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家庭医による家庭医のためのプライマリケア上達術 » 米国神経内科学会（ＡＡＮ）　ＭＲＩによる急性脳梗塞の診断

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米国神経内科学会（ＡＡＮ）　ＭＲＩによる急性脳梗塞の診断

米国神経内科学会（ＡＡＮ）　ＭＲＩによる急性脳梗塞の診断

http://www.aafp.org/afp/2011/0215/p483.html

研修医時代から今に至るまで急性脳梗塞の診断はＣＴによる、というスタンダードはまだ崩れていないようだが、ＭＲＩがＣＴにとって代わる時代がいずれ来るのだろう。そこでのキーワードは拡散強調画像と灌流強調画像。ＡＡＮでは拡散強調画像の有効性を認め始めているようだ。私にとって正直どのように技術的違いがあるのか、解りかねるため

http://www.jsa-web.org/jn12/jn12d.html

が参考になるかもしれない。いずれにしろ、ＭＲＩがもっと簡便で迅速で安く使えるようになれば、被爆のデメリットもないためＣＴが必要なくなるかもしれない。ただ、この記事だけではＡＡＮがガイドライン上どのようにＭＲＩを勧めているのかはっきりと分からないのは私だけであろうか？

update: 2011/02/28 | 家庭医プライマリケアアップデート
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家庭医プライマリケアリンク学会編

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