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脑震荡的影像学检查方法

Imaging Approach to Concussion.

作者信息

Ware Jeffrey B, Sandsmark Danielle K

机构信息

Department of Radiology, Neuroradiology Division, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.

Department of Neurology, University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.

出版信息

Neuroimaging Clin N Am. 2023 May;33(2):261-269. doi: 10.1016/j.nic.2023.01.002. Epub 2023 Feb 18.

Abstract

The acute and long-term neurobiological sequelae of concussion (mild traumatic brain injury [mTBI]) and sub-concussive head trauma have become increasingly apparent in recent decades in part due to neuroimaging research. Although imaging has an established role in the clinical management of mTBI for the identification of intracranial lesions warranting urgent interventions, MR imaging is increasingly employed for the detection of post-traumatic sequelae which carry important prognostic significance. As neuroimaging research continues to elucidate the pathophysiology of TBI underlying prolonged recovery and the development of persistent post-concussive symptoms, there is a strong motivation to translate these techniques into clinical use for improved diagnosis and therapeutic monitoring.

摘要

近几十年来,脑震荡(轻度创伤性脑损伤[mTBI])和亚脑震荡性头部创伤的急性和长期神经生物学后遗症日益明显,部分原因是神经影像学研究。尽管影像学在mTBI的临床管理中已确立了作用,可用于识别需要紧急干预的颅内病变,但磁共振成像(MR成像)越来越多地用于检测具有重要预后意义的创伤后后遗症。随着神经影像学研究不断阐明TBI在长期恢复及持续性脑震荡后症状发生背后的病理生理学机制,人们强烈希望将这些技术转化为临床应用,以改善诊断和治疗监测。

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