人体形态学腹部影像解剖英文版课件.ppt

* 中國醫科大學影像係 * * 找PTC和ERCP的图片 三维CT重建的应用 * 12~13cm in length，5~6cm in width * * 中國醫科大學影像係 * Vater ampulla liver Gall bladder Pancreas Common bile duct Pancreatic duct Duodenum Oddi sphincter Anatomy of Biliary Tract X ray-PTC and ERCP * 中國醫科大學影像係 * Gallbladder：near the 12th rib,7~9cm in length, 3~4cm in width；fundus 、body、Hartmann sac and gallbladder neck Cystic duct：3cm in length，2~3mm in width，heliciform Common hepatic duct：3~4cm in length，4~6mm in width Common bile duct：6~10 cm in length, 4~8mm in width main pancreatic duct：the largest diameter does not exceed 3~5mm Anatomy of Biliary Tract * 中國醫科大學影像係 * PTC * 中國醫科大學影像係 * ERCP 肾皮质 肾髓质 小盏体部（漏斗部） 肾盂 输尿管 肾柱 肾乳头 大盏峡部 minor renal calices major renal calices renal pelvis ureter Imaging anatomy of Urinary system-IVP * 中國醫科大學影像係 * Major calices: upper, middle and lower Three types of renal pelvis: trumpet type (most common type), branch type, ampulla type Backflow can be seen on IVU when pressure is too high Ureter is about 25cm in length with 3 physiological narrowing: junction with renal pelvis, where it crosses the pelvis, junction with bladder Imaging anatomy of Urinary system-IVU Trumpet type Branch type Ampulla type Types of normal renal pelvis * 中國醫科大學影像係 * * 中國醫科大學影像係 * Liver：CT value 50~60Hu, higher than that of spleen, pancreas and kidney Gallbladder：oval structure with low density, 1~2mm in thickness Bile duct：right and left hepatic bile duct can hardly be seen generally; normal common bile duct is 4~6mm Spleen: arc shaped organ Anatomy of abdomen on CT Anatomy of abdomen on CT Segmentation of liver * 中國醫科大學影像係 * Plane of the 2nd portal hepatis Right, middle and left hepatic vein entering the inferior vena cava (IVC) Segment 2, 4, 7 and 8 of the liver can be seen, divided by hepatic vein Anatomy of abdomen on CT * 中國醫科大學影像係 * Left hepatic vein Middle hepatic vein Right hepatic vein IVC S2 S4 S8 S7 * 中國醫科大學影像係 * Plane of the 1st portal hepatis： Fissures（transverse and longitudinal）