologically proven disease or components with distinctive imaging features of various neurological diseases. Additionally, we outline a short and condensed overview of principles of SWI in relation to neurological disorders and describe various cases with characteristic imaging features on SWI. There are many different types diseases involving the brain parenchyma, and they have distinct SWI features. SWI is an effective imaging tool that provides complementary information for the diagnosis of various diseases.
为辅助放射学诊断,已开发出多种用于磁共振成像(MRI)的序列。在各种磁共振序列中,磁敏感加权成像(SWI)是一种高空间分辨率的三维梯度回波磁共振序列,它通过局部磁场畸变来检测脱氧血红蛋白、铁蛋白、含铁血黄素和骨矿物质时非常敏感。在这方面,SWI已被用于各种神经系统疾病的诊断和治疗,其改善后的图像质量能够为放射科医生获取更多有用信息。在此,我们解释神经系统疾病中SWI上各种信号的原理,并对许多经临床或病理证实的疾病病例或具有各种神经系统疾病独特影像学特征的成分进行回顾性分析。此外,我们概述了与神经系统疾病相关的SWI原理的简短而精炼的综述,并描述了具有SWI特征性影像学表现的各种病例。涉及脑实质的疾病有许多不同类型,它们具有不同的SWI特征。SWI是一种有效的成像工具,可为各种疾病的诊断提供补充信息。