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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 | Acute cervical traumatic spinal cord injury:MR imaging findings correlated with neurologic outcome-prospective study with 100 consecutive patients显示文摘 | Miyanji F Furlan JC Aarabi B | 2007 | Radiology2007，243，3： | 1 |
| 3 | Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcomeprospective study with 100 consecutive patients显示文摘 | Miyanji F Furlan JC Aarabi | 2007 | Radiology2007，243，3： | 1 |
| 4 | The effects of gender on clinical and neurological outcomes after acute cervical spinal cord injury显示文摘 | Furlan JC Krassioukov AV Fehlings MG | 2005 | J Neurotrauma2005，22，3： | 1 |
| 5 | Biologic basis for the treatment of microscopic, occult well,differentiated thyroid cancer显示文摘 | FURLAN JC BEDARD Y ROSEN IB | 2001 | Surgery2001，130，6： | 1 |
| 6 | Functional electri- cal stimulation therapy for grasping in traumatic incomplete spinal cord injury: randomized control trial显示文摘 | Kapadia NM Zivmlovic V Furlan JC | 2011 | Artif Organs2011，35，3： | 1 |
| 7 | Acute cervical traumatic spinal- cord injury: MR imaging findings correlated with neumlogic out- comeprospective study with 100 consecutive patients 显示文摘 | Miyanji F Furlan JC Aarabi A | 2007 | Radiology2007，3，： | 1 |
| 8 | White blood cell count is an independent predictor of outcomes after acute ischaemic stroke显示文摘 | FURLAN JC VERGOUWEN MDI FANG J | 2014 | Eur J Neurol2014，21，2： | 1 |
| 9 | Timing of decompressive surgery of spinal cord after traumatic spinal cord injury: an evidence-based examination ofpre-clinical and clinical studies显示文摘 | Furlan JC Noonan V Cadotte DW | 2011 | J Neuro trauma2011，28，8： | 1 |
| 10 | Cardiovascular complications after acutek spinal cord injury: pathophysiology, diagnosis, and management 显示文摘 | Furlan JC Fehlings MG | 2008 | Neumsurg Focus2008，25，5： | 1 |
| 11 | Interobserver and in- traobserver reliability of maximum canal compromise and spinal cord compression for evaluation of acute traumatic cervical spinal cord injury显示文摘 | Fehlings MG Furlan JC Massicotte EM | 2006 | Spine(Phila Pa 1976)2006，31，15： | 1 |
| 12 | Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurologic outcome--prospective study with 100 consecutive patients 显示文摘 | MIYANJI F FURLAN JC AARABI B | 2007 | Radiology2007，243，3： | 1 |
| 13 | Timing of decompressive surgery of spinal cord after traumatic spinal cord injury: an evi denee - based examination of pre - clinical and clinical studies 显示文摘 | Furlan JC Noonan V Cadotte DW | 2011 | Neurotrauma2011，28，8： | 1 |
| 14 | Functional elec- trical stimulation therapy for grasping in traumatic incomplete spinal cord injury: randomized control trial显示文摘 | Kapadia NM Zivanovic V Furlan JC | 2011 | Artificial Or- gans2011，35，3： | 1 |
| 15 | Hyponatremia in the acute stage after traumatic cervical spinal cord injury:clinical and neuroanatomic evidence for autonomic dysfunction显示文摘 | Furlan JC Fehlings MG | 2009 | Spine(Phila Pa1976)2009，34，5： | 1 |
| 16 | Intembserver and in- traobserver reliability of maximum canal compromise and spinal cord compression for evaluation of acute traumatic cervical spinal cord injury显示文摘 | Fehlings MG Furlan JC Massicotte EM | 2006 | Spine2006，31，15： | 1 |
| 17 | Acute cervical traumatic spinal cord injury:MR imaging findings correlated with neruolagic outcome-- prospective study with 100 consecutive patients显示文摘 | Miyanji F Furlan JC Arabi B | 2007 | Radiology2007，243，： | 1 |
| 18 | Functional and clinical outcomes following surgical treatment in patients with cervical spondylotic myelopathy: a prospective study of 81 cases显示文摘 | Furlan JC Kalsi-Ryan S Kailaya-Vasan A | 2011 | J Neurosurg Spine2011，14，3： | 1 |
| 19 | Cardiovascular com-plications after acute spinal cord injury:pathophysiology,diagnosis and management显示文摘 | Furlan JC Fehlings MG | 2008 | Neurosurg Focus2008，25，5： | 1 |
| 20 | Clinicopathologic significance of histologic vascular invasion in papillary and follicular thyroid carcinomas显示文摘 | Furlan JC Bedard YC Rosen IB | 2004 | J Am Coll Surg2004，198，3： | 1 |
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