臂丛神经检查（简好）ppt课件.pptVIP

Evaluation of Brachial Plexus with MR echo planar imaging: initial experience 回波平面成像显示臂丛神经的初步研究;Background and purpose;Anatomy of brachial plexus臂丛神经解剖;C5;回顾：臂丛神经成像方法;脊髓造影是指经腰椎穿刺将特殊的碘油、水溶性碘造影剂或其他不透X线的造影剂注射入椎管内的蛛网膜下腔，与脑脊液混合，然后拍摄X线片，观察脊髓形态的一种方法 ;A = Axillary ArteryM = Median nerveU = Ulnar NerveR = Radial nerveMC = Musculocutaneous Nerve ;中国医学影像学杂志2005 年第13 卷第6 期;MRI-IR方法;Disadvantages of Imaging methods mentioned above既往成像方法的缺点;Background and purpose;Methods;:::a detailed account of methods:::;MRI examination protocol: Siemens,Magnetom Trio, A Tim System 3T, syngo MR 2006T, standard head coil and spine coil MRI检查方法：Siemens,Magnetom Trio, A Tim System 3T, syngo MR 2006T。线圈选择颈部阵列线圈加颈后脊柱表面线圈;Conventional MR sequences: T1WI, T2WI, T2*WI 常规MR扫描,包括T1WI, T2WI, T2*WI STIR-EPI（developed by ourselves） 短TI反转恢复回波平面成像序列（自行设计）;STIR-EPI introduction短TI反转恢复回波平面成像序列介绍; Axial images were obtained, and post-processing techniques such as Maximum Intensity Projection (MIP), thin slice MIP and MultiPlanar Reformation (MPR) were made to generate images of brachial plexus, and the images acquired were evaluated by two experienced radiologists with Gray’s anatomical sections and diagrams. 对获得的原始图像进行最大信号强度投影（MIP），薄层MIP，多曲面重建（MPR）等后处理，由2名高年资放射科医师观察并参照格氏解剖学图谱评价后处理图像;Evaluation contents: brachial plexus demonstration, include preganglion and postganglion parts; integrality of brachial plexus 评价内容包括：①臂丛神经在STIR-EPI序列中的影像学表现；②臂丛节前神经和节后神经的显示情况；③臂丛神经显示的完整性;Results;;;进一步的临床应用……;变异臂丛（C5+C6:::;C7+T1:::;C8:::）;C5;评价病变对神经的侵犯程度;C5;Conclusion;Thanks for your attention