实质性脏器正常及异常影像学表现.ppt

图A 肝脓肿 图B 胰腺NEC肝转移。靶征（A），环形强化（B） * 淋巴瘤 * 差别在哪里？ Bile duct system 胆道系统的异常影像学表现 胆道梗阻与扩张 充盈缺损与腔内异常密度 胆道系统管壁异常 Obstruction Different levels Intrahepatic duct Hepatic duct Common hepatic duct Common bile duct Vater’s ampulla 无梗阻的胆道扩张 充盈缺损 Filling defect 胆道腔内异常密度 胆道壁异常密度、异常强化? 5 months later… Pancreas Size Shape and border Density Enhancement Pancreatic duct Size, shape and the border Density Enhancement 囊性病变：无强化 实性病变：低/高强化；不均匀强化 Pancreatic duct The density of the pancrea is abnormal True False The pancreatic duct is dilated True False 脾脏 大小及数目异常 size and number 密度异常 density 强化异常 enhancement：血管及淋巴系统 大小及数目异常 密度异常 强化异常 Which spleen is abnormal? A B A B A+B Take home message 消化系统实质性脏器的读片规范 位置localization 大小size 形态shape 密度density 强化enhancement The end * * * MRCP等全称及图 及动画 * * 低密度，高强化 * 三环，双环，单环 * 填充式强化，快进慢出 * Abdominal CT 腹部实质性脏器的正常及异常影像学表现 Which animal is your favorite 1 2 3 4 CT增强的各期如何分辨 Please arrange the images A-D in the order of nonenhanced, arterial, portal and delay phase A B C D A,B,C,D B,C,A,D D,B,C,A C,B,D,A 图像是上下连续的。。。 Hepatic lobes and segments left lateral superior/inferior medial caudal left right caudal right anterior superior/inferior posterior superior/inferior *肝裂：fissures 左叶间裂 肝主裂 Bile duct system Bile duct： intrahepatic duct 肝内胆管 Hepatic duct 左右肝管 Common bile duct胆总管 Gall bladder胆囊及胆囊管 How many different imaging tools for cholangiography? MRCP(Magnetic Resonance Cholangio-Pancreatography) CTCP(Computed Tomography Cholangio-Pancreatography) ERCP(Endoscopic Retrograde Cholangio-Pancreatography) PTC(Percutaneous Transhepatic Cholangiography) 左侧肝内胆管 肝总管 胆总管十二指肠后段 胆总管胰内段 胆管系统的变异 Pancreas Fat infiltration Pancreatic duct Pancreas 胰头、胰颈、胰体、胰尾、胰腺钩突 MSCT Cholangiopancreaticography Spleen 脾高; 肋单位; 分叶; 副脾accessory spleen； 脾脏的强化: arterial phase 脾动脉 肠系膜上动脉 肠系膜下动脉 胃十二指肠动脉 胃左动脉 肝