Noise Induced Hearing Loss：噪音引起的听力损失.pptVIP

* * ORL Radiology BANDAR AL-QAHTANI, MD KSMC Roles we should know Dont read X-ray without clinical information Always keep in closed contact with the radiologist Remember that radiology is an objective examination Always correlate radiology films with clinical information Start systemic :patients name ,sex,age,date of examination ,axial vs coronal vs sagital, T1 vs T2 ,+/- contrast In medico legal problem –should be ordered Simple X-ray. CT scan. MRI scan X-ray Less radiation of CT scan . Quick Usefull in trauma and ??FB Less accurate than the other modality Good in sinus diseases /trauma (air vs bone ) To assess nasal # and possible opaque FB In chest and vertebral spines Risky in pregnancy-especially 1st trimaster Lateral x-ray nose Waters view of sinus CT scan -more radiation than simple X-ray -excellent visualization of the bones and (for certain extent) the soft tissues like sinus and middle ear diseases . -very informative in neck problems -with iIVcontrast- -in issues of medico legal judgement -replaced by MRI scan in soft tissues -brain ,orbit -faster than MRI -risky in pregnancy -especially the 1st trimaster -terminology -axial vs coronal vs sagital -related to a solid bony landmark –hard palat -sagital parallel to sagital sinus in the brain -radio opaque contrast Sagital view Coronal view -best for sinus diseases/trauma Axial view of the sinus Axial temporal bone scan Axial temporal bone Axial neck CT scan with contrast Coronal vs sagital CT scan neck MRI scan -no radiation -magnetic field applied for the tissues then measure the holding capacity of the tissues to that field – tissues are resonating -longer examination time than CT scan-anxiety/phobia -relatively safer than CT scan in pregnancy -T1 vs T2 (early scan vs late ) -needs experienced radiologist to read the films MRI cont” -air appear black -vascular structures -black -bones appear – black -excellent soft tissues visualization (brain ,orbit,muscle ..etc -fat is va