Circulation system 循环系统 影像医学 放射诊断学 北京协和医院.ppt

Pulmonary artery congestion A normal B mild congestion C severe congestion Oligemia A mild oligemia B severe oligemia C collateral circulation formation Pulmonary hypertension Passive congestion Alveolar congestion THE END Circulation system Xue Hua-dan Dep. of radiology, PUMCH 2008－9 Methods X ray CT MRI Catheter angiography Ultrasound （trans- thorax, esophagus） Nuclear medicine (perfusion, metabolism) PA I II III IV LAT Pre-cardiac space; Retro-cardiac space; Aortic window RAO LAO Catheter angiography Pulmonary circulation Catheter angiography Systemic circulation Left main Anterior descending Circumflex Right coronary a. Branches RAO 300 LAO 500 LAO 500 RAO 300 RCA Abnormality Abnormality of the heart Location Shape, size of the chamber Myocardial abnormality Valve abnormality Pericardiac abnormality Coronary artery abnormality Systemic circulation Pulmonary circulation Left Atrium Enlargement Left Ventricle Enlargement Right Ventricle Enlargement Right Atrium Enlargement Which chamber? Please figure it out. Mitral valve type Represent right heart prob. Aortic type Represent left heart prob. Universal enlargement Plaque and cavity patency Systemic circulation – artery Aneurysm Stenosis Aortic node ？ Systemic circulation - Inferior vena cava Buddy chiary syndrome Occlusion Pulmonary circulation Pulmonary artery Increase (congestion) Decrease (oligemia) Hypertension Pulmonary vein Mild: Passive congestion Severe: Interstitial congestion Acute: Alveolar congestion