Klinger M, Amtenbrink V, Graef G, Grumme T, Hartmann K H, Hopman H, Kazner E, Meese W, Vogel B
J Neurol. 1975;208(3):221-31. doi: 10.1007/BF00630635.
The examination of the brain with ultrasound has become an indispensible diagnostic tool in all cases of intracranial pathology. Valuable information is obtained both in emergencies and in follow-up studies. Since long practice is necessary before the results of echoencephalograms can be interpreted accurately, a need was felt for a standardization of the examination which would eliminate the subjective influence of the investigator. The automatic midline computer, called Midliner, which has recently become available, makes fewer demands on the experience of the investigator although the diagnostic possibilities are not as broad. The position of the midline echo is of primary interest, although the width of the third ventricle can be successfully determined in occasional cases. this study, which presents the results of the Midliner examinations in three clinics, is grouped according to diagnosis. Through a comparison with conventional A-scan echoencephalograms, as well as with neuroradiological and operative findings in 1889 cases, the reliability of this method is clearly demonstrated. The advantages and disadvantages of the examination are discussed and the field of application indicated.
超声检查脑部已成为所有颅内病变病例不可或缺的诊断工具。在急诊和随访研究中均可获取有价值的信息。由于在能够准确解读脑回波图结果之前需要长期实践，因此人们感到需要对检查进行标准化，以消除检查者的主观影响。最近推出的名为Midliner的自动中线计算机，对检查者的经验要求较低，尽管其诊断可能性没有那么广泛。中线回声的位置是主要关注点，尽管在某些情况下也可以成功确定第三脑室的宽度。本研究展示了三个诊所使用Midliner检查的结果，并按诊断进行了分类。通过与传统A扫描脑回波图以及1889例病例的神经放射学和手术结果进行比较，清楚地证明了该方法的可靠性。讨论了该检查的优缺点，并指出了其应用领域。
