This document provides an overview of CT and MRI interpretation for various neurological conditions. It includes labeled images showing normal anatomical structures and examples of: stroke demonstrated on perfusion and diffusion MRI; hemorrhage on CT and MRI; brain infection; tumors; traumatic brain injuries; dementia; multiple sclerosis lesions; and epileptic foci. The document serves as an educational guide for medical students and residents to learn cross-sectional brain anatomy and recognize key imaging findings for common neurological disorders.
This document provides an overview of CT and MRI interpretation for various neurological conditions. It begins with examples of MRI sequences showing normal brain anatomy and proceeds to discuss key pathologies including infarction, hemorrhage, infection, tumors, trauma, dementia, multiple sclerosis, epilepsy, and cranial neuropathies. For each condition, representative imaging findings are presented and briefly described to aid in diagnosis and clinical management. The document serves as an educational guide for interpreting neuroimaging studies.
Skull and brain imaging techniques such as CT and MRI are standard for investigating trauma, while ultrasound angiography is limited to detecting stenosis, aneurysms, and arteriovenous malformations. CT is useful for detecting fractures, edema, contusions, hemorrhages, and other abnormalities. MRI provides additional information on lesions and is more accurate for diagnosing conditions such as multiple sclerosis and arteriovenous malformations. Various imaging findings help characterize common brain pathologies including tumors, infarcts, hemorrhages, and infections.
The document provides an overview of CT imaging for medical students, first outlining the basic principles of how a CT scan works to produce cross-sectional images. It then reviews techniques for head CT scans and terminology used in CT interpretation. Examples of normal anatomy and common pathologies are also presented
This document discusses the use of computerized tomography (CT) and positron emission tomography (PET) in evaluating the central nervous system. CT is useful for imaging many neurological conditions such as trauma, tumors, strokes, and infections. It provides anatomical details quickly and is widely available, but MRI generally provides better soft tissue contrast. PET combined with CT or MRI provides functional imaging of brain metabolism and is useful for conditions like Alzheimer's disease, Parkinson's disease, seizures, and cancers. Both CT and PET have advantages and limitations and are generally used together with other clinical information for diagnosis and management of neurological diseases.
The document discusses diagnostic radiology of the central nervous system. It begins with an outline and overview of normal brain anatomy and imaging features. It then describes basic features seen in common brain lesions including hydrocephalus, brain atrophy, necrosis, calcification, and mass effect. Specific pathologies covered include brain tumors, cerebrovascular diseases like hemorrhage, aneurysms, and infarction, as well as traumatic brain injuries such as epidural and subdural hematomas. Key imaging findings on CT and MRI for various acute and chronic stages are highlighted.
The document discusses the history and development of CT scans and magnetic resonance imaging (MRI). It notes that Godfrey Hounsfield and Allan McLeod Cormack independently developed the first CT scanner and won the Nobel Prize in 1979 for this work. CT scans use X-rays to create cross-sectional images of the body, and results are measured using Hounsfield units. MRI uses radio waves and strong magnetic fields to form images, and was pioneered by Paul Lauterbur. Both CT and MRI are important medical imaging techniques that can detect various brain abnormalities.
This document summarizes CT and MRI findings for various central nervous system conditions. It describes normal anatomy and imaging appearances of common intracranial tumors, vascular diseases, and traumatic injuries. Key points covered include characteristics of tumors like meningioma, astrocytoma and metastases. It also outlines imaging features of hemorrhage, infarction, aneurysms and skull fractures.
CT imaging of Brain in Clinical Practice by Dr. Vaibhav Yawalkarvaibhavyawalkar
Cranial CT is a useful diagnostic tool in the emergency room that physicians need to be able to accurately interpret without specialist assistance. CT imaging works by passing collimated X-rays through the patient which are detected on the other side and assembled into cross-sectional images. Different tissues absorb X-rays to different degrees, appearing as different shades of grey on the image. The "blood can be very bad" mnemonic directs physicians to examine the blood, cisterns, brain, ventricles, and bone for abnormalities such as hemorrhage, increased intracranial pressure, infarcts, and space-occupying lesions. Contrast injection helps identify enhancing lesions including tumors, abscesses, and infections
This document provides an overview of CT and MRI interpretation for various neurological conditions. It begins with examples of MRI sequences showing normal brain anatomy and proceeds to discuss key pathologies including infarction, hemorrhage, infection, tumors, trauma, dementia, multiple sclerosis, epilepsy, and cranial neuropathies. For each condition, representative imaging findings are presented and briefly described to aid in diagnosis and clinical management. The document serves as an educational guide for interpreting neuroimaging studies.
Skull and brain imaging techniques such as CT and MRI are standard for investigating trauma, while ultrasound angiography is limited to detecting stenosis, aneurysms, and arteriovenous malformations. CT is useful for detecting fractures, edema, contusions, hemorrhages, and other abnormalities. MRI provides additional information on lesions and is more accurate for diagnosing conditions such as multiple sclerosis and arteriovenous malformations. Various imaging findings help characterize common brain pathologies including tumors, infarcts, hemorrhages, and infections.
The document provides an overview of CT imaging for medical students, first outlining the basic principles of how a CT scan works to produce cross-sectional images. It then reviews techniques for head CT scans and terminology used in CT interpretation. Examples of normal anatomy and common pathologies are also presented
This document discusses the use of computerized tomography (CT) and positron emission tomography (PET) in evaluating the central nervous system. CT is useful for imaging many neurological conditions such as trauma, tumors, strokes, and infections. It provides anatomical details quickly and is widely available, but MRI generally provides better soft tissue contrast. PET combined with CT or MRI provides functional imaging of brain metabolism and is useful for conditions like Alzheimer's disease, Parkinson's disease, seizures, and cancers. Both CT and PET have advantages and limitations and are generally used together with other clinical information for diagnosis and management of neurological diseases.
The document discusses diagnostic radiology of the central nervous system. It begins with an outline and overview of normal brain anatomy and imaging features. It then describes basic features seen in common brain lesions including hydrocephalus, brain atrophy, necrosis, calcification, and mass effect. Specific pathologies covered include brain tumors, cerebrovascular diseases like hemorrhage, aneurysms, and infarction, as well as traumatic brain injuries such as epidural and subdural hematomas. Key imaging findings on CT and MRI for various acute and chronic stages are highlighted.
The document discusses the history and development of CT scans and magnetic resonance imaging (MRI). It notes that Godfrey Hounsfield and Allan McLeod Cormack independently developed the first CT scanner and won the Nobel Prize in 1979 for this work. CT scans use X-rays to create cross-sectional images of the body, and results are measured using Hounsfield units. MRI uses radio waves and strong magnetic fields to form images, and was pioneered by Paul Lauterbur. Both CT and MRI are important medical imaging techniques that can detect various brain abnormalities.
This document summarizes CT and MRI findings for various central nervous system conditions. It describes normal anatomy and imaging appearances of common intracranial tumors, vascular diseases, and traumatic injuries. Key points covered include characteristics of tumors like meningioma, astrocytoma and metastases. It also outlines imaging features of hemorrhage, infarction, aneurysms and skull fractures.
CT imaging of Brain in Clinical Practice by Dr. Vaibhav Yawalkarvaibhavyawalkar
Cranial CT is a useful diagnostic tool in the emergency room that physicians need to be able to accurately interpret without specialist assistance. CT imaging works by passing collimated X-rays through the patient which are detected on the other side and assembled into cross-sectional images. Different tissues absorb X-rays to different degrees, appearing as different shades of grey on the image. The "blood can be very bad" mnemonic directs physicians to examine the blood, cisterns, brain, ventricles, and bone for abnormalities such as hemorrhage, increased intracranial pressure, infarcts, and space-occupying lesions. Contrast injection helps identify enhancing lesions including tumors, abscesses, and infections
This document provides an overview of how to systematically analyze a head CT scan. It begins with identifying patient information and scan parameters. It then describes how to examine different regions of the brain from midline structures outward, including ventricles, cisterns, brain parenchyma, sulci, sinuses, bones, and soft tissues. Key things to evaluate for in each region are discussed, such as midline shift, masses, hemorrhages, fractures, and more. Two case examples are then presented to demonstrate application of the approach.
This document provides an overview of basic CT neuroimaging and common neurological conditions seen on CT scans. It discusses (1) the basics of CT orientation, planes, windows, and densities; (2) neuroanatomy seen on CT scans; and (3) common pathological findings including strokes, hemorrhages, hydrocephalus, infections, tumors, and more. The goal is to help medical professionals confidently interpret important CT findings and diagnose neurological conditions.
The document discusses various brain imaging modalities including X-ray, CT, MRI, ultrasound, angiography, and PET scans. It provides details on the indications, procedures, and findings of different types of CT scans including unenhanced CT, enhanced CT, CT angiography, and CT venography. Examples of normal and abnormal findings on various brain imaging tests are also shown and described.
This document contains a series of CT images with labels of brain anatomy. It also includes short descriptions of various brain injuries and conditions that can be seen on CT such as skull fractures, subarachnoid hemorrhage, epidural hematoma, diffuse axonal injury, cerebral contusion, intraventricular hemorrhage, and intracerebral hemorrhage. The document was created by Dr. Ebrahim Jalili and contains educational information aimed at interpreting CT scans of the brain.
The document discusses the following:
1) Intended learning objectives which include discussing radiation hazards of CT, use of contrast agents, and interpretation of CT perfusion and angiography in cerebral ischemia.
2) Radiation dose considerations from various radiographic studies including effective dose ranges.
3) Contrast agent facts including types, dosing, and safety issues.
4) Preventive measures for contrast media emergencies.
This document provides an overview of medical imaging modalities used to image the central nervous system. It discusses the anatomy of the brain and spinal cord and indications for imaging. Imaging modalities covered include plain x-rays, fluoroscopy, ventriculography, arteriography, myelography, computed tomography, magnetic resonance imaging, ultrasound, and nuclear medicine techniques. Each modality is described along with examples of images and its risks and applications in evaluating conditions like trauma, tumors, infections and other neurological disorders.
The document discusses the radiological anatomy of a normal CT brain scan. It begins by describing the lobes of the brain and surfaces visible on CT. It then discusses the history and technique of CT scanning, describing how different tissues appear in varying shades of gray. Common artifacts are also reviewed. Key features of a normal CT brain include symmetric ventricles and sulci, with intact skull and no masses or fluid collections seen.
This document provides an overview of pediatric neuro-radiology modalities. It discusses several imaging techniques including plain films, CT, MRI, and nuclear medicine. CT is described as the procedure of choice for head trauma and stroke evaluation due to its rapid acquisition of axial images and ability to display bony details. MRI is highlighted as the most sensitive method for detecting demyelinating plaques and inflammatory diseases. Knowledge of neuroanatomy is emphasized as essential for correct diagnosis across all modalities.
T1-weighted images optimally show normal soft-tissue anatomy and fat (e.g. to confirm a fat-containing mass).
T2-weighted images optimally show fluid and abnormalities (e.g. tumors, inflammation, trauma).
In practice, T1- and T2-weighted images provide complementary information, so both are important for characterizing abnormalities.
This document provides an overview of magnetic resonance imaging (MRI) and several case examples demonstrating its clinical applications. The key points covered include:
- MRI works by detecting tiny movements of protons in tissue when exposed to magnetic fields. Different sequences like T1 and T2 provide different tissue contrasts.
- Brain MRI is very useful for detecting lesions and assessing anatomy without radiation. Several brain cases demonstrate common conditions like tuberculoma, multiple sclerosis, and mitochondrial disease.
- Spine MRI is now the primary imaging method for evaluating the spine. Examples show common spinal pathologies and the importance of classification of disc abnormalities.
- MRI has many clinical uses beyond the brain and spine, such as cardiac imaging
This document discusses head trauma and various types of brain injuries seen on CT imaging. It provides details on:
1) Classification of head injuries as mild, moderate or severe based on Glasgow Coma Scale. It also describes primary injuries that occur at the time of trauma versus secondary injuries that develop later.
2) Common primary brain injuries seen on CT such as epidural hematomas, subdural hematomas, skull fractures, cerebral contusions, and diffuse axonal injury.
3) Guidelines for use of head CT in traumatic brain injury patients based on American College of Radiology criteria, New Orleans Criteria, and Canadian Head CT Rule.
4) Features of various types of skull fractures,
Blood can cause serious problems in a head trauma. A head CT can identify if there is blood in the brain (intraaxial lesions), around the brain (extraaxial hematomas), or in the cisterns and ventricles. A head CT is useful for evaluating size, signs/symptoms, shifts in midline structures, side, and site of extraaxial hematomas. It can also identify fractures and pneumocephalus. Understanding head CT anatomy is important for properly evaluating head trauma.
The document provides an overview of brain CT interpretation for radiologists. It begins with how to systematically read a brain CT, covering the gross brain anatomy visible on CT. It then discusses the CT appearance and characteristics of traumatic brain injuries such as extra-axial hemorrhages and intracerebral injuries. Next, it covers ischemic and hemorrhagic strokes, describing the CT signs and distinguishing features. Finally, it discusses various types of non-traumatic intracranial hemorrhages that may be seen on brain CT. The document uses example clinical cases to demonstrate applying the principles of brain CT interpretation.
This document discusses traumatic brain injury and the use of various imaging modalities like CT and MRI to evaluate brain injuries. It begins by outlining the aims and providing background on head trauma. It then covers classifications of traumatic brain injury, clinical indications for imaging, and different imaging techniques. The bulk of the document describes various abnormalities that can be seen on imaging after brain trauma, including extraaxial hemorrhages, intraaxial injuries, and brain herniations. It provides details on indications for CT and MRI and emphasizes that CT is usually the first-line imaging modality for emergency brain evaluation.
CT scans of the brain can identify several abnormalities. Non-contrast CT scans can detect hemorrhages and infarcts, while contrast CT scans can better identify tumors and sites of infection. Interpretation of CT scans requires understanding Hounsfield units to characterize lesions as hyperdense or hypodense compared to brain tissue. Physicians must also be familiar with the vascular supply of different brain regions to localize lesions.
This document provides an overview of magnetic resonance imaging (MRI) of the brain, including basic principles, MRI sequences, interpretation, and clinical correlation. It discusses normal brain anatomy as seen on MRI and provides labeled images. Common MRI protocols for various neurological conditions such as brain tumors, stroke, and infections are outlined. The value of clinical history and MRI findings for diagnosis is emphasized. An interactive case discussion session is included to demonstrate clinical correlations.
This document discusses various types of head injuries that can be diagnosed using CT scans. It describes epidural hematomas, which present as lenticular shaped masses between the brain and skull, most commonly in the temporoparietal region from injuries to the middle meningeal artery. Subdural hematomas appear as crescent shaped collections along the brain surface and are more common in elderly patients. Intracerebral hemorrhages can be difficult to distinguish from spontaneous bleeds but often involve the frontal and temporal lobes. Diffuse injuries like shearing injuries may show little on scans but can be severely disabling. The document provides details on interpreting CT scans to diagnose various head injury complications.
On the occasion of National Epilepsy Day 2014, Dr. Rama Krishnan gave a talk titled "Integrated Diagnostics – A Unique Epilepsy Approach" at the Epilepsy Knowledge Forum in Chennai organised by Neurokrish & Trimed and Sponsored Medall.
The document discusses the history, current evidence, indications, techniques, complications and controversies surrounding decompressive craniectomy, which is a surgical procedure that involves removing a portion of the skull to relieve increased intracranial pressure from brain injuries or swelling. It provides details on performing decompressive hemicraniectomy and bifrontal craniectomy, as well as managing potential complications like subdural hygromas and hydrocephalus.
This document provides an overview of neuroradiology techniques for evaluating the brain and spine. It describes the basic approaches for CT and MR imaging of the brain, including indications for contrast. It details appearances of various intracranial hemorrhages and infarcts on imaging. It also reviews age-related brain changes, spinal degenerative conditions, and imaging features that help characterize spinal pathologies.
This document provides an overview of how to systematically analyze a head CT scan. It begins with identifying patient information and scan parameters. It then describes how to examine different regions of the brain from midline structures outward, including ventricles, cisterns, brain parenchyma, sulci, sinuses, bones, and soft tissues. Key things to evaluate for in each region are discussed, such as midline shift, masses, hemorrhages, fractures, and more. Two case examples are then presented to demonstrate application of the approach.
This document provides an overview of basic CT neuroimaging and common neurological conditions seen on CT scans. It discusses (1) the basics of CT orientation, planes, windows, and densities; (2) neuroanatomy seen on CT scans; and (3) common pathological findings including strokes, hemorrhages, hydrocephalus, infections, tumors, and more. The goal is to help medical professionals confidently interpret important CT findings and diagnose neurological conditions.
The document discusses various brain imaging modalities including X-ray, CT, MRI, ultrasound, angiography, and PET scans. It provides details on the indications, procedures, and findings of different types of CT scans including unenhanced CT, enhanced CT, CT angiography, and CT venography. Examples of normal and abnormal findings on various brain imaging tests are also shown and described.
This document contains a series of CT images with labels of brain anatomy. It also includes short descriptions of various brain injuries and conditions that can be seen on CT such as skull fractures, subarachnoid hemorrhage, epidural hematoma, diffuse axonal injury, cerebral contusion, intraventricular hemorrhage, and intracerebral hemorrhage. The document was created by Dr. Ebrahim Jalili and contains educational information aimed at interpreting CT scans of the brain.
The document discusses the following:
1) Intended learning objectives which include discussing radiation hazards of CT, use of contrast agents, and interpretation of CT perfusion and angiography in cerebral ischemia.
2) Radiation dose considerations from various radiographic studies including effective dose ranges.
3) Contrast agent facts including types, dosing, and safety issues.
4) Preventive measures for contrast media emergencies.
This document provides an overview of medical imaging modalities used to image the central nervous system. It discusses the anatomy of the brain and spinal cord and indications for imaging. Imaging modalities covered include plain x-rays, fluoroscopy, ventriculography, arteriography, myelography, computed tomography, magnetic resonance imaging, ultrasound, and nuclear medicine techniques. Each modality is described along with examples of images and its risks and applications in evaluating conditions like trauma, tumors, infections and other neurological disorders.
The document discusses the radiological anatomy of a normal CT brain scan. It begins by describing the lobes of the brain and surfaces visible on CT. It then discusses the history and technique of CT scanning, describing how different tissues appear in varying shades of gray. Common artifacts are also reviewed. Key features of a normal CT brain include symmetric ventricles and sulci, with intact skull and no masses or fluid collections seen.
This document provides an overview of pediatric neuro-radiology modalities. It discusses several imaging techniques including plain films, CT, MRI, and nuclear medicine. CT is described as the procedure of choice for head trauma and stroke evaluation due to its rapid acquisition of axial images and ability to display bony details. MRI is highlighted as the most sensitive method for detecting demyelinating plaques and inflammatory diseases. Knowledge of neuroanatomy is emphasized as essential for correct diagnosis across all modalities.
T1-weighted images optimally show normal soft-tissue anatomy and fat (e.g. to confirm a fat-containing mass).
T2-weighted images optimally show fluid and abnormalities (e.g. tumors, inflammation, trauma).
In practice, T1- and T2-weighted images provide complementary information, so both are important for characterizing abnormalities.
This document provides an overview of magnetic resonance imaging (MRI) and several case examples demonstrating its clinical applications. The key points covered include:
- MRI works by detecting tiny movements of protons in tissue when exposed to magnetic fields. Different sequences like T1 and T2 provide different tissue contrasts.
- Brain MRI is very useful for detecting lesions and assessing anatomy without radiation. Several brain cases demonstrate common conditions like tuberculoma, multiple sclerosis, and mitochondrial disease.
- Spine MRI is now the primary imaging method for evaluating the spine. Examples show common spinal pathologies and the importance of classification of disc abnormalities.
- MRI has many clinical uses beyond the brain and spine, such as cardiac imaging
This document discusses head trauma and various types of brain injuries seen on CT imaging. It provides details on:
1) Classification of head injuries as mild, moderate or severe based on Glasgow Coma Scale. It also describes primary injuries that occur at the time of trauma versus secondary injuries that develop later.
2) Common primary brain injuries seen on CT such as epidural hematomas, subdural hematomas, skull fractures, cerebral contusions, and diffuse axonal injury.
3) Guidelines for use of head CT in traumatic brain injury patients based on American College of Radiology criteria, New Orleans Criteria, and Canadian Head CT Rule.
4) Features of various types of skull fractures,
Blood can cause serious problems in a head trauma. A head CT can identify if there is blood in the brain (intraaxial lesions), around the brain (extraaxial hematomas), or in the cisterns and ventricles. A head CT is useful for evaluating size, signs/symptoms, shifts in midline structures, side, and site of extraaxial hematomas. It can also identify fractures and pneumocephalus. Understanding head CT anatomy is important for properly evaluating head trauma.
The document provides an overview of brain CT interpretation for radiologists. It begins with how to systematically read a brain CT, covering the gross brain anatomy visible on CT. It then discusses the CT appearance and characteristics of traumatic brain injuries such as extra-axial hemorrhages and intracerebral injuries. Next, it covers ischemic and hemorrhagic strokes, describing the CT signs and distinguishing features. Finally, it discusses various types of non-traumatic intracranial hemorrhages that may be seen on brain CT. The document uses example clinical cases to demonstrate applying the principles of brain CT interpretation.
This document discusses traumatic brain injury and the use of various imaging modalities like CT and MRI to evaluate brain injuries. It begins by outlining the aims and providing background on head trauma. It then covers classifications of traumatic brain injury, clinical indications for imaging, and different imaging techniques. The bulk of the document describes various abnormalities that can be seen on imaging after brain trauma, including extraaxial hemorrhages, intraaxial injuries, and brain herniations. It provides details on indications for CT and MRI and emphasizes that CT is usually the first-line imaging modality for emergency brain evaluation.
CT scans of the brain can identify several abnormalities. Non-contrast CT scans can detect hemorrhages and infarcts, while contrast CT scans can better identify tumors and sites of infection. Interpretation of CT scans requires understanding Hounsfield units to characterize lesions as hyperdense or hypodense compared to brain tissue. Physicians must also be familiar with the vascular supply of different brain regions to localize lesions.
This document provides an overview of magnetic resonance imaging (MRI) of the brain, including basic principles, MRI sequences, interpretation, and clinical correlation. It discusses normal brain anatomy as seen on MRI and provides labeled images. Common MRI protocols for various neurological conditions such as brain tumors, stroke, and infections are outlined. The value of clinical history and MRI findings for diagnosis is emphasized. An interactive case discussion session is included to demonstrate clinical correlations.
This document discusses various types of head injuries that can be diagnosed using CT scans. It describes epidural hematomas, which present as lenticular shaped masses between the brain and skull, most commonly in the temporoparietal region from injuries to the middle meningeal artery. Subdural hematomas appear as crescent shaped collections along the brain surface and are more common in elderly patients. Intracerebral hemorrhages can be difficult to distinguish from spontaneous bleeds but often involve the frontal and temporal lobes. Diffuse injuries like shearing injuries may show little on scans but can be severely disabling. The document provides details on interpreting CT scans to diagnose various head injury complications.
On the occasion of National Epilepsy Day 2014, Dr. Rama Krishnan gave a talk titled "Integrated Diagnostics – A Unique Epilepsy Approach" at the Epilepsy Knowledge Forum in Chennai organised by Neurokrish & Trimed and Sponsored Medall.
The document discusses the history, current evidence, indications, techniques, complications and controversies surrounding decompressive craniectomy, which is a surgical procedure that involves removing a portion of the skull to relieve increased intracranial pressure from brain injuries or swelling. It provides details on performing decompressive hemicraniectomy and bifrontal craniectomy, as well as managing potential complications like subdural hygromas and hydrocephalus.
This document provides an overview of neuroradiology techniques for evaluating the brain and spine. It describes the basic approaches for CT and MR imaging of the brain, including indications for contrast. It details appearances of various intracranial hemorrhages and infarcts on imaging. It also reviews age-related brain changes, spinal degenerative conditions, and imaging features that help characterize spinal pathologies.
Automated Fetal Brain Segmentation from 2D MRI Slices for Motion CorrectionKevin Keraudren
This document describes a method for automated fetal brain segmentation from 2D MRI slices in order to perform motion correction. The method uses box detection algorithms like MSER and SIFT to detect the brain region in each slice. It then trains a random forest classifier on brain and non-brain patches to perform brain extraction. Finally, it uses a conditional random field for motion correction across slices to generate a 3D volume with less artifacts from fetal movement. The results showed the proposed method produced motion-corrected volumes of diagnostic quality in 85% of test cases.
This document discusses the use of 3D printing in aesthetic and reconstructive plastic surgery. It begins by outlining the value of 3D printing in healthcare, including personalization, productivity, collaboration, innovation and cost efficiency. It then describes the phases of 3D printing including image acquisition, processing, and various printing methods. Applications discussed include anatomical models, guides, external devices and implants. Specific uses in craniofacial surgery, facial fractures, cranial defects and distraction are presented with examples. The document concludes that 3D printing offers benefits in plastic surgery by providing accurate models for pre-operative planning and simulation and intra-operative guidance.
The document discusses imaging features of malignant bone tumors. It notes that plain radiographs are important for initial diagnosis and can show features like patterns of bone destruction, mineralization, and periosteal reactions that help differentiate benign from malignant lesions. Osteosarcoma is discussed in detail, with its common locations in long bones of adolescents and association with sunburst periosteal reactions and soft tissue masses. Telangiectatic and secondary osteosarcomas are also summarized.
Clinacal applications of PET/CT vs PET/MRIWalid Rezk
FDG PET provides functional information but lacks anatomical detail, while CT provides anatomical detail but not soft tissue contrast. Integrating PET and CT using a combined PET-CT scanner improves localization of areas of abnormal radiotracer uptake and differentiation of pathological from normal uptake. PET-MRI offers improved soft tissue contrast compared to CT, allowing better definition of anatomy and characterization of disease processes involving soft tissues like the brain, breast, liver and musculoskeletal system. Simultaneous PET-MRI acquisition also improves image registration compared to sequential PET-CT imaging.
This document discusses fusion imaging, which combines images from different modalities to create a hybrid image. It describes fusion imaging techniques like PET-CT and SPECT-CT that merge functional imaging data with anatomical images. The primary advantage of fusion imaging is that it allows correlation of findings from two concurrent imaging modalities, providing both anatomical and functional/metabolic information in a single exam. Specifically, PET-CT fusion improves diagnostic accuracy and lesion localization by overcoming the limitations of each individual modality. In conclusion, combined PET-CT exams are more effective than PET alone for localizing lesions and differentiating normal variants from tumors.
Presentation1.pptx radio;ogical imaging of benign and malignant soft tissue t...Abdellah Nazeer
This document summarizes several benign soft tissue tumors seen on radiological imaging. It describes infantile hemangioma, lymphangioma, angiomatosis, neurofibroma, myofibroma/myofibromatosis, and neurothecoma. For each tumor, it provides definitions, epidemiology including common sites of involvement, clinical findings, and imaging characteristics such as appearance on CT, MRI, and ultrasound. The document contains various images demonstrating the radiological presentation of these soft tissue tumors.
Presentation1.pptx, radiological imaging of benign bone tumour.Abdellah Nazeer
This document describes several benign bone tumors including osteoid osteoma, osteoblastoma, unicameral bone cyst, aneurysmal bone cyst, fibrous dysplasia, osteofibrous dysplasia, cortical fibrous defect, myofibroma, desmoplastic fibroma, chest wall hamartoma, osteochondroma, and enchondroma. It defines each tumor, discusses their epidemiology, common sites of involvement, clinical findings, and imaging appearance. Many of the tumors present as lytic lesions on imaging and can cause pain or pathological fractures.
Image registration and data fusion techniques.pptx latest saveM'dee Phechudi
Medical imaging is the fundamental tool in conformal radiation therapy. Almost every aspect of patient management involves some form of two or three dimensional image data acquired using one or more modality.
Image data are now used for diagnosis and staging, for treatment planning and delivery and for monitoring patients after therapy.
ATDD - Acceptance Test Driven DevelopmentNaresh Jain
Acceptance test driven development tutorial. This tutorial explains how to take user stories and convert them into working software. Details about Acceptance Criteria and Acceptance tests using FitNesse and FitLibrary are described in this presentation. Also Patterns and Anti-Patterns associated with this are described in this presentation.
Advanced Diagnostic Center (radiology): An Introduction.Radiology represents a branch of medicine that deals with radiant energy (energy that travels by waves or particles) in the diagnosis and treatment of diseases.
This field can be divided into two broad areas – DIAGNOSTIC RADIOLOGY & INTERVENTIONAL RADIOLOGY.
A medical doctor who specializes in diagnosing and treating disease and injury through the use of medical imaging techniques such as x-rays, computed tomography (CT), etc.
The most common types of diagnostic radiology exams include :
X-ray Radiography,
Ultrasound,
Computed Tomography (CT),
Nuclear Medicine Including Positron Emission Tomography (PET), And
Magnetic Resonance Imaging (MRI)
x-rays
Imaging Techniques and Fundamental Observations for the Musculoskeletal Sy...Dr. Muhammad Bin Zulfiqar
This presentation is from 45th chapter of Grainger and Allison--Diagnostic Radiology A TEXTBOOK OF MEDICAL IMAGING.
My aim behind all these presentation is to provide authentic images. As our all radiology revolve around images of diseases. We can put these ppts in our androids for study and references.
MRI imaging of knee joint -- from radiological anatomy to pathology. inspired from my dear professor Mamdouh Mahfouz, professor of radio diagnosis - Cairo university.
Bone and cartilage tumors benign and malignantraj kumar
The document summarizes various bone and cartilage tumors, both benign and malignant. It describes osteomas, osteoid osteomas, and osteoblastomas as benign bone tumors. It also discusses osteosarcoma, chondrosarcoma, giant cell tumor, and Ewing sarcoma as malignant bone tumors. For cartilage tumors it covers enchondromas, osteochondromas, and chondrosarcoma. It provides details on symptoms, locations, imaging findings, histology and treatment for each tumor type.
This document provides guidance on interpreting a normal chest x-ray. It outlines the key factors to consider, including orientation, inspiration, penetration, and rotation. It describes the normal radiographic anatomy, including the lungs, heart, diaphragm, mediastinum, and other structures. A proper technique is important to avoid artifacts that could be mistaken for pathology. The document emphasizes performing the examination with good inspiration in the PA orientation for optimal visualization of structures.
This document discusses chest x-ray interpretation and provides guidance on evaluating x-rays. It explains that tissue density determines how an x-ray beam penetrates, with denser tissues appearing whiter and less dense tissues appearing blacker. It also outlines different chest x-ray views and factors to consider like patient orientation, age, gender, and rotation. Abnormalities are described as appearing too white, too black, too large, or in the wrong place. The document stresses a systematic approach of identifying, localizing, describing lesions, and providing differential diagnoses.
The document provides an overview of brain anatomy and various types of head injuries and brain hemorrhages that can be seen on CT imaging. It begins with a brief description of brain anatomy including skull bones, meninges, ventricles, and cortical structures. It then discusses different types of head trauma such as skull fractures, depressed fractures, and basilar fractures. Finally, it covers brain hemorrhages including extra-axial hemorrhages like epidural hematomas and subdural hematomas, as well as subarachnoid hemorrhage and intra-axial bleeding.
The document provides information about different MRI sequences and their applications:
- FLAIR sequences suppress the signal from cerebrospinal fluid, highlighting hyperintense lesions near CSF-containing spaces. This makes FLAIR useful for evaluating conditions like multiple sclerosis.
- STIR sequences suppress the signal from fat, making it useful for detecting bone marrow edema which can indicate occult fractures.
- T1-weighted images provide good anatomical details and are best for viewing subacute hemorrhages and fat-containing structures.
BMS2-K13 Pemeriksaan Radiologi pada Sistem Saraf.pptxssuser144901
CT and MRI are commonly used imaging modalities to evaluate the brain and spine. CT can clearly image bone structures and is useful for detecting fractures, while MRI provides excellent soft tissue contrast and is more sensitive for abnormalities within the brain and spinal cord. Some key applications discussed include using CT to identify intracranial hemorrhages such as epidural, subdural, subarachnoid, and intraventricular bleeds. CT is also used to diagnose strokes, brain tumors, hydrocephalus, and traumatic injuries. MRI is superior for evaluating many conditions like brain infarctions, demyelinating diseases, and spinal disc herniations. Both modalities have advantages and can be complementary in the evaluation of many neurological
Anatomy of Brain by MRI
In this presentation we will discuss the cross sectional anatomy of brain. Then we will discuss the Most common diseases to be evaluated by brain imaging.
In my opinion this presentation is a road map for beginars.
This document provides an overview of imaging in acute stroke, including CT and MRI. CT is often the initial imaging modality used to rule out hemorrhage. Early CT signs of infarction include hypodensity, obscuration of the lentiform nucleus, and the insular ribbon sign. Diffusion-weighted MRI is the most sensitive sequence for detecting acute ischemia. MRI can identify irreversibly injured tissue as well as potentially salvageable penumbral tissue. CT and MR angiography can detect vessel occlusions. CT perfusion can identify regions of low blood flow and volume that are at risk of infarction. The document reviews imaging findings over time and discusses venous infarcts.
1. The document discusses the initial management of traumatic brain injury, including decompressive craniectomy to reduce ICP, hyperosmolar therapy with mannitol or HTS, CSF drainage with EVD, and sedation to control refractory ICP. Early enteral nutrition is recommended if no contraindications.
2. Spinal trauma management involves cervical spine clearance following the Canadian C-spine Rule or Nexus criteria. Imaging includes 3-view c-spine series and thoracolumbar films. Neurological exam uses the ASIA chart.
3. Common neurosurgical emergencies are discussed like raised ICP, stroke, seizures, and brainstem compression from posterior fossa
This document discusses head injuries, including the pathophysiology and management of traumatic brain injury. Some key points:
- Head injuries account for over 50% of trauma hospitalizations, mostly from falls, motor vehicle accidents, assaults, and recreational injuries.
- Primary brain injury includes contusions, diffuse axonal injury (DAI), and intracranial hemorrhages. Secondary brain injury results from biochemical and vascular changes after the initial trauma.
- Management of increased intracranial pressure (ICP) aims to maintain cerebral perfusion pressure by reducing ICP through sedation, drainage, or increasing blood pressure with fluids/pressors. Monitoring ICP is important for guiding treatment.
Brain imaging is important in trauma to identify injuries from primary impact and secondary complications. CT is best for acute trauma to detect fractures and hemorrhages while MRI is more sensitive for diffuse injuries. Common primary injuries seen include fractures, contusions, hematomas, shearing injuries and hemorrhages in various locations. Secondary complications can include swelling, infection and herniations putting pressure on vessels.
This document provides information on MRI of the brain, including:
1. It describes common MRI sequences like T1-weighted, T2-weighted, and FLAIR and how they appear differently based on tissue characteristics.
2. Examples of how different brain pathologies like hemorrhages, infarcts, and tumors appear on MRI sequences at both acute/subacute and chronic stages.
3. Details on using MRI to diagnose specific conditions like brain vascular diseases, head trauma, and various types of brain tumors; highlighting their appearance and distinguishing features.
1. The document discusses the basics of neuroimaging using CT and MRI. It explains how different tissues appear on CT and MRI scans and provides examples of normal anatomy.
2. It then covers the systematic approach to interpreting head CT scans and provides various cross-sectional anatomy examples.
3. The document also discusses the physics behind MRI and how tissues appear differently on T1-weighted, T2-weighted, and FLAIR sequences. It includes many labeled MRI images as examples.
1. The document discusses the basics of neuroimaging using CT and MRI. It explains how different tissues appear on CT and MRI scans and provides examples of normal anatomy.
2. It then covers the systematic approach to interpreting head CT scans and analyzing different areas of the brain. Examples of cross-sectional anatomy at different brain levels are shown on CT scans.
3. The document also discusses the physics behind MRI and how tissues appear differently on T1-weighted, T2-weighted, and FLAIR sequences. Multiple images demonstrate normal brain anatomy on post-contrast MRI scans.
1. The document discusses the basics of neuroimaging using CT and MRI. It provides information on the appearance of different tissues on CT and MRI scans and describes normalization CT findings.
2. It outlines a systematic approach to interpreting head CT scans and examines cross-sectional anatomy seen on various brain slices. Color images are used to identify different brain lobes.
3. The principles of MRI are described including relaxation times, T1-weighted, T2-weighted, and FLAIR sequences. Example MRI images are presented and labeled to illustrate anatomy at different brain levels.
This document discusses various imaging modalities and findings related to the skull, brain, and spine. It provides examples of normal anatomy and various pathologies that can be seen on different scans. Some key points include examples of normal skull variations and measurements, common brain tumors like meningioma and astrocytoma, cerebral injuries including epidural and subdural hematomas, and spinal conditions such as spondylolisthesis, disc herniations, and intramedullary tumors. A variety of imaging modalities are also discussed for evaluating the skull, brain, and spine.
Acute Pediatric Neuroradiology: Pearls and Pitfalls (2020)Felice D'Arco
This document discusses several topics related to pediatric head CT scans:
- Indications for pediatric head CT scans including suspected non-accidental injury, post-traumatic seizures, and suspected skull fractures.
- Differences in pediatric neuroanatomy compared to adults, such as ongoing myelination processes.
- Common conditions seen on pediatric head CT such as hydrocephalus, infections like mastoiditis and abscesses, and brain tumors.
- The importance of considering non-accidental trauma when evaluating head injuries in children.
- Limiting unnecessary CT scans in children by understanding myths around their use for conditions like meningitis.
The document discusses the systematic approach to characterizing brain tumors on MRI. It describes three main steps: detection, localization, and characterization. Localization involves determining if a tumor is intra-axial or extra-axial based on signs like a CSF cleft between the brain and lesion. Characterization includes assessing features like enhancement pattern, border definition, and presence of necrosis to differentiate tumor types such as meningioma, schwannoma, glioma, and metastasis. The references provided give further information on diagnostic criteria.
This case describes a patient who suffered a cerebellar infarction after a motorcycle accident without a helmet. Some key points:
- Initial CT was normal but follow up CT showed a large left cerebellar infarction and obstructive hydrocephalus.
- He underwent an emergency suboccipital craniectomy and decompression which allowed for recovery.
- Now, 48 hours later, he is becoming progressively drowsy with vomiting.
My thoughts on what is happening and next steps:
1. He is likely experiencing increased intracranial pressure from edema and hydrocephalus related to the large cerebellar infarction.
2. I would obtain an emergent CT to re-evaluate for worsening
This is a slideshow made essentially for undergraduate MBBS students to have a working knowledge about CT scan of brain in diagnosing common medical and surgical conditions. It includes detection of major anatomical structures in CT and prompt diagnosis of emergency conditions like head trauma and cerebrovascular accident. Last but not the least, I have also touched the areas where CT scan is not the first mode of diagnosis (like diagnosis of brain tumor and evaluation of headache).
Head injuries can range from minor to severe brain injury. They are a major cause of death and disability worldwide. A head injury occurs when trauma causes injury to the scalp, skull, or brain. Common causes include road traffic accidents and falls. Head injuries are classified based on severity from mild to severe using the Glasgow Coma Scale. Diagnosis involves history, examination, and imaging like CT scan. Management depends on the type and severity of injury but generally involves stabilizing the patient, treating any brain injury, and preventing complications like raised intracranial pressure.
The document provides an overview of imaging of skull base lesions. It discusses the normal skull base anatomy and bones that make up the skull base. It then covers lesions that can arise in the anterior, middle, and posterior skull base, including meningiomas, chordomas, glomus jugulare tumors, and metastases. Imaging findings for different lesions on CT and MRI are presented. The document serves as a pictorial review of common and uncommon skull base lesions.
Similar to Ctandmriinterpretation 150127105431-conversion-gate01 (20)
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Kat...rightmanforbloodline
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
TEST BANK For Basic and Clinical Pharmacology, 14th Edition by Bertram G. Katzung, Verified Chapters 1 - 66, Complete Newest Version.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler, Verified Chapters 1 - 33, Complete Newest Version Community Health Nursing A Canadian Perspective, 5th Edition by Stamler Community Health Nursing A Canadian Perspective, 5th Edition TEST BANK by Stamler Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Study Guide Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Stuvia Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Studocu Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Test Bank For Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Pdf Download Course Hero Community Health Nursing A Canadian Perspective, 5th Edition Answers Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Ebook Download Course hero Community Health Nursing A Canadian Perspective, 5th Edition Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Studocu Community Health Nursing A Canadian Perspective, 5th Edition Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Chapters Download Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Pdf Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Study Guide Questions and Answers Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Ebook Download Stuvia Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Questions Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Studocu Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Quizlet Community Health Nursing A Canadian Perspective, 5th Edition Test Bank Stuvia
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
4. Coronal Section of the Brain at the level of IV Ventricle
Post Contrast Coronal T1 Weighted MRI
8
7
6
5
4
3
2
1
Identify anatomical structures
1 - 8
5. Coronal Section of the Brain at the level of IV Ventricle
Post Contrast Coronal T1 Weighted MRI
8
7
6
5
4
3
2
1
1. Cerebellar tonsil
2. Cerebellar hemisphere
3. IV ventricle
4. Superior vermis
5. Tentorium
6. Posterior temporal lobe
7. Choroid plexus within lateral
ventricle
8. Posterior frontal lobe
6. Coronal Section of the Brain at the level of Pituitary gland
Post Contrast Coronal T1 Weighted MRI
1
2
3
4
5
6
78
9
1
0
11
12 Identify anatomical structures
1 - 12
7. Coronal Section of the Brain at the level of Pituitary gland
Post Contrast Coronal T1 Weighted MRI
1
2
3
4
5
6
78
9
10
11
12
1. Frontal lobe
2. Corpus callosum
3. Frontal horn
4. Caudate nucleus
5. III ventricle
6. Optic nerve
7. Pituitary stalk
8. Pituitary gland
9. Internal carotid artery
10. Cavernous sinus
11. Sphenoid sinus
12. Nasopharynx
8. Coronal Section of the Brain at the level of the orbits.
Post Contrast Coronal T1 Weighted MRI.
1
2
3
4
5
Identify anatomical structures
1 - 5
9. Coronal Section of the Brain at the level of the orbits.
Post Contrast Coronal T1 Weighted MRI.
1
2
3
4
5
1. Frontal lobe
2. Orbital Fat
3. Globe
4. Nasal Cavity
5. Maxillary Sinus
10. Post Contrast Axial MR Image of
the brain
1
2
3
4
5
Post Contrast sagittal T1
Weighted M.R.I.
Section at the level of Foramen
Magnum
Answers
1. Cisterna Magna
2. Cervical Cord
3. Nasopharynx
4. Mandible
5. Maxillary Sinus
11. Post Contrast Axial MR Image of the
brain
7
6
Post Contrast sagittal T1
Wtd M.R.I.
Section at the level of
medulla
Answers
6. Medulla
7. Sigmoid Sinus
12. Post Contrast Axial MR Image of the brain
15
8
9
10
11
12
13
14
16
17
Post Contrast sagittal T1 Wtd M.R.I.
Section at the level of Pons
Answers
8. Cerebellar
Hemisphere
9. Vermis
10. IV Ventricle
11. Pons
12. Basilar
Artery
13. Internal Carotid
Artery
14. Cavernous Sinus
15. Middle Cerebellar
Peduncle
16. Internal Auditory
Canal
17. Temporal Lobe
13. Post Contrast Axial MR Image of the brain
18
19
20
21
22
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of Mid
Brain
Answers
18. Aqueduct of Sylvius
19. Midbrain
20. Orbits
21. Posterior Cerebral
Artery
22. Middle Cerebral
Artery
14. Post Contrast Axial MR Image of the brain
23
24
25
26
27
Post Contrast sagittal T1 Wtd M.R.I.
Section at the level of the
III Ventricle
Answers
23. Occipital Lobe
24. III Ventricle
25. Frontal Lobe
26. Temporal Lobe
27. Sylvian Fissure
15. Post Contrast Axial MR Image of the brain
28
29
30
31
32
38
33
34
36
35
37
Post Contrast sagittal T1 Wtd M.R.I.
Section at the level of Thalamus
Answers
28. Superior Sagittal Sinus
29. Occipital Lobe
30. Choroid Plexus within
the occipital horn
31. Internal Cerebral Vein
32. Frontal Horn
33. Thalamus
34. Temporal
Lobe
35. Internal
Capsule
36. Putamen
37. Caudate
Nucleus
38. Frontal Lobe
16. Post Contrast Axial MR Image of the brain
39
40
41
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of Corpus
Callosum
Answers
39. Splenium of corpus callosum
40. Choroid plexus within the
body of lateral ventricle
41. Genu of corpus callosum
17. Post Contrast Axial MR
Image of the brain
42
43
44
Post Contrast sagittal T1
Wtd M.R.I.
Section at the level of Body
of Corpus Callosum
Answers
42. Parietal Lobe
43. Body of the Corpus Callosum
44. Frontal Lobe
18. Post Contrast Axial MR Image of the brain
45
46
Post Contrast sagittal T1 Wtd
M.R.I.
Section above the Corpus
Callosum
Answers
45. Parietal Lobe
46. Frontal Lobe
19. Brain Imaging: “The Big 10”
• Infarction
• Hemorrhage
• Infection
• Tumor
• Trauma
• Dementia
• MS
• Epilepsy
• Cranial neuropathy
• Orbits / Ophtho dx
21. CT Signs in Early MCA Ischemia
Hyperdense MCA Insular Ribbon Lentiform Nucleus
22. Pathophysiology of Ischemic Injury:
Duration and Degree of CBF
Normal neuronal function
Reversible injury
(penumbra)
Infarction
25
20
15
10
5
0
CBF
ml /
100g /
min
Time (hrs)1 2
23. Pipes Perfusion Parenchyma
MRA Perfusion MR Diffusion MR
“Penumbra”
MRI in Stroke Intervention
“The 4 P’s”
35. Subdural: Follows inner layer of dura
“Rounds the bend” to follow falx or tentorium
Not affected by sutures of skull
Tendency for crescentic shapes
More mass effect than expected for their size
Typical source of SDH: cortical vein
Epidural: Follows outer layer of dura (periosteum)
Crosses falx or tentorium
Limited by sutures of skull (typically)
Tendency for lentiform shapes
Typical source of EDH:
skull fracture with arterial or sinus laceration
Subdural vs. Epidural Hematoma
*
38. MRI of Hemorrhage
MR appearance of hematomas depends on image type.
Magnetic properties change over time (Hgb breakdown
products), allowing approximate dating
T1 T2 T2*
39. Brain Imaging: “The Big 10”
• Infarction
• Hemorrhage
• Infection
• Tumor
• Trauma
• Dementia
• MS
• Epilepsy
• Cranial neuropathy
• Orbits / Ophtho dx
61. Intra-axial Hemorrhage
Hemorrhagic contusions
Mechanism
Direct contact with skull
Shear-strain deformation
Lesion locations
Commonly located along inferior, lateral, and anterior
frontal and temporal lobes
Often above bony prominences (petrous pyramid,
sphenoid wing, orbital roof)
62. Intra-axial Hemorrhage
Hemorrhagic contusions
Appearance of cortical contusions
Overlying cortex, by definition, always involved (vs. DAI)
“Salt and pepper” appearance due to intermixed hemorrhage
and edema
Non-hemorrhagic contusions often not initially seen on CT scans
Lesions often more visible days after injury as edema and
hemorrhage increase
Acute lesions much more conspicuous on T2 or T2-FLAIR MRI
66. Diffuse Axonal (Shear) Injury (DAI)
• Tissues w/ differing elastic properties shear against each other,
tearing axons
• Caused by rapid deceleration/rotation of head
• Locations:
• Cerebral hemispheres near gray-white junction
• Basal ganglia
• Corpus callosum, especially splenium
• Dorsal brainstem
• High morbitity & mortality – common cause of post-traumatic
vegetative state
• Initial CT often normal despite poor GCS
• Lesions often non-hemorrhagic and seen only on MRI
67. Brain Imaging: “The Big 10”
• Infarction
• Hemorrhage
• Infection
• Tumor
• Trauma
• Dementia
• MS
• Epilepsy
• Cranial neuropathy
• Orbits / Ophtho dx
68. Dementia
• Primary role of imaging is to
exclude treatable causes, e.g.:
–Hydrocephalus
–Subdural hematoma
–Neoplasm
69. Dementia
Irreversible dementias (imaging non-
specific):
• Alzheimer’s disease
• Multi-infarct dementia
• Dementias associated with
Parkinson’s disease and similar
disorders
• AIDS dementia complex
71. Brain Imaging: “The Big 10”
• Infarction
• Hemorrhage
• Infection
• Tumor
• Trauma
• Dementia
• MS
• Epilepsy
• Cranial neuropathy
• Orbits / Ophtho dx
72. Multiple Sclerosis (MS) Imaging
• MRI is the imaging study of choice
• Help establish “dissemination of lesions in time
and space”
• Estimate disease burden
• Identify acute (inflammatory) vs. chronic lesions
(enhancement = active inflammation)
75. Brain Imaging: “The Big 10”
• Infarction
• Hemorrhage
• Infection
• Tumor
• Trauma
• Dementia
• MS
• Epilepsy
• Cranial neuropathy
• Orbits / Ophtho dx
76. Seizure Imaging
• MRI is the imaging study of choice
• Identify and localize offending lesion
• New onset vs. chronic epilepsy
• Younger vs. older patients
• Search may be guided by EEG / clinical sx
• Preoperative planning
e.g. language lateralization before temporal
lobectomy
79. Mesial Temporal Sclerosis
Most common pathology found in
medically refractory epilepsy patients
Rare under age 10 or with new seizures
Pathogenesis unknown
- Post ictal / kindling?
Pathology:
Hippocampal atrophy / gliosis
85. 30 y/o F
with 6wk
h/o blurred
vision
Craniopharyngioma
86. CT vs. MRI
Wide doughnutOpening
10-20 minutesLength
Adjust windowTechnique
AialPlane
BrightBone
Long, narrow
30-60 min
T1, T2, Pd
3-D
Dark
Magnetic fldX-ray beamObtained
MRICT
87. Advantages to CT
• Costs less than MRI
• Better access
• Shows up acute bleed
• A good quick screen
• Good visualization of bony structures
and calcified lesions
88. Disadvantages to CT
• Resolution
• Beam-hardening artifact
• Limited views of the posterior fossa and
poor visualization of white-matter
disease
89.
90. Advantages to MRI
• Good resolution—excellent view of brain
structure
• 3 dimensions
• Good gray-white differentiation
• Adjust settings based on characteristics of
the lesion
• Good view of the posterior fossa
91. Advantages to MRI
• No radiation exposure
• Gadolinium contrast is relatively nontoxic
• Capacity for quantitative imaging, 3-D
reconstruction, angiography, spectroscopy
92. Disadvantages of MRI
• Cost
• Some patients ineligible because
of pacemakers, other metal
• Claustrophobia
• Long exam
• Access
93. What Is Bright
on CT?
• Blood
• Contrast
• Bone
• Calcium
• Metal
What Is Dark
on CT?
•Air
•CSF/H20
98. Uses for SPECT and PET
• Acute stroke
• Identify a seizure focus-increased
flow during sz and decreased
interictal flow
• Dementia-frontal pattern in FTLD,
temporo-parietal pattern in AD
• Ligand imaging in PD, others
99.
100.
101.
102.
103.
104. Landmarks
• Axial views
– Fourth ventricle
– Petrous bone and sphenoid ridge
– Aqueduct
– Third ventricle
– Lateral ventricles
– Frontal horns
– Calcifications in the choroid plexus, pineal,
basal ganglia and falx
– Caudate, putamen and globus pallidus
105. Landmarks (Cont.)
– Internal capsule—anterior and posterior limbs
– Thalami
– Sylvian fissures
• Sagittal views
– Severity of cortical atrophy
– Corpus callosum and cingulate gyrus
• Pituitary
– Coronal views
– Hippocampus and amygdala
111. Introduction to Scan Interpretation
• Is the scan
– Contrast or noncontrast?
– Good quality?
• Describe the abnormality
– Size—small, punctuate, medium, large
– Shape—round, well circumscribed, ovoid,
irregular, patchy
112. Introduction to Scan Interpretation
(Cont.)
• Signal intensity
– High signal,
hyperdense
– Low signal, hypodense
– Isointense, isodense
– Mixed signal
• Location
113. Vascular Dementia
Three types of vascular dementia
Multiple large
Vessel infarctions
Bilateral strategic
thalamic infarcts
Binswanger’s
Disease
114. Normal Pressure Hydrocephalus: NPH
• Cognitive Impairment
• Gait Disturbance
• Bladder Control
• May Have:
Behavior Problems
Parkinsonism
115. MRI findings
• Ventricular enlargement disproportionate to the
amount of atrophy
• Bowing of the corpus callosum
• Smooth rimming of high signal around the ventricles
due to transependymal flow of CSF
117. Types of fMRI
• BOLD-fMRI which measures regional differences in
oxygenated blood
• Diffusion-weighted fMRI which measures random
movement of water molecules. Diffusion tensor
imaging (DTI) measures diffusion of water in different
directions and is a good test for studying white
matter tracts.
• MRI spectroscopy which can measure certain
cerebral metabolites non-invasively
121. MR Spectroscopy
MR spectroscopy of N
acetyl aspartate
(NAA) showing
decline of NAA over
time in patients with
Alzheimer’s disease
(lower line)
compared to age-
matched controls.