肝胆胰医本科学生.ppt

pancreas-basic pathological changes Morphological abnormal intumesce、atrophy、edge blurring pancreatitis Pancreas-pancreatitis 增强CT CT平扫 Pancreas-pancreatitis Pancreas-pancreatitis Pancreas-pancreatitis Slight intumesce; homogeneous enhancing; edge blurring; edema of adjacent fat, renal fascia; effusion in anterior pararenal space Pancreas-pancreatitis Pancreas-pancreatitis Biliary system-basic pathological changes parenchyma abnormal cyst lesion： solid lesion： Pancreas- carcinoma 反3字征 Pancreas- carcinoma Hypo-echo mass, hyper spots inside, echo attenuation posteriorly Pancreas- carcinoma Pancreas- carcinoma Pancreas- carcinoma Inhomogeneous density mass, inhomogeneous ＆ lower enhancement, intro- and extro- bile duct dilation, hypotrophy of pancreas body Pancreas- carcinoma Pancreas- carcinoma Pancreas- cyst pancreas-basic pathological changes pancreatic duct abnormal dilation and stenosis: stone within duct： Pancreas 思考题 55岁病人，梗阻性黄疸，上腹痛病史不清，如何选择影像检查方法？依据是什么？ 外院B超发现肝内占位，性质不清，应如何选择影像检查？ Long T1，long T2，no SI attenuation with heavy T2WI T1 加重T2 T2 liver－ cavernous angioma liver－ cavernous angioma Fast in slow out Multi hypo- or hyperecho liver－metastasis liver－metastasis “bull’s eye sign” liver－metastasis liver－metastasis Multi low density mass with center necrosis “bull’s eye sign” liver－metastasis liver－metastasis Multi long T1 long T2 signal with center necrosis “bull’s eye sign” liver-basic pathological changes parenchyma diffuse lesion： hepatitis/cirrhosis; adiposis hepatica; metabolic abnormal of bili; general disease Enlarged, heterogeneous, halo sign around portal vein liver-fatty liver liver-cirrhosis liver-basic pathological changes vessels-DSA Anatomic variation： Pathologic abnormal: displacement; stenosis,obstruct; tumor vessels; tumor stain; filling defect liver－HCC Feeding A. thicken, tumor vessels, tumor staining，AVF liver－HCC Feeding A. thicken, tumor vessels, tumor staining，AVF,fa