神经影像学课件.pptVIP

EpidermoidcystofCPA神經放射學進展和展望高場強和專用MR機多層螺旋掃描CTCT和MR的血管造影CT和MR的功能性成像(灌注成像和彌散成像)CT和MR引導下的微創檢查和治療MR透視和電影圖像融合技術PACS系統和圖像網路技術磁共振波譜（MRS）磁共振功能成像（fMRI）磁共振彌散成像（MRDiffusion）磁共振灌注成像（MRPerfusion）磁共振水抑制成像（FLAIR)磁共振血管造影（MRA）MR技術進展磁共振血管造影（MRA）非增強MRATOF-動脈血管PC-靜脈血管增強3D-MRAMRA正常顱內動脈LeftVAcompressesREZofleftfacialnerveVascularcompressionDeformityoftheREZLeftVAcompressesandcausesthedeformityofREZofleftfacialnerveLeftVAcompressingREZofleftfacialnerve3DMRAdisplaystheresponsiblevesselclearlyLeftPICAcompressingREZofleftfacialnerve,3DMRAdisplaystheresponsiblevesselclearlyMR+RightAICAcompressingREZofVandcausingslightdeformity,3DMRATrigeminalneuralgiacausedbyCavernousAngiomaofbrainstemSmallTrigeminalSchwannoma磁共振功能成像磁共振功能成像（fMRI）磁共振彌散成像（MRDiffusion）磁共振灌注成像（MRPerfusion）FonctionalMRI原理EffetBOLD(bloodoxygenationleveldependentcontrast)神經元受刺激耗氧增加局部氧合血紅蛋白供過於求去氧血紅蛋白濃度相對減低(T2磁敏感效應減弱)局部信號增高IRMfonctionnelled?’activation

applicationsneurophysiologiquesIRMfonctionnelled?’activation/résultatsIRMfonctionnelled?’activation/résultatsBilateralFingerTappingTUMORActivationCoregisteredtoT1ImagesBilateralFingerTappingTUMORActivationCoregisteredtoFLAIRImagesBilateralToeTappingTUMORActivationCoregisteredtoFLAIRImagesLanguageTask-WordGenerationTUMORActivationCoregisteredtoFLAIRImagesBilateralFingerTappingTUMORActivationCoregisteredtoFLAIRImagesBilateralToeFlexionTUMORActivationCoregisteredtoFLAIRImagesBilateralFingerTappingTumorContrastEnhancedCoregisteredIma?gesSequentialFinger-ThumbBilateralFingerTappingAVMContrastEnhancedCoregisteredImagesPreopLanguageLateralizationGlioblastomaEpendymomaof4thventricle脈絡叢乳頭狀瘤占腦腫瘤0.5%，占膠質瘤2-3%年齡：兒童（50-80%〈5歲；40%〈1歲）部位：兒童70%在側腦室三角區；10%在三腦室；成年人好發四腦室Lepapillomeduplexuschoro?deintraventriculaire,bourgeonnante,multilobée,souventvol