Schroth G, Ozdoba C H, Remonda L
Abteilung für Neuroradiologie, Universität Bern, Inselspital.
Praxis (Bern 1994). 1995 Dec 12;84(50):1490-500.
After the discovery of X-rays by Roentgen exactly 100 years ago, neurosurgeons and neurologists have been promoting an imaging diagnosis of the central nervous system around the turn of the century with methods like pneumencephalography and angiography. With the induction of computed tomography and magnetic resonance imaging (MRI) in the last two decades, seemingly simple examination methods became available which led to a temporary separation of neuroradiology from its parent fields. Further development of MRI with methods that allow to measure brain perfusion and to visualize brain function has led this diagnostic modality back to its origin, neurology: adequate evaluation of such multimodality imaging is only possible in the context of all neurosciences. On the other hand, interventional neuroradiology with endovascular procedures in the brain has evolved to an operative field that is only feasible in close cooperation with neurosurgery. This also applies to MRI, where the 'open magnets' require close cooperation between neuroradiologist and neurosurgeon to perform image guided procedures online.
恰好在100年前伦琴发现X射线之后，神经外科医生和神经科医生在世纪之交就一直在通过气脑造影术和血管造影术等方法推动中枢神经系统的影像学诊断。在过去二十年中，随着计算机断层扫描和磁共振成像（MRI）的引入，出现了看似简单的检查方法，这导致神经放射学与其母领域暂时分离。MRI通过能够测量脑灌注并可视化脑功能的方法的进一步发展，使这种诊断方式回归到其起源学科——神经病学：只有在所有神经科学的背景下，才能对这种多模态成像进行充分评估。另一方面，脑部血管内介入神经放射学已发展成为一个只有与神经外科密切合作才可行的手术领域。这也适用于MRI，其中“开放式磁体”需要神经放射科医生和神经外科医生密切合作，以便在线进行图像引导手术。
