轻度颅脑爆炸冲击伤的多模态影像学研究进展  

Research progress of multimodal imaging in blast-related mild traumatic brain injuries

作　　者：李扬 叶伦 熊坤林 Li Yang;Ye Lun;Xiong Kunlin(Department of Medical Imaging,Air Force Hospital of Western Theater Command,Chengdu 610000,China;Department of Radiology,Daping Hospital,Army Medical University,Chongqing 400042,China)

机构地区：[1]西部战区空军医院医学影像科,成都610000 [2]陆军军医大学大坪医院放射科,重庆400042

出　　处：《创伤外科杂志》2025年第3期171-176,共6页Journal of Traumatic Surgery

基　　金：基础加强计划重点基础研究项目(2019-JCJQ-ZD-141-00)。

摘　　要：短时间强作用力下的爆炸冲击波引发的轻度颅脑爆炸冲击伤(bmTBI)早期诊断困难,如未能提前发现患者精神状态的恶化,会造成严重的神经功能障碍。多模态成像是指整合多种成像技术的新型诊断手段,多模态影像技术发展可以早期发现大脑结构、功能、代谢的变化,为下一步实战条件下的颅脑爆炸冲击伤防护及治疗奠定基础。本文对近几年国外相关文献进行回顾和整理,对几种神经影像技术在bmTBI的应用进行综述。Early diagnosis of blast-related mild traumatic brain injury(bmTBI)caused by explosive shock waves under short-term strong forces is challenging,with varying degrees of brain dysfunction in later stages.Multimodal imaging refers to a new diagnostic method that integrates various imaging techniques,with continuous development,which is able to detect changes in the structure,function,and metabolism of the brain at an early stage,laying the foundation for the protection and treatment of head injuries under combat conditions.This paper reviews relevant foreign literature published in recent years and summarizes the application of several neuroimaging techniques in bmTBI.

关 键 词：轻度颅脑损伤 爆炸冲击伤 正电子发射断层显像 磁共振波谱 静息态功能MRI 弥散张量成像 

分 类 号：R651.15[医药卫生—外科学] R445.2[医药卫生—临床医学]