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Methodische Probleme klinischer funktioneller MRT-Untersuchungen

Methodological problems with clinical functional MRI investigations

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Zusammenfassung

Die klinische funktionelle Magnetresonanztomographie (fMRT) hat als individuelles Untersuchungsverfahren v. a. in der präoperativen Diagnostik bei Epilepsie- und Tumorpatienten einen zunehmenden Stellenwert, da sie hier zu einer klinischen Entscheidung beitragen kann. Die rasche Entwicklung der fMRT-Technologie eröffnet dabei kontinuierlich neue diagnostische Möglichkeiten, erfordert aber auch einen kritischen Umgang mit den zahlreichen methodischen Problemen dieses komplexen Verfahrens. Dieser Artikel beschreibt patientenrelevante Probleme und Lösungsmöglichkeiten von der Untersuchung bis zur Erstellung des individuellen fMRT-Befundes.

Abstract

During presurgical diagnostics clinical functional magnetic resonance imaging is increasingly being performed to improve the management of epilepsy and tumor patients. Rapid technical developments in fMRI technology continuously further new diagnostic applications. Safe clinical application requires a profound and critical handling of the various methodological problems inherent with this complex technique. This article reviews relevant problems and solutions for patient investigations up to the preparation of an individual clinical fMRI report.

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Danksagung

Die Autoren danken nachfolgenden Mitgliedern der AG klinische fMRT Wien für ihre Beiträge zu den diesem Artikel zugrunde liegenden Messdaten: Alexander Geißler, Susanne Gruber, Ilse Höllinger, Nicolaus Klinger, Jakob Rath.

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Authors and Affiliations

  1. AG klinische fMRT, Universitätsklinik für Neurologie, Exzellenzzentrum Hochfeld-MR, Medizinische Universität Wien, Währinger Gürtel 18–20, A-1090, Wien, Österreich

    T. Foki &  R. Beisteiner MD, MA

Authors
  1. T. Foki
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  2. R. Beisteiner MD, MA
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Correspondence to R. Beisteiner MD, MA.

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Foki, T., Beisteiner, R. Methodische Probleme klinischer funktioneller MRT-Untersuchungen. Radiologe 50, 104–109 (2010). https://doi.org/10.1007/s00117-009-1896-x

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  • DOI: https://doi.org/10.1007/s00117-009-1896-x

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