Oppenheim C, Marro B, Sahel M, Marsault C
Département de neuroradiologie diagnostique et thérapeutique, Hôpital de la Pitié, Paris.
Rev Prat. 1996 Apr 1;46(7):811-6.
Various methods of neuroradiologie examination are described, with an emphasis on recent developments, in particular in CT scan (angioscan, spiral acquisition) and MRI. CT scan, which is the most accessible method, can answer most questions in intracerebral emergencies (trauma, vascular accidents, intracerebral hypertension ...). Outside the emergency setting, morphological study of the brain by MRI is much superior to that provided by CT scan and should be the first-line examination for investigation of suspected tumour, wite matter lesion.... This is even more evident in exploration of lesions of the posterior cranial fossa. In addition, introduction in the near future of functional MRI should lead to better knowledge of the relationship between cerebral lesions and functional zones. Ultrasonography remains a noninvasive and effective technique to seek lesions of the arteries supplying the brain. For spinal cord disorders, MRI is by far the examination of choice, except when contraindicated by the presence of cardiac pacemaker, metallic foreign bodies in the patient.
本文描述了多种神经放射学检查方法,重点介绍了近期的进展,特别是在CT扫描(血管造影扫描、螺旋采集)和MRI方面。CT扫描是最容易获得的检查方法,能够回答脑内急症(创伤、血管意外、颅内高压……)中的大多数问题。在非急症情况下,MRI对脑部的形态学研究远优于CT扫描,对于疑似肿瘤、白质病变……的检查,MRI应作为一线检查方法。这在后颅窝病变的探查中更为明显。此外,功能MRI在不久的将来投入使用,将有助于更好地了解脑病变与功能区之间的关系。超声检查仍然是一种无创且有效的技术,用于寻找供应脑部的动脉病变。对于脊髓疾病,MRI是目前的首选检查方法,除非患者存在心脏起搏器、金属异物等禁忌情况。