• M Wintermark, P C Sanelli, Y Anzai, A J Tsiouris, C T Whitlow, and American College of Radiology Head Injury Institute.
• From the Division of Neuroradiology (M.W.), Stanford University, Palo Alto, California Max.Wintermark@gmail.com.
• AJNR Am J Neuroradiol. 2015 Feb 1; 36 (2): E1-E11.

SummaryNeuroimaging plays a critical role in the evaluation of patients with traumatic brain injury, with NCCT as the first-line of imaging for patients with traumatic brain injury and MR imaging being recommended in specific settings. Advanced neuroimaging techniques, including MR imaging DTI, blood oxygen level-dependent fMRI, MR spectroscopy, perfusion imaging, PET/SPECT, and magnetoencephalography, are of particular interest in identifying further injury in patients with traumatic brain injury when conventional NCCT and MR imaging findings are normal, as well as for prognostication in patients with persistent symptoms. These advanced neuroimaging techniques are currently under investigation in an attempt to optimize them and substantiate their clinical relevance in individual patients. However, the data currently available confine their use to the research arena for group comparisons, and there remains insufficient evidence at the time of this writing to conclude that these advanced techniques can be used for routine clinical use at the individual patient level. TBI imaging is a rapidly evolving field, and a number of the recommendations presented will be updated in the future to reflect the advances in medical knowledge.© 2015 by American Journal of Neuroradiology.

15 keywords...

hide…