肌肉骨骼影像学（英语).docVIP

上海交通大学医学院 教 案 课程名称 Medical Imaging 2008年3月1日 教 师 陆 勇 职 称 主治医师 教研室 Radiology 教学时数 4 授课 题目 Medical Imaging – Musculoskeletal Diagnostic Imaging 授课对象 临床医学七年制班 地 点 瑞金医院科教楼309教室 教学方式 理论课 Key points: To introduce: the pathology-imaging correlation of fundamental MSK lesions and the common features; the common 16 MSK diseases: the imaging appearances in X-ray and MR especially; The DDx of osteosarcoma, METs, osteomylitis, GCT and bone TB; The imaging modalities in MSK diagnosis. Teaching instruments：Powerpoint, computer, laser pointer, and microphone Practice teaching: Discussion about the advanced imageology and functional imaging; thus visiting 16-slice CT and 1.5T HD rooms; visiting the PET-CT room; PACS server room. More details of the teaching syllabus: Benign Cystic Bone Lesions A benign, bubbly, cystic lesion of bone is one of the more common skeletal lesions that a radiologist encounters. The differential diagnosis can be quite lengthy and is usually structured on how the lesion looks to the radiologist. Fibrous Dysplasia Fibrous dysplasia is a benign congenital process that can be seen in a patient of any age and can look like almost any pathologic process radiographically. It can be wild looking, discretely lucent, patchy, sclerotic, expansile, multiple, and many other descriptions. It is, therefore, difficult to look at a bubbly lytic lesion and unequivocally say it is or is not fibrous dysplasia. The classic description of fibrous dysplasia is that it has a ground-glass or smoky matrix. Fibrous dysplasia is often purely lytic and becomes hazy or takes on a ground-glass look as the matrix calcifies. It can go on to calcify significantly, and then it presents as a sclerotic lesion. Enchondroma and Eosinophilic Granuloma Enchondromas occur in any bone formed from cartilage and may be central, eccentric, expansile, or nonexpansile. They invariably contain calcified chondroid matrix, except when in the phalanges. An enchon