ABSTRACT
Imaging of the brain, magnetic resonance imaging (MRI) in particular, is a key adjunctive
tool in the diagnosis and management of toxic-metabolic disorders such as alcoholism,
mitochondrial encephalopathies, disorders of iron or copper metabolism, exposure to
carbon monoxide, radiotherapy, immunosuppressive agents, toluene, and recreational
drugs. In this article, we review the neuroimaging findings of common toxic and metabolic
disorders focusing on the role of conventional MRI. We also consider advanced imaging
methods, such as magnetic resonance spectroscopy, diffusion MRI, and positron emission
tomography. We hope this article will prove useful to trainees and practitioners in
the clinical and imaging fields of the neurosciences.
KEYWORDS
Toxin exposure - metabolic disorders - MRI - brain - neurotoxicity
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Rohit BakshiM.D.
Associate Professor of Neurology and Radiology, Brigham and Women's Hospital, Harvard
Medical School
77 Avenue Louis Pasteur, HIM 730, Boston, MA 02115
Email: rbakshi@bwh.harvard.edu