CT基本信息的获取及腹部典型CT征象的解读.pptVIP

CTC CTE：GIST CD 肠周脂肪密度浑浊、升高 梳状征 CTA 46岁男性患者。初次内镜诊断为十二指肠球后壁的溃疡 出血。治疗后再次活动性出血。由于出血量大，第2次内镜检查失败 47岁女性患者。因严重的活动性出血影像肠镜的观察，遂行MDCTA。结果为盲肠的血管发育不良。最终通过内镜行电凝止血。 动态演示 * Figure 2. Pseudolesion due to rib compression in a 45-year-old woman. (a) Early-phase incremental dynamic CT scan obtained during deep inspiration shows a low-attenuation area below the seventh rib (arrow). (b) CT scan obtained during arterial portography shows an area of portal perfusion diminishment (arrow) that corresponds to the pseudolesion in a. (c) CT scan obtained during hepatic arteriography shows little abnormality of hepatic arterial perfusion. (d) Early-phase incremental dynamic CT scan obtained during shallow inspiration shows no pseudolesion below the seventh rib. Instead, another pseudolesion appeared below the ninth rib (arrow). The anatomic relationship between the ribs and the liver is different from that seen in a. * Figure 5. Pseudolesion due to diaphragmatic compression in a 62-year-old man. (a) Scan obtained during the early phase of incremental dynamic CT shows peripheral low-attenuation areas with a concave surface (arrow). (b) Delayed-phase incremental dynamic CT scan obtained 4 minutes after injection of contrast medium shows no abnormal attenuation. * Figure 6. Early-phase incremental dynamic CT scan shows a pseudolesion possibly due to compression by the prominent abdominal muscle (arrow) in a 42-yearold woman. No unusual vessels were evident to suggest Sappey veins (venae paraumbilicales) or epigastric veins around the round ligament of Cloquet. * * * 有关胰腺炎 有关腹腔脂肪 容易混淆的征象 肋骨压迫致肝异常灌注 女，45岁。 增强CT 深吸气 增强CT 浅吸气 CTAP CTHA 膈肌压迫致肝异常灌注 腹肌压迫致肝异常灌注 副奇静脉引流 增强扫描的重要性 CT扫描技术：三期扫描 发现细微病变 动脉期 门脉期 平扫 平衡期 病变良恶性鉴别 血管性病变的诊断 病情评估 胰腺癌侵犯血管并肝脏多发转移 肠壁增厚 CT在腹部特殊应用 CT肠道成像 CTA 动态演示 膈下游离气体 十二指肠憩室 腹部液体密度 有关脂肪肝 脂肪肝 有关脾大 有关肝硬化 血吸虫性肝硬化 间位结肠 脾脏强化特点 食管胃底静脉曲张 淋巴结肿大 有关胃壁 安徽医科大学第一附属医院放射科 腹部CT读片 CT的基本知识和常见腹部CT征象解读 CT成像原理 CT成像方式 与普通X线成像的区别 VCT探测器排数：64排 提高扫描速度，缩短扫描时间：现为0.35s 能将常规CT的三个制约因素有机的结合起来（分辨率、覆盖面和速度） X线球管损耗