低场磁共振在脑疾病诊断应用若干问题探讨.pdfVIP

讲 座 磁共振成像 2010年第1卷第6期 Chin J Magn Reson Imaging, 2010, Vol 1, No 6 L ECTURES 低场磁共振在脑疾病诊断应用的若干问题探讨 马 军 [摘要] 神经系统检查一直占据磁共振扫描的多数,据东软远程会诊系统对 作者单位: 148家二级甲等及以下级别医院的磁共振检查部位的统计,仅头部检查就占全 首都医科大学附属北京天坛医院神经 部检查的33.0%。然而,放射科对低场磁共振的使用尚存在许多问题,例如: 影像中心,100050 扫描序列应用不当或缺失;没有充分利用三维成像轴、矢、冠状位;对平扫 已经发现病变的没有进行对比剂增强扫描;以及注射对比剂剂量不足等。本文 第一作者简介: 对低场磁共振在神经系统的应用存在的问题做一归纳、探讨,以期提高对低声 马军1961-男,医学博士,教授。 磁共振的应用能力。 研究方向:神经系统影像学。 [关键词] 磁共振成像;低场;脑;对比剂 通讯作者: 马军,E-mail: dr_ma@ Utilization of low-field MR scanner on cerebral diseases 收稿日期:2010-08-12 MA Jun 接受日期:2010-10-10 Imaging Center of Neuroradiology, Tiantan Hospital, Capital Medical University, Beijing 100050, China * 中图分类号:R742;R445.2 Correspondence to: Ma J, E-mail: dr_ma@ 文献标识码:A Received 12 Aug 2010; Accepted 10 Oct 2010 DOI: 10.3969/j.issn.1674-8034.2010.06.016 Abstract Central nervous system examination takes the majority of MR scan in clinical practice. A statistic data by Neusoft from 148 second-rank hospitals which equipped with low-field MR scanners showed that brain MR examination occupied 马军. 低场磁共振在脑疾病诊断应用的 33.0% of the total studies. Although it is expected that the low-field MR scanner 若干问题探讨. 磁共振成像, 2010, 16: could fulfill the requirement of brain examination in most cases, there are still some 473-479. problems remained due to the major drawback of low signal-to-noise ratio of low- field MR imaging. Recent improvements in low-field MR scanners have generated a renewed interest in low-field MR imaging with higher image quality and shorter scan times. In this article, we reviewed brain imaging in low-field MR, focusing on the imaging feature of intracranial hemorrhage, application of pulse sequences and the usage of contrast medium. Key words Magnetic resonance imaging; Low-field; Brain; Contrast medium 磁共振扫描仪通常按磁场强度不同可分为低 据东软远程会诊系统对148家二级甲等及以下级别 场、中场、高场和超高场,然而有关这种分类的界 医院的磁共振检查部位的统计,仅头部的检查就占 [1-3] 限却有些模糊 ,Rinck将场强介于0.1~0.5 T之间 全部检查的33.0%,如包括脊柱的检查此比例会更 定义为低场、介于0.5~1.0 T之间的为中场、介于 多。而在使用低场磁共振的过程中,尚存在许多问 1.0~2.0 T之间为高场、大于