Chapter 5.Clinical Imaging
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Excerpt
Neuroimaging serves a critical role in diagnosis and assessment and as a tool for predicting outcomes in traumatic brain injury (TBI). At present, in a clinical setting, the key consideration that determines which modality is most appropriate is whether the clinical information needed is either diagnostic or prognostic. Within both categories, the considerations for conducting neuroimaging in TBI then differ depending on patient safety factors; the severity of injury; the effect of the injury on neurological, cognitive, and neurobehavioral function; the chronicity of injury; and the clinical goals of imaging specifically as they relate to diagnostic or prognostic information. Furthermore, the relative use and effectiveness of neuroimaging also differ in relation to the evidence available for the population in question (e.g., pediatric, adult, geriatric). Although the decision-making process is multifactorial, the purpose of this chapter is to outline the available evidence that guides each of these decisions.
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