关于肝脏mrs 和dwi 笔记.pdfVIP

Gastrointestinal radiology 胃肠道影像 Radiology, Renji Hospital Shanghai Jiaotong University School of Medicine 钱黎俊 Learning objectives • To understand the normal anatomy of the GI tract on barium study • To understand and able to identify the image findings of malignant esophageal, gastric and colonic lesion on barium study • Be familiar with the role of CT in diagnosis of GI tract diseases Outline • Introduction of barium study • Normal anatomy on barium study • Esophagus  Esophageal carcinoma  Diverticula  Achalasia  Varices • Gastric-duodenum  Peptic ulcer  Gastric cancer • Colon  Diverticula  Colon cancer • Role of CT in diagnosis of acute abdomen Introduction to barium study • Provide morphologic assessment of GI tract  e.g. achalasia • Provide functional and kinetic information  e.g. gastroesophageal reflux • Fluoroscopy (透视) • Contraindication: GI tract perforation  May cause chemical peritonitis  Using iodine contrast for suspected perforation or leakage Single- and double-contrast study • Barium sulfate  Water insoluble, not absorbed by GI tract  Safe, free from poisoning or allergic reaction • Air  negative contrast  Barium + Air = double contrast ! Esophagus ** Esophageal carcinoma Diverticula Varices Achalasia Normal anatomy of esophagus on barium study • Mucosa folds Aortic arch  Longitudinal, thin, parall