医学影像学发展与外科实践-外科学进展课件.pptVIP

医学影像学发展与外科实践; 简 介;医学影像学发展;Wilhelm Conrad Roentgen 1845-1923;January 1896 - First x-ray made in public ;平片与透视;平片与透视;造影;Digital Radiography DR;图像存档与传输系统（PACS) ;PACS=Picture Archiving and Communication System;Film -- Computer Viewing;Godfrey N. Hounsfield, The Nobel Prize in Physiology or Medicine 1979 with Allan M. Cormack Atkinsons Morley Hospital and the first human patient was examined on October 1, 1971. ;1970;AquilionONE 动态容积CT;;;CT检查临床应用;结肠仿真内窥镜;3D CT of the heart;硬脑膜动静脉畸形;MPR;SSD;肺转移性肿瘤;支架术后再狭窄行搭桥手术;支架术后再狭窄行搭桥手术;;;肝癌---肝动静脉分流;;常规MIP;肌间血管瘤;DE 痛风结节显示;我们已发表或完成的文章;肝右叶肝癌灌注检查;0.35T;T2WI;磁共振弥散加权成像;急性脑梗塞;磁敏感成像（SWI）在急性缺血性脑卒中的作用;磁敏感成像在急性缺血性脑卒中的作用;磁共振弥散张量成像（DTI）;男 32岁 右颞间变性星形胶质细胞瘤;Left finger tapping;术中MRI;术中MRI;术中MRI;; Gadolinium-enhanced  T1 Weighted; - Parenchyma adjacent soft tissue - Intra and extra pancreatic ducts - Abdominal arteries veins ; LAVA;Biliary ductal system;胆总管下端癌;泌尿系统水成像;Non Surgical Biopsy;Draining Abscess;肝 囊 肿;磁共振波谱成像：肝31P MRS;31P MRS研究成果;在前列腺癌中的应用; 前列腺癌 前列腺增生;磁共振弹性成像（MRE） ;磁共振弹性成像（MRE） ;磁共振弹性成像（MRE） ;分子影像靶向对比剂研究及应用进展;本人肝分子影像靶向研究;CT-enhanced ;CT-enhanced ;CT-enhanced ;;肝特异对比剂普美显 – 鉴别小肝癌和假病灶;Grade I HCC;右后叶动脉期强化病灶 –肝癌 左内叶动脉期强化病灶 – 动静脉分流;Courtesy of Dr. MJ Kim;Primovist - 鉴别动脉期强化的小病灶;PET-CT 腹部应用;肝癌;肿瘤转移灶的诊断;肝癌广泛转移;术后局部复发鉴别; 肝癌术后复发; 肝癌术后; 局部复发并子灶形成;MDT-多学科协作诊治 肝、胰MDT 肿瘤MDT 肠道炎性病变MDT;影像学精准诊断;;精准医学：影像学精准诊断;医学影像学的发展外科实践的作用意义;Hepatic segmental anatomy. Diagram (a) and corresponding color-coded 3D CT ;正常肝脏解剖结构;;Variant hepatic arterial anatomy：CT shows the common hepatic artery (CHA), splenic artery (SA), and left gastric artery (LGA) arising separately from the aorta.;Cholangiocarcinoma：a tumor (arrows) that touches the IVC. (c) MIP image of the hepatic venous confluence and hepatic arteries shows lack of involvement of the critical vasculature. (d) surgical removal of the cholangiocarcinoma was possible with ex situ resection