Neuroimaging has improved the understanding, diagnosis, and management
of several neurologic diseases and syndromes. Recent advances in the
neuroimaging of epilepsy, movement disorders, and degenerative disease
s of the nervous system are reviewed. Current research confirms that s
tructural and functional neuroimages each provide unique, clinically u
seful information in these disorders. Quantification of images improve
s their diagnostic sensitivity and specificity. Presymptomatic or earl
y neurochemical changes have been identified and followed longitudinal
ly in several neurodegenerative diseases, providing a method for monit
oring response to therapeutic intervention and pathophysiologic hypoth
esis testing. Functional activation studies and receptor-specific radi
oligands continue to advance our understanding of these disorders. Fut
ure methods will take increasing advantage of both the ability to meas
ure neuropharmacological and neurochemical changes in vivo, and the ab
ility to combine images and information obtained with distinct structu
ral and functional neuroimaging modalities.