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| 1 | 急性脊髓损伤患者治疗的临床操作指南:关于MRI基线在临床治疗决策与结果预测中作用的几点建议(英文)显示文摘The objective of this guideline is to outline the role of magnetic resonance imaging(MRI) in clinical decision making and outcome prediction in patients with traumatic spinal cord injury(SCI).Methods A systematic review of the literature was conducted to address key questions related to the use of MRI in patients with traumatic SCI.This review focused on longitudinal studies that controlled for baseline neurologic status.A multidisciplinary Guideline Development Group(GDG) used this information,their clinical expertise,and patient input to develop recommendations on the use of MRI for SCI patients.Based on GRADE(Grading of Recommendation,Assessment,Development and Evaluation),a strong recommendation is worded as ' we recommend,' whereas a weaker recommendation is indicated by 'we suggest.' Results Based on the limited available evidence and the clinical expertise of the GDG,our recommendations were:(1) 'We suggest that MRI be performed in adult patients with acute SCI prior to surgical intervention,when feasible,to facilitate improved clinical decision-making'(quality of evidence,very low) and(2) 'We suggest that MRI should be performed in adult patients in the acute period following SCI,before or after surgical intervention,to improve prediction of neurologic outcome '(quality of evidence,low).Conclusions These guidelines should be implemented into clinical practice to improve outcomes and prognostication for patients with SCI. | Fehlings MG Martin AR Tetreault LA Aarabi B Anderson P Arnold PM Brodke D Burns AS Chiba K Dettori JR Furlan JC Hawryluk G Holly LT Howley S Jeji T Kalsi-Ryan S Kotter M Kurpad S Kwon BK Marino RJ Massicotte E Merli G Middleton JW Nakashima H Nagoshi N Palmieri K Singh A Skelly AC Tsai EC Vaccaro A Wilson JR Yee A Harrop JS | 2017 | 中华神经外科疾病研究杂志2017，16，6： | 8 |
| 2 | Conus medullaris and cauda equina syndrome as a result of traumatic injuries: man- agement principles 显示文摘 | Harrop JS Hunt GE Jr Vaccaro AR | 2004 | Neurosurg Focus2004，16，： | 1 |
| 3 | The cause of neurologic deterioration after acute cervical spinal cord injury显示文摘 | Sharan AD Vaccaro AR | 2001 | Spine2001，26，4： | 1 |
| 4 | Interrater reliability of identifying indicators of posterior ligamentous complex disruption when plain films are indeterminate in thoracolumbar injuries显示文摘 | Schweitzer KM Vacearo AR Harrop JS | 2007 | J Orthop Sci2007，12，5： | 1 |
| 5 | Regulation of collagen synthesis and mRNA expression in normal and hypertrophic scar fibroblasts in vitro by IFN- γ 显示文摘 | Harrop AR Ghahary A Scott PG | 1995 | J Surg Research1995，58，： | 1 |
| 6 | The carse of neurologic deterioration after acute cervical spinal cord injury显示文摘 | Harrop JS Sharan AD Vaccaro AR | 2001 | Spine2001，26，： | 1 |
| 7 | The Cause of Neurologic Deterioration After Acute Cervical Spinal Cord Injury显示文摘 | Harrop JS Sharan AD Vaccaro AR | 2001 | Spine2001，26，4： | 1 |
| 8 | Interrater reliability of identifying indicators of posterior ligamentous complex disruption when plain films are indeterminate in thoracolumbar injuries显示文摘 | Schweitzer KM Vaccaro AR Harrop JS | 2007 | Orthop Sci2007，12，5： | 1 |
| 9 | The cause of neurologic deterioration after acute cervical spinal cord injury 显示文摘 | Harrop JS Sharan AD Vaccaro AR et a/ | 2011 | Spine (Phila Pa 1976)2011，26，4： | 1 |
| 10 | Regulation of collagen synthesis and mRNA expression in normal and hypertrophic scar fibroblasts in vitro by Interferon-y显示文摘 | Harrop AR Ghahary A Scott PG | 1995 | J Surg Res1995，58，5： | 1 |
| 11 | Regulation of collagen syn- thesis and mRNA expression in normal and hypertrophic scar fibro- blasts in vitro by interferon-gamma显示文摘 | Harrop AR Ghahary A Scott PG | 1995 | J Surg Res1995，58，5： | 1 |
| 12 | Regulation of collagen synthesis and mRNA expression in normal and hypertrophic scar fibroblast in vitro by Interferon-gama显示文摘 | HARROP AR GHAHARY A SCOTT PG | 1995 | J Surg Res1995，58，： | 1 |
| 13 | The cause of neurologic deterioration after acute cervical spinal cord injury 显示文摘 | Harrop JS Sharan AD Vaccaro AR | 2001 | Spine2001，26，： | 1 |
| 14 | Visual devekopment in infants : visual complications of periocular haemangiomas 显示文摘 | Frank RC Cowan B J Harrop AR | 2010 | J Plast Rrconstr Aesthe Surg2010，63，1： | 1 |
| 15 | Conus medullaris and cauda equina syndrome as a result of traumatic injuries:management principles显示文摘 | Harrop JS Hunt GE Jr Vaccaro AR | 2004 | Neurosurg Focus2004，16，6： | 1 |
| 16 | The cause of neurologic deterioration after acute cervical spinal cord injury显示文摘 | Harrop JS Sharan AD Vaccaro AR | 2001 | Spine2001，26，4： | 1 |
| 17 | The cause of neurologic deterioration after acute cervical spinal cord injury显示文摘 | Sharan AD Vaccaro AR | 2001 | Spine2001，26，： | 1 |
| 18 | Regulation of collagen synthesis and mRNA expression in normal and hypertrophic scar fibroblasts in vitro by Intefferon-γ显示文摘 | Ghahary A Scott PG | 1995 | J Surg Res1995，58，5： | 1 |
| 19 | The cause of neurologic deterioration After acute cervical spinal cord injury显示文摘 | Harrop JS Sharan AD Vaccaro AR | 2001 | Spine2001，26，4： | 1 |
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