中枢神经系统影像学诊断PPT.ppt

第十八章 中枢神经系统影像学诊断Radiology of Central Nervous System;中枢神经系统;检查方法Modalities;检查方法 Modalities;检查方法 Modalities;DSA MRA;Transcranial Doppler，TCD;CT angiography;检查方法;DWI in cerebral infarct;;BOLD to show the visual cortex;检查方法;SPECT;Single pixel MRS;正常影像解剖normal imaging anatomy;CT扫描技术及正常影像解剖technique and normal imaging anatomy;;正常影像解剖normal imaging anatomy;T1WI axial;T2WI axial;T1WI coronal;基本病变表现basic imaging sign;depressed skull fracture ;;基本病变表现 basic imaging sign;基本病变表现 basic imaging sign;等密度 isodensity 低密度水肿 Low density 占位效应;;脑水肿 cerebral edema;脑积水 hydrocephalus;;脑萎缩 cerebral atrophy;增强扫描特征;;颅骨改变;giant cell reparative granuloma;MRI基本病变表现basic MRI sign;MRI基本病变表现;;MRI基本病变表现;脑内血肿 ( intracerebral hematoma);MRI分期 staging 超急性期（Hyperacute hematoma）＜6小时 T1WI等信号，T2WI为等信号 急性期（Acute hematoma）7小时～3天 T1WI呈等信号，血肿内缘可见低信号强度的硬膜，T2WI呈低信号 亚急性期和慢性期（Subacute hematoma） 3天～4周 高信号(metahemoglobin) 囊变期（Remote hematoma） ≥4周 液体信号 周围有低信号（hemosiderin) ;The evolution of hematoma;Hyperacute hematoma;CT;常见疾病诊断common disease of CNS;脑外伤 trauma of brain;脑外伤trauma of brain;脑挫裂伤;脑挫裂伤;There is a focal area of haemorrhagic contusion in the right frontal lobe, with surrounding low density due to infarction or oedema. This is a frequent location for a contrecoup injury following a blow to the back of the head. ;;弥漫性轴索损伤 diffuse axonal injury, DAI;弥漫性轴索损伤 diffuse axonal injury;硬膜下血肿subdural hematoma;硬膜下血肿subdural hematoma;硬膜外血肿 epidural hematoma;硬膜外血肿 epidural hematoma;蛛网膜下腔出血subarachnoid hemorrhage;蛛网膜下腔出血 subarachnoid hemorrhage;蛛网膜下腔出血;脑血管病cerebrovascular disease;脑出血 intracranial hemorrhage;高血压性脑出血 hypertensive intrcerebral hemorrhage;脑出血 intracranial hemorrhage;脑梗死 cerebral infarction;脑梗死cerebral infarction;脑梗死;脑梗死CT演变过程;脑梗死;T1WI T2WI FLAIR;Multiphasic perfusion CT obtained 3 hours after the sudden onset of right hemiparesis and aphasia in a 76-year-old woman. F: 2 days follow-up;;血管畸形vascular malformatio