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Diagnostische Neuroradiologie

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Klinische Neurologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Neuroradiologische Untersuchungen umfassen die Untersuchungen von Schädel, Wirbelsäule, Hirn und Rückenmark mittels Röntgennativbildern, Computertomografie (CT), Magnetresonanztomografie (MRT), Angiografie und Myelografie. Die klassischen Röntgennativuntersuchungen von Schädel und Wirbelsäule sind in den letzten Jahren zunehmend durch die modernen Schnittbildverfahren verdrängt worden, liefern aber bei bestimmten Fragestellungen noch ergänzende Informationen. Die Schnittbildverfahren Computertomografie und Magnetresonanztomografie sind heute die diagnostischen Säulen bei neuroradiologischen Fragestellungen, wobei die MRT auch funktionelle Informationen liefern kann. In der Neurobildgebung werden zunehmend Hochfeld-Scanner bei 3 Tesla Feldstärke eingesetzt, die bei schnellerer Messzeit eine höhere Auflösung morphologischer und funktioneller MR-Untersuchungen ermöglichen. Während die Anzahl der diagnostischen Angiografien durch nichtinvasive Verfahren der Gefäßdarstellung wie die CT- und MR-Angiografie weiter zurückging, nehmen die interventionellen Verfahren nicht zuletzt durch die Thrombektomie beim Schlaganfall und den Einsatz neuer Stents und Embolisationsmaterialien zu. Durch die kernspintomografische Diagnostik des Spinalkanals verringerte sich die Anzahl der Myelografien deutlich. Wenn jedoch die Weite des Spinalkanals auch unter funktionellen Bedingungen bedeutsam ist, hat die Myelografie immer noch ihren Platz.

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Authors and Affiliations

  1. Neuroradiologische Abteilung, Universitätsklinikum Erlangen, Erlangen, Deutschland

    Arnd Dörfler

  2. Institut für Radiologie und Neuroradiologie, Universitätsklinikum Essen, Essen, Deutschland

    Michael Forsting

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  1. Arnd Dörfler
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  2. Michael Forsting
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Correspondence to Arnd Dörfler .

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Editors and Affiliations

  1. Essen, Germany

    Peter Berlit

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Dörfler, A., Forsting, M. (2018). Diagnostische Neuroradiologie. In: Berlit, P. (eds) Klinische Neurologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44768-0_23-1

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  • DOI: https://doi.org/10.1007/978-3-662-44768-0_23-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44768-0

  • Online ISBN: 978-3-662-44768-0

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