Citation

Wintermark M, Sanelli PC, Anzai Y, Tsiouris AJ, Whitlow CT. AJNR Am. J. Neuroradiol. 2014; 36(2): E1-E11.

Affiliation

From the Division of Neuroradiology (M.W.), Stanford University, Palo Alto, California; Department of Radiology (P.C.S.), North Shore-LIJ Health System, Manhasset, New York; Department of Radiology (Y.A.), University of Washington, Seattle, Washington; Department of Radiology (A.J.T.), Weill Cornell Medical College, New York-Presbyterian Hospital, New York, New York; and Department of Radiology and Translational Science Institute (C.T.W.), Wake Forest School of Medicine, Winston-Salem, North Carolina.

Copyright

(Copyright © 2014, American Society of Neuroradiology)

DOI

10.3174/ajnr.A4181

PMID

25424870

Abstract

Neuroimaging 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 levelNdependent 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.

Language: en