腹部实质性脏器正常及异常影像学表现.ppt

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 腔内异常密度 胆道系统管壁异常 Pancreas Size, shape and the border Density Enhancement Pancreatic duct 脾脏 大小及数目异常 size and number 密度异常 density 强化异常 enhancement 大小及数目异常 密度异常 强化异常 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 Abdominal CT 腹部实质性脏器的正常及异常影像学表现 CT增强的各期如何分辨 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 MRCP CTCP ERCP PTC 胆管系统的变异 Pancreas Fat infiltration Pancreatic duct MSCT Cholangiopancreaticography Spleen High ; thick ; lobe; accessory spleen Enhancement : arterial phase Abnormalities Liver 肝脏的异常影像学表现 左右叶比例改变 轮廓 密度 强化 Ratio Contour Density Enhancement 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