儿童神经成像在CT前的时代:回到未来
1Division of Pediatric Neurosurgery, Department of Neurological Surgery, Ann & Robert H. Lurie Children's, Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Avenue, Chicago, IL, 60611, USA. ttomita@luriechildrens.org.
概括
本综述探讨了在计算机断层扫描 (CT) 之前儿科神经成像的演变. 它强调了从侵入性测试向非侵入性方法的转变,例如用于神经诊断的超声波.
科学领域:
- 神经学 神经学
- 医疗成像医学成像
- 儿科神经外科 儿科神经外科
背景情况:
- 神经学诊断历来依赖于临床评估和侵入性手术,如脑血管造影.
- 计算机断层扫描 (CT) 和磁共振 (MR) 成像技术的出现彻底改变了诊断能力.
- 由于先进的非侵入性成像,入侵性测试现在很少用于儿科神经外科手术.
研究的目的:
- 审查儿科神经影像技术的历史发展和进展.
- 为CT时代之前的诊断格局提供背景.
- 突出向非侵入性神经成像模式的过渡.
主要方法:
- 对诊断神经成像技术的文献综述.
- 分析儿科神经评估的历史趋势.
- 侵入性与非侵入性神经成像模式的比较.
主要成果:
- 在CT前时代的神经成像包括侵入性测试,如血管学,脑学和骨髓学.
- 像核脑部扫描和超声波等非侵入性方法出现了,超声波由于便携性和安全性而变得越来越突出.
- 超声波现在是新生儿评估的主要工具.
结论:
- 儿科神经成像在过去50年里取得了显著的进步.
- CT和MR的引入标志着一个范式的转变,减少对侵入性手术的依赖.
- 非侵入性技术,特别是超声波,在现代儿科神经成像中至关重要.
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