Nuclear Medicine Imaging in Pediatric Neurology.
Nuclear Medicine Imaging in Pediatric Neurology.
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DOI：
10.4274/mirt.49389
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发表时间：
2016-02-05
影响因子：
0.9
通讯作者：
Atay Kapucu LÖ
中科院分区：
文献类型：
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作者：
Akdemir ÜÖ;Atay Kapucu LÖ
核医学成像可以提供重要的补充信息，在管理儿科患者的神经系统疾病。难治性癫痫患者的致痫灶术前定位是儿科神经病学核医学成像最常见的指征。在颞叶癫痫患者中，当磁共振成像结果正常或其结果与脑电图结果不一致时，核医学成像特别有用。在儿科脑肿瘤患者中，核医学成像在临床上有助于诊断、指导活检、计划治疗、区分肿瘤复发与治疗后后遗症以及评估治疗反应。在其他神经系统疾病中，核医学已被证明是有用的，包括头部创伤、炎症感染性疾病和缺氧缺血性脑病。
Nuclear medicine imaging can provide important complementary information in the management of pediatric patients with neurological diseases. Pre-surgical localization of the epileptogenic focus in medically refractory epilepsy patients is the most common indication for nuclear medicine imaging in pediatric neurology. In patients with temporal lobe epilepsy, nuclear medicine imaging is particularly useful when magnetic resonance imaging findings are normal or its findings are discordant with electroencephalogram findings. In pediatric patients with brain tumors, nuclear medicine imaging can be clinically helpful in the diagnosis, directing biopsy, planning therapy, differentiating tumor recurrence from post-treatment sequelae, and assessment of response to therapy. Among other neurological diseases in which nuclear medicine has proved to be useful are patients with head trauma, inflammatory-infectious diseases and hypoxic-ischemic encephalopathy.