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CT BRAIN - BASICS D.SUBBURAJ PROF.G .ELANGOVAN’S UNIT
CT Principle FOURTH GENERATION RING OF XRAY DETECTORS X ray gun
[object Object]
HOUNSFIELD UNITS ,[object Object],[object Object],[object Object],[object Object]
air --- 1000 fat ---70 Pure water 0 Csf +8 White matter +30 Gray matter +45 blood +70 Bone/calcification +1000
CT /MRI ,[object Object],[object Object],[object Object],[object Object],GREY MATTER T1WI DARK T2WI BRIGHT WHITE MATTR BRIGHT DARK CSF GREY TO DARK WHITE
Step wise approach ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LV FRONTAL HORN TEMBORAL HORN OCCIPITAL HORN FORAMEN OF MONRO 4 V AQUEDUCT OF SYLVIUS 3V trigone
COMMON SECTIONS AXIAL SECTIONS CORONAL SECTIONS SAGITTAL SECTIONS POSTERIOR FOSSA CUTS - ABOVE  THE  FORAMEN  MAGNUM  LEVEL -LEVEL OF  THE  FOURTH VENTRICLE -ABOVE THE  FOURTH VENTRICULAR LEVEL - TENTORIAL SUPRATENTORIAL CUTS - THIRD VENTRICULAR LEVEL -LOW VENTRICULAR LEVEL -ABOVE THE VENTRICULAR LEVEL -FRONTAL HORN LEVEL -THIRD VENTRICULAR  LEVEL -MID VENTRICULAR LEVEL -OCCIPITAL HORN LEVEL -MID SAGITTAL LEVEL -PARASAGITTAL LEVEL THROUGH THE LATERAL VENTRICULAR BODY -LATERAL ORBITAL LEVEL
ABOVE THE LEVEL OF FORAMEN MAGNUM VA MEDULLA TONSIL 4 V CM INT OCC PROT
LEVEL OF FOURTH VENTRICLE MCP CPCISTERN PONS 4V TEM HORN Optic nerve
LEVEL ABOVE FOURTH VENTRICLE SUPRA SELLAR CISTERN MB AMB CIST SYLV FISSURE 4V OLF SULCUS vermis
THIRD VENTRICULAR LEVEL 3 V Foramen of monro SUPRA CEREBELLAR CISTERN VERMIS INSULA TRIGONE
LOW VENTRICULAR  LAT VEN 3 V HEAD OF CAUDATE THALAMUS LENTIFORM NUCLEUS INSULAR RIBBON
Above ventricle level
Cerebral Arterial Territory ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
MCA ACA PCA
[object Object],[object Object],[object Object]
 
Water shed infarct
CEREBRAL ISCHEMIA
Cerebral ischemia ,[object Object],[object Object],[object Object]
Goal of imaging ,[object Object],[object Object],[object Object],[object Object]
Infarct  vs pneumbra ,[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object]
CT-Hyperacute infarct  ,[object Object],[object Object],[object Object],[object Object]
Dense mca sign
‘  loss of insular ribbon’  Left
M C A DOT SIGN
ATTENUATION OF LENTICULAR NUCLEUS  Left side
CT- Acute infarct ,[object Object],[object Object],[object Object],[object Object],[object Object]
CT – sub acute infarct ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT-chronic infarct ,[object Object],[object Object],[object Object],[object Object],[object Object]
INFARCT / TUMOUR ,[object Object],[object Object],[object Object],[object Object],[object Object]
VENOUS INFARCT ,[object Object],[object Object],[object Object],[object Object],[object Object]
EDEMA/ INFARCT ,[object Object],[object Object],[object Object],[object Object],[object Object]
PCA INFARCT
MCA INFARCT
ACA INFARCT
WATERSHED INFARCT
Old infarct
H’gic infarct
Thank u

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