Neuroimaging in adult penetrating brain injury: a guide for radiographers

Journal of Medical Radiation Sciences

Nikki Temple BSc (ExSci), MPHAdv, MDR¹  Cortny Donald BSc Biotech Adv (Hons), MDR¹  Amanda Skora BSc (Hons), MDR¹ 

[1] Discipline of Medical Radiation Sciences, The University of Sydney, Lidcombe, New South Wales, Australia

关键词: Angiography;    computed tomography;    magnetic resonance imaging;    penetrating brain injuries;   

DOI  :  10.1002/jmrs.101

来源: Wiley

【 摘 要 】

Abstract

Penetrating brain injuries (PBI) are a medical emergency, often resulting in complex damage and high mortality rates. Neuroimaging is essential to evaluate the location and extent of injuries, and to manage them accordingly. Currently, a myriad of imaging modalities are included in the diagnostic workup for adult PBI, including skull radiography, computed tomography (CT), magnetic resonance imaging (MRI) and angiography, with each modality providing their own particular benefits. This literature review explores the current modalities available for investigating PBI and aims to assist in decision making for the appropriate use of diagnostic imaging when presented with an adult PBI. Based on the current literature, the authors have developed an imaging pathway for adult penetrating brain injury that functions as both a learning tool and reference guide for radiographers and other health professionals. Currently, CT is recommended as the imaging modality of choice for the initial assessment of PBI patients, while MRI is important in the sub-acute setting where it aids prognosis prediction and rehabilitation planning, Additional follow-up imaging, such as angiography, should be dependent upon clinical findings.

【 授权许可】

CC BY-NC-ND   
© 2015 The Authors. Journal of Medical Radiation Sciences published by Wiley Publishing Asia Pty Ltd on behalf of Australian Institute of Radiography and New Zealand Institute of Medical Radiation Technology.

Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.