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Experiencia inicial con la MRi-angio en el estudio de lesiones de la base de cráneo
W. Bini, R.H. Prawitz, J. Rodríguez Díaz, M. Samii
Neurochirurgische Klinik und Kernspintomographie. Nordstadt Krankenhaus, Hannover, Alemania
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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Hasta el desarrollo e incorporaci&#243;n de la Resonancia Magn&#233;tica Nuclear &#40;RMN o MRi&#44; Magnetic Resonance Imaging&#41; en la pr&#225;ctica cl&#237;nica rutinaria&#44; eran necesarios procedimientos invasivos para la correcta evaluaci&#243;n del patr&#243;n vascular cerebral y cervical as&#237; como de la relaci&#243;n de los vasos con los tejidos circundantes normales o patol&#243;gicos&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Con la introducd&#243;n de la MRi-angio como parte del protocolo preoperatorio en el diagn&#243;stico de la patolog&#237;a de la base de cr&#225;neo&#59; podemos evaluar de forma noinvasiva los principales vasos de la cabeza y cuello reduciendo el n&#250;mero de estudios diagn&#243;sticos invasivos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Despu&#233;s de haber realizado y evaluado 50 estudios vasculares con MRi-angio&#44; en los &#250;ltimos 6 meses&#44; opinamos que la informaci&#243;n obtenida es suficiente para conocer el curso&#44; permeabilidad&#8217;y relaci&#243;n de los vasos a nivel de la base craneal &#40;75&#8211;90&#37; de calidad diagn&#243;stica&#41;&#46;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">La MRi-angio deber&#237;a realizarse como screening y por tratarse de una t&#233;cnica no-invasiva es m&#233;todo a elegir en ni&#241;os y pacientes de edad avanzada&#46; Con adelantos t&#233;cnicos y perfeccionamiento de los estudios podremos canalizar mejor los estudios angiogr&#225;ficos selectivos o supraselectivos&#44; disminuyendo el n&#250;mero de angiograf&#237;as diagn&#243;sticas convencionales&#46;</p>"
      ]
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Until the development and incorporation of MRi techniques in routine clinical practice&#44; invasive diagnostic procedures were mandatory for the evaluation of the vascular course and intrinsic relationship between blood vessels and nearby adjacent normal and pathological tissue&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">With MRi-angio&#44; as part of the diagnostic preoperative protocol for the skull base&#44; we can now evaluate non-invasively the major vascular supply for the head and neck thus reducing the number of invasive diagnostic studies&#46;</p><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">After having performed and evaluated in the last 6 months 50 MRi-angio examinations in skull base processes&#44; we retain this technique as sufficient in the majority of the cases to deliver accurate information regarding vascular course&#44; blood vessel&#47;tumor relationship and vascular patency &#40;75&#8211;90&#37; diagnostic quality&#41;&#46; MRi-angio should be used as screening method&#44; specially in children and elderly patients due to the non-invasive nature&#46;</p><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Further technical improvements will channel more specifically selective and supraselective invasive angiographical studies&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Bini&#44; W&#46;&#59; Prawitz&#44; R&#46; H&#46;&#59; Rodr&#237;guez D&#237;az&#44; J&#46;&#59; Samii&#44; M&#46;&#58; Experiencia inicial con la MRi-angio en el estudio de lesiones de la base de craneo&#46; Neurocirug&#237;a&#44; 1991&#59; 2&#58; 5&#8211;7&#46;</p>"
      ]
    ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Non-invasive evaluation of cerebral vesseis in skull base surgery using MRi-angio"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "W&#46; Bini"
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                            2 => "M&#46; Samii"
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                      ]
                    ]
                  ]
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                      "LibroEditado" => array:3 [
                        "titulo" => "5th Congress&#44; International Skull Base Study Group"
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                        "serieFecha" => "1990"
                      ]
                    ]
                  ]
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                      "titulo" => "Magnetic Resonance Angiography"
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                        0 => array:2 [
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                          "autores" => array:2 [
                            0 => "C&#46;L&#46; Dumoulin"
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                      "doi" => "10.1148/radiology.161.3.3786721"
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                        "tituloSerie" => "Radiology"
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                        "volumen" => "161"
                        "paginaInicial" => "717"
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "C&#46;L&#46; Dumoulin"
                            1 => "S&#46;P&#46; Souza"
                            2 => "H&#46;R&#46; Hart"
                          ]
                        ]
                      ]
                    ]
                  ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Magn&#46; Reson&#46; Med&#46;"
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                            "web" => "Medline"
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                      ]
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
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                      "titulo" => "MR angiography via 2D-acquisition but yielding a 3D-display&#58; a work in progress"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:3 [
                            0 => "P&#46;J&#46; Keller"
                            1 => "B&#46;P&#46; Drayer"
                            2 => "E&#46;K&#46; Fram"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.173.2.2798885"
                      "Revista" => array:7 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "1989"
                        "volumen" => "173"
                        "paginaInicial" => "527"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2798885"
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                      "titulo" => "Intracranial Aneurysms&#58; Evaluation by MR"
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                            0 => "J&#46;S&#46; Ross"
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                            2 => "M&#46;T&#46; Momc"
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                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Angiography AJNR"
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                      "titulo" => "Intracranial circulation&#58; pulse sequence considerations in three-dimensional &#40;volume&#41; MR angiography"
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                      "doi" => "10.1148/radiol.2343040286"
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ISSN: 11301473
Idioma original: Español
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