Complex neuroimaging of traumatic brain injury: Magnetic resonance imaging

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Abstract

Traumatic brain injury is one of the most frequent types of injuries and ranks first among the causes of mortality and disability of the working population. The timely diagnosis of brain damage is one of the ways of improving the quality of emergency neurosurgical treatment of severe traumatic brain injury. Choosing the right diagnostic method allows you to assess the volume, severity of the injury and apply the correct treatment tactics.

This paper describes in detail the special methods of magnetic resonance imaging used in the diagnosis of traumatic brain injury (MR cisternography, perfusion MRI, MR spectroscopy, diffusion-weighted and diffusion tensor MRI). The diagnostic capabilities, advantages and disadvantages of each method are discussed.

About the authors

A. V. Yarikov

Privolzhsky District Medical Center FMBA; City Clinical Hospital No. 39; Regional Diagnostic Center

Author for correspondence.
Email: anton-yarikov@mail.ru
ORCID iD: 0000-0002-4437-4480

PhD, neurosurgeon

Russian Federation, Nizhny Novgorod; Vladimir

I. A. Lobanov

OOO MC "Tonus"

Email: anton-yarikov@mail.ru

radiologist

Russian Federation, Nizhny Novgorod

V. A. Leonov

City Clinical Hospital No. 39

Email: anton-yarikov@mail.ru
ORCID iD: 0000-0001-6228-4879

neurosurgeon

Russian Federation, Nizhny Novgorod

A. P. Fraerman

City Clinical Hospital No. 39

Email: anton-yarikov@mail.ru
ORCID iD: 0000-0002-5476-7069

PhD, Professor, neurosurgeon, leading researcher
of the group "Microneurosurgery"

Russian Federation, Nizhny Novgorod

S. V. Nikolenko

City Clinical Hospital No. 39

Email: anton-yarikov@mail.ru

radiologist

Russian Federation, Nizhny Novgorod

Supplementary files

Supplementary Files
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1. JATS XML
2. Figure 1. Cystic-gliotic changes in the right frontal lobe. Left – T1WI mode. Right – FLAIR mode. Cystic-gliotic changes with the deposition of hemosiderin on the periphery.

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3. Figure 2. DWI in determining the time of intracerebral hematoma. A. Intracerebral hematoma in the left hemisphere of the brain. Subacute period, day 5. B. Intracerebral hematoma in the right hemisphere of the brain. Chronic period, day 28.

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4. Figure 3. DAI. Right – images in T2-WI mode. Aintensive signal in the projection of the corpus callosum trunk (depositions of hemosiderin). Left – DT MRI. Rupture of the commissural tracts in the area of the corpus callosum trunk.

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5. Figure 4. Consequences of TBI. Left – DT MRI. Rupture of the projection tracts in the area of cystic-gliotic changes. Right – T2-WI mode. Aintensive signal on the periphery of the cystic-gliotic changes (depositions of hemosiderin).

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Copyright (c) 2020 Yarikov A.V., Lobanov I.A., Leonov V.A., Fraerman A.P., Nikolenko S.V.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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