5. glava

RADIOLOŠKA

ANATOMIJA I PATOLOGIJA

Glava

SVEUČILIŠTE U SPLITU

SVEUČILIŠNI ODJEL ZDRAVSTVENIH STUDIJA

STUDIJ RADIOLOŠKE TEHNOLOGIJE

Radiološka anatomija:

• Radiološke metode u prikazu a/p

• Kosti glave

• Moždani parenhim

• Orbite

• Hipofiza

• Paranazalni sinusi

• Krvne žile glave i vrata

Metode u radiologiji

• Morfološki prikaz rtg, CT, CTA, MR, DSA,

mijelografija,

• Funkcijski prikaz UZ, fMRI , MRS,

SPECT, PET

• Kombinacija MRA

Sagitalni presjek

Koronarni presjek

Osjetljivost CT MR

Prostorna rezolucija

FUNKCIJSKI MR

PI DWI

BOLD

FUNKCIJSKI MR

MOŽDANE OVOJNICE

CEREBRPOSPINALNI LIKVOR

NEURORADIOLOŠKA OBRADA

ZAPOČINJE VEĆ INTRAUTERINO

UZV

KOSTI GLAVE

Kosti lubanje – rtg.

SINUSI PA snimka

1. Nosna pregrada

2. Frontalni sinus

3. Maksilarni sinus

4. Etmoidni sinus

2

1

4

3

7

1- Fisura orbitalis superior

2- Foramen orbitalis inferior

3- Foramen mentalis

1

2

3

1

2

3

KOSTI LICA

1. Frontalni sinus

2. Etmoidni sinus

3. Koštani dio nosne pregrade

4. zigomatično-frontalna sutura

5. Maksilarni sinus

6. Zigomatična kost

7. Zigomatični luk

8. Mandibula

9. Donji rub orbite

10. Lijeva orbita

8

1

2

5

7

9

10

3

4

6

Otvor optičkog živca

1. Frontalni sinu

2. Maksilarni sinus

3. Etmoidni sinus

4. Sfenoidni sinus

5. Sella turcica

6. Okcipitalna kost

7. Mastoidne stanice

8. Dno stražnje lubanjske jame

9. Nazofarinks (zrak)

10. Kondili mandibule

11.Koronarni šav

10

9

1

2

3

4

5

6

7

8

11

PROFILNA SNIMKA GLAVE

LUBANJA

Baza

1. Parijetalna kost

2. Lambdoidna sutura

3. Foramen magnum

4. Petrozni dio temporalne kosti

5. Mandibula


4

5

1

1

2

3

6

3

2

4

6

1. Pterigoidna ploča

2. Etmoidni sinus

3. Odontoidni procesus

4. Sfenoidni sinus

5. Foramen ovale

6. Maksilarni sinus


8. Luk C! kralješka

9. Foramen ovale

10. Kanal vanjskog

zvukovoda

7 9

1

5

8

10

BAZA LUBANJE

SNIMKA ORBITA

TEMPOROMANDIBULARNI ZGLOBOVI

SNIMKA TMZ

SNIMKA PIRAMIDA

SNIMKA ORBITA

SNIMKA SINUSA

SNIMKA MASTOIDA

SNIMKA OPTIČKOG KANALA

UZV - CT - MR

Sagitalni presjek

Koronarni presjek

KOSTI GLAVE - CT

BAZA LUBANJE - CT

KAROTIDNI KANAL

FORAMEN JUGULARE

MANDIBULARNI

KONDILI

MASTOIDNE STANICE

UŠKA

BAZA LUBANJE - CT

ZIGOMATIČNI LUK

KANAL

VANJSKOG

ZVUKOVODA

BAZA LUBANJE - CT

FORAMEN OVALE

FORAMEN SPINOSUM

BAZA LUBANJE - CT

KAROTIDNI KANAL

SLUŠNE KOŠĆICE

MALLEUS

INCUS

BAZA LUBANJE - CT

KANAL UNUTARNJEG ZVUKOVODA

KAROTIDNI KANAL

MALLEUS

INCUS

BAZA LUBANJE - CT

Ramus of

mandible

Lateral

pterigoid m

Lateral pterigoid

plate

Medial pterigoid

plate

Maxillary sinus

Nasal septum

Mastoid process Spinal card

Styloid process

Ramus of

mandible

Lateral

pterigoid m

Lateral pterigoid

plate

Medial pterigoid

plate

Maxillary sinus

Nasal septum

Mastoid air cells Spinal card

Styloid process

Coronoid

process Neck of

mandible

Lateral

pterigoid m

Lateral pterigoid

plate

Medial pterigoid

plate

Maxillary sinus

Nasal septum

Mastoid air cells

Styloid process

Spinal card

Foraman

magnum

Vertebral a

Coronoid

process Neck of

mandible

Mastoid air cells

Lateral

pterigoid m

Lateral pterigoid

plate

Medial pterigoid

plate

Maxillary sinus

Nasal septum

Spinal cord

Foraman

magnum

Vertebral a

Coronoid

process Neck of

mandible

Lateral

pterigoid m

Lateral pterigoid

plate

Medial pterigoid

plate

Maxillary sinus

Nasal septum

Mastoid air cells

Foraman

magnum

Vertebral a

External auditory

meatus Mastoid air cells

Medulla oblangata

Nasal septum

Temporalis m

Trapezius m

Coronoid process

Head of

mandible

Temporo-

madibular joint

Globe

Vertebral a

External auditory

meatus

Lacrimal gland

Mastoid air cells

Medulla oblongata

Nasal septum

Globe

Temporalis m

Cerebellar

hemisphere

Trapezius m

Auditory tube

External auditory

meatus

Lacrimal gland

Mastoid air cells

Medulla oblongata

Temporalis m

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Lens

Globe

Auditory tube

Lacrimal gland

Mastoid air cells

Medulla oblangata

Rectus medialis

Temporalis m

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Lens

Globe

Basilar a

Auditory tube

Internal occipital

protuberance

Lacrimal gland

Mastoid air cells

Medulla oblangata

Rectus medialis

Temporalis m

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Lens

Globe

Basilar a

Internal occipital

protuberance

Frontal sinus

Lacrimal gland

Mastoid air cells

Medulla oblangata

Petrous bone

Rectus lateralis Crista galli

Temporalis m Temporal lobe

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Rectus medialis

Globe

Basillar a

Internal occipital

protuberance

Frontal sinus

Lacrimal gland

Mastoid air cells

Medulla oblangata

Petrous bone

Rectus lateralis

Optic nerve

Crista galli


Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Globe

Basillar a

Internal occipital

protuberance

Frontal sinus

Lacrimal gland

Pons Mastoid air cells

Petrous bone

Rectus lateralis

Optic nerve

Crista galli


Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Globe

Internal occipital

protuberance

Frontal sinus

Lacrimal gland


Nasal septum

Petrous bone

Optic nerve

Crista galli

Temporalis m

Temporal lobe

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Globe

Crista galli

Internal occipital

protuberance

Frontal sinus


Petrous bone

Sphenoidal sinus Temporalis m

Temporal lobe

Cerebellar

hemisphere

Trapezius m

Sigmoid sinus

Globe

Crista galli

Frontal sinus


Sphenoidal sinus Temporalis m

Temporal lobe

Cerebellar

hemisphere

Sigmoid sinus

Dorsum sellae

Internal occipital

protuberance

Tentorium cerebelli

Crista galli

Frontal sinus


Sella tursica Temporalis m

Temporal lobe

Cerebellar

hemisphere

Sigmoid sinus

Dorsum sellae

Internal occipital

protuberance

Tentorium cerebelli

Grey Matter

White Matter

White Matter

Occipital Lobe

Cerebellum

Grey Matter

Frontal Lobe

Lateral Sulcus

Parietal Lobe

Temporal Lobe

Gyri of cerebral

cortex

Sulci of cerebral

Cortex

Cerebellum

Frontal

Lobe Temporal

Lobe

Frontal Lobe

Temporal

Lobe

Parietal Lobe

Occipital

Lobe

Cerebellum

Frontal Lobe

Eye

Ball

Parietal Lobe

Occipital Lobe

Transverse

Sinus

Cerebellar

Hemisphere

Optic Nerve

Maxillary

Sinus

Precentral Sulcus

Lateral Ventricle

Occipital Lobe

Caudate

Nucleus

Tongue

Corpus callosum

Thalamus

Tentorium

Cerebelli

Pons

Thalamus

Splenium of

Corpus

callosum

Pons

Ethmoid air

Cells

Inferior nasal

Concha

Mesencephalon

Fourth Ventricle

Genu of Corpus

Callosum

Hypophysis

Body of corpus callosum Thalamus

Splenium

of Corpus

callosum Genu of

corpus

callosum

Pons

Superior

Colliculus

Inferior

Colliculus

Nasal Nasal Septuml

Medulla

Cingulate Gyrus

Genu of corpus

callosum

Ethmoi

d air

cells

Oral cavity

Splenium

of Corpus

callosum

Fourth Ventricle

Frontal

Lobe

Maxillary

Sinus

Parietal Lobe

Occipital Lobe

Corpus Callosum Thalamus

Cerebellum

Frontal Lobe

Temporal

Lobe

Parietal Lobe

Lateral Ventricle

Occipital Lobe

Cerebellum

Parietal Lobe

Occipital Lobe

Cerebellum

Frontal Lobe

Temporal Lobe

Frontal Lobe

Lateral Sulcus

Superior Temporal

Gyrus

Inferior Temporal

Gyrus

Parietal

Lobe

Middle

Temporal

Gyrus

External

Auditory

Meatus

Eye Ball

Cerebral Peduncle

Temporal Horn

Lateral Ventricle

Occipital Lobe

Lateral Sulcus

(Sylvian)

Inferior

Colliculus

Putamen

Globus Pallidus

Third Ventricle

Thalamus

Frontal Horn

Lateral Ventricle

Anterior Limb

Internal Capsule

Posterior Limb

Internal Capsule Thalamus

Head of the

Caudate Nucleus

Frontal Lobe

Anterior Limb

Internal Capsule

Lentiform Nucleus

Posterior Limb

Internal Capsule

Splenium of

Corpus

Callosum

Genu of

Corpus Callosum

Head of the

Caudate Nucleus

Thalamus

Lateral Ventricle

Longitudinal

Fissure

Caudate Nucleus Frontal Horn

Lateral Ventricle

Occipital Horn

Lateral Ventricle

Lateral Ventricle Corpus Callosum

Cingulate Gyrus Corona Radiata

Gyri

Sulci Falx cerebri

Calvarium

Superior Sagittal Sinus

Straight Sinus

Transverse Sinus


Straight Sinus

Cerebellum

Superior Sagittal

Sinus

Cerebellum

Occipital Lobe

Longitudinal

Fissure

Sigmoid

Sinus

Straight Sinus

Vermis of

Cerebellum

Straight Sinus

Cerebellum

Lateral Ventricle,

Occipital Horn

Arachnoid Villi

Great Cerebral

Vein

Tentorium

Cerebelli

Falx Cerebri

Lateral Ventricle

Vermis of

Cerebellum

Cerebellum

Splenium of

Corpus callosum

Posterior

Cerebral

Artery

Superior

Cerebellar

Artery

Foramen

Magnum

Lateral Ventricle

Internal Cerebral

Vein

Tentorium

Cerebelli

Fourth Ventricle

Cingulate Gyrus

Choroid Plexus

Superior Colliculus

Cerebral Aqueduct

Corpus Callosum

Thalamus

Pineal Gland

Vertebral Artery

Insula

Lateral Sulcus

Cerebral Peduncle

Olive

Crus of Fornix

Middle Cerebellar

Peduncle

Caudate Nucleus

Third Ventricle

Hippocampus

Pons

Corpus Callosum

Thalamus

Cerebral

Peduncle

Parahippocampal

gyrus

Lateral Ventricle

Uncus Of

Temporal Lobe

Lateral Ventricle,

Temporal Horn

Body of Fornix

Third Ventricle

Hippocampus

Internal Capsule

Insula

Optic Tract

Caudate Nucleus

Lentiform Nucleus

Hypothalamus

Amygdala

Parotid Gland

Internal Capsule

Optic Nerve

Nasal part of

Pharynx

Cingulate Gyrus

Caudate Nucleus

Lentiform Nucleus

Internal Carotid

Artery

Longitudinal

Fissure

Lateral Sulcus

Parotid Gland

Superior Sagittal

Sinus

Genu of Corpus

Callosum

Temporal Lobe

Ethmoid Sinus

Nasal Septum

Nasal Cavity

Tongue

Frontal Lobe

Nasal Turbinate

Masseter Muscle

Rectus Medialis

Rectus Lateralis

Inferior Turbinate

Frontal Lobe

Rectus Superior

Rectus Inferior

Maxillary Sinus

Tooth

Grey Matter


White Matter

Eye Ball

Maxillary Sinus

Tongue


Nasal Septum

Tooth

Eye Ball

Frontal Lobe

Oral Cavity

Nasal Turbinate

Medulla Oblongata

Vermis of Cerebellum

External

Auditory

Meatus

Auricle

Maxillary

Sinus

Trigeminal Nerve

Fourth Ventricle

Cerebellum

Rhombencephalon

(Hindbrain)

Inferior Cerebellar

Peduncle

Temporal Lobe

Pons

Fourth Ventricle

Maxillary Sinus

Middle Cerebellar

Peduncle

Temporal Lobe

Pons

Fourth Ventricle

Ethmoid sinus

Cerebellar

Hemisphere

Pituitary Gland

Lens

Cerebral aqueduct

Eye Ball

Optic Nerve

Optic Chiasm

Pons

Cerebellum

Temporal lobe

Lateral Rectus

muscle

Nasal Septum

Cerebral Peduncle

Inferior colliculus

Eye Ball

Cerebellum

Eye Ball

Third Ventricle

Cerebral

Peduncle

Vermis of

Cerebellum

Cerebellum

Hypothalamus

Inferior Colliculus

Third Ventricle

Superior colliculus

Cerebellum

Lateral Sulcus

(Sylvian)

Lateral Ventricle

Head of Caudate Nucleus

Posterior Limb,

Internal Capsule

Genu,

Corpus Callosum

Anterior Limb,

Internal Capsule

Thalamus

Lateral Ventricle

Choroid Plexus

Lateral Ventricle

Anterior Limb,

Internal Capsule

Thalamus

Head of Caudate Nucleus

Third Ventricle

Lateral Ventricle

Longitudinal Fissure

Genu of corpus

callosum

Internal capsule

Falx cerebri

Lateral ventricle,

Frontal horn

Head of

Caudate Nucleus

Lateral Ventricle,

Occipital horn

Cingulate gyrus

Corona radiata

Calvarium

Falx cerebri

Grey Matter

White Matter

Falx cerebri

Sulcus Gyri

HIPOFIZA

Normalno Tvorba selarnog

područja

PARANAZALNI SINUSI

i ORBITE

1

1. Frontalni sinus

CT- SINUSA TRANSVERZALNI SLOJ

1. Etmoidni sinus

2. Sfenoidni sinus

1

2


1. Maksilarni sinus

2. Pterigoidne ploče

3. Nazofrinks

4. Nosna pregrada

1

2 3

4


1. Maksilarni sinus

2. Tvrdo nepce

3. Mandibula

4. M. maseter

3

2

1

3

4

4


1. Fronto-nasalna

sutura

2. Frontalni sinus

3. Nosna kost

4. Leća

1

2

3 4

CT- SINUSA KORONARNI SLOJ (od naprijed prema straga)

1. Etmoidni sinus

2. Donja nosna školjka

3. Srednjanosna školjka

1

2

3

CT- SINUSA KORONARNI SLOJ

1. Maksilarni sinus

2. Septum nasi

3. Orbita

1

2

3


1. Sfenoidni sinus

2. Tvrdo nepce

3. Prednji klinoid

1

2

3


1. Retroorbitalna mast

2. M. Rectus medialis

3. Leća

4. M. Rectus lateralis

5. Optički živac

5

1 3 2 4

CT- ORBITA TRANSVERZALNI SLOJ

Upala sinusa

CT SINUSA

Upala sinusa

MMAKSILARNI SINUSI

ETMOIDINI SINUS

CT SINUSA

Posttoperativno:

Trepanacija medijalnog

zida maksilarnog sinusa

ORBITE

PRIJELOM DNA ORBITE

KORONARNI

SLOJ

CT ORBITA

METODE PRIKAZA

KRVNIH ŽILA

• UZ-DOPPLER

• DSA

• CTA

• MRA

B-mod i obojeni Doppler karotidne

arterije

VASKULARNA OPSKRBA

WILLIS-ijev prsten

a. cerebri ant.

a. cerebri media

a. cerebri post.

VASKULARNA OPSKRBNA PODRUČJA

A-V MALFORMACIJA

INFARKT

INTRACEREBRALNO KRVARENJE

SUBARAHNOIDALNO KRVARENJE

EPIDURALNO KRVARENJE

SUBDURALNO KRVARENJE

akutno kronično

DIFUZNA AKSONALANA OZLJEDA

5. glava

Education