中枢神经系统脱髓鞘疾病的常规磁共振成像方案及标准化

Routine MR Imaging Protocol and Standardization in Central Nervous System Demyelinating Diseases.

作者信息

Traboulsee Anthony, Li David K B

机构信息

Department of Medicine (Neurology), University of British Columbia, University of British Columbia Hospital, 2211 Wesbrook Mall, Room S113, Vancouver, British Columbia V6T 2B5, Canada.

Department of Radiology, University of British Columbia, University of British Columbia Hospital, 2211 Wesbrook Mall, Vancouver, British Columbia V6T 2B5, Canada.

出版信息

Neuroimaging Clin N Am. 2024 Aug;34(3):317-334. doi: 10.1016/j.nic.2024.03.002. Epub 2024 May 14.

DOI:10.1016/j.nic.2024.03.002

PMID:38942519

Abstract

Standardized MR imaging protocols are important for the diagnosis and monitoring of patients with multiple sclerosis (MS) and the appropriate use of MR imaging in routine clinical practice. Advances in using MR imaging to establish an earlier diagnosis of MS, safety concerns regarding intravenous gadolinium-based contrast agents, and the value of spinal cord MR imaging for diagnostic, prognostic, and monitoring purposes suggest a changing role of MR imaging for the management and care of MS patients. The MR imaging protocol emphasizes 3 dimensional acquisitions for optimal comparison over time.

摘要

标准化的磁共振成像（MR）协议对于多发性硬化症（MS）患者的诊断和监测以及在常规临床实践中合理使用MR成像至关重要。在利用MR成像更早诊断MS方面取得的进展、对基于钆的静脉内造影剂的安全担忧以及脊髓MR成像在诊断、预后和监测方面的价值表明，MR成像在MS患者管理和护理中的作用正在发生变化。MR成像协议强调进行三维采集以便随时间进行最佳比较。