Michalik M, Meier U, Planitzer J
Zentralbl Neurochir. 1982;43(2):183-92.
Computer tomography enables for the first time the direct demonstration of the consequences of a craniocerebral trauma. In the computer tomogram, the cerebral oedema is dominating as an area of reduced density (hypodense region). Three different measuring techniques are compared and their application in 43 craniocerebral traumata discussed. Among the measuring methods employed, the area index shows the greatest diagnostic reliability in the computer-tomographic findings of a posttraumatic cerebral oedema. The partial volume analysis without application of a contrast medium is of little use for computer-tomographic clearing of the question of a generalised cerebral oedema after SHT while the density index is only suitable in conjunction with additional parameters.
计算机断层扫描首次能够直接显示颅脑创伤的后果。在计算机断层扫描图像中,脑水肿表现为密度降低区域(低密度区),占据主导地位。比较了三种不同的测量技术,并讨论了它们在43例颅脑创伤中的应用。在所采用的测量方法中,面积指数在创伤后脑水肿的计算机断层扫描结果中显示出最高的诊断可靠性。不使用造影剂的部分容积分析对于计算机断层扫描明确严重头部外伤后是否存在全身性脑水肿问题用处不大,而密度指数仅在结合其他参数时适用。