Shoghli Arya, Chow Daniel, Kuoy Edward, Yaghmai Vahid
Department of Radiological Sciences, School of Medicine, University of California, Irvine, Irvine, CA, United States.
Front Neurol. 2023 Sep 29;14:1255858. doi: 10.3389/fneur.2023.1255858. eCollection 2023.
Neuroimaging is an inevitable component of the assessment of neurological emergencies. Magnetic resonance imaging (MRI) is the preferred imaging modality for detecting neurological pathologies and provides higher sensitivity than other modalities. However, difficulties such as intra-hospital transport, long exam times, and availability in strict access-controlled suites limit its utility in emergency departments and intensive care units (ICUs). The evolution of novel imaging technologies over the past decades has led to the development of portable MRI (pMRI) machines that can be deployed at point-of-care. This article reviews pMRI technologies and their clinical implications in acute neurological conditions. Benefits of pMRI include timely and accurate detection of major acute neurological pathologies such as stroke and intracranial hemorrhage. Additionally, pMRI can be potentially used to monitor the progression of neurological complications by facilitating serial measurements at the bedside.
神经影像学是评估神经急症不可或缺的组成部分。磁共振成像(MRI)是检测神经病理的首选成像方式,其灵敏度高于其他方式。然而,诸如院内转运困难、检查时间长以及在严格门禁的检查室使用受限等问题,限制了其在急诊科和重症监护病房(ICU)的应用。过去几十年新型成像技术的发展催生了可在床边使用的便携式MRI(pMRI)机器。本文综述了pMRI技术及其在急性神经疾病中的临床意义。pMRI的优势包括能及时、准确地检测出中风和颅内出血等主要急性神经病理。此外,pMRI通过便于在床边进行系列测量,有可能用于监测神经并发症的进展。