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Liver,bile duct,pancreas and spleen
1.
肝、胆、胰、脾 Liver, bile
duct, pancreas and spleen 陈少琼( Chen,Shaoqiong)
2.
3.
4.
Technique and methods
T -tube Cholangiography
5.
Technique and methods
PTC 造影
6.
ERCP 显示胆总管、肝总管及肝内胆管及胰管情况
7.
8.
Imaging of the
hepatic vessels Artery Portal vein Hepatic vein
9.
10.
Normal anatomy
11.
Proper hepatic
A Gastro-duodenal A. 脾动脉 splenic artery SMA superior mesenteric artery
12.
13.
门脉主干及其分支清晰显示。
14.
门静脉 CE MRA
3ml/s 20mlGd-DTPA
15.
门静脉 hepatic portal
vein
16.
Portal vein and
hepatic vein
17.
Hepatic vein right
intermediate left
18.
19.
肝右 V
20.
Celiac trunk Splenic
artery Common hepatic a .
21.
Hepatic artery
22.
Left branch of
hepatic portal vein
23.
Right branch of
hepatic portal vein
24.
Hepatic vein
25.
26.
Liver lobes Quadrate
lobe Left lobe Caudate lobe Quadrate lobe 上段 下段 Left lobe Right lobe 右后叶 上段 下段 1 上段 下段 左外叶 尾状叶 方叶 左内叶 Right lobe 右后叶 上段 下段
27.
( 二 )
Couinaud 肝段划分法 ( 8 段划分法 ) 肝门静脉 肝圆韧带 肝左静脉 下腔静脉 肝中静脉 肝右静脉
28.
CT
29.
4 8 7
2
30.
2 4 8
7
31.
2 4 8
7 1
32.
2/3 4 8
7 1
33.
1 3 4
8/5 7/6
34.
3 4 5
6 1
35.
3 4 5
6
36.
5 6
37.
5 6
38.
MR
39.
40.
3 4 5
6 T2WI
41.
3 4 5
6 T1WI
42.
ERCP 正常胆道 Bile
duct system
43.
Intrahepatic bile duct
44.
MRCP
45.
P ancreas
46.
CT body of
pancreas head of pancreas splenic vein Portal vein
47.
tail of pancreas
body of pancreas head of pancreas MR T1WI
48.
head of pancreas
49.
T2 FAT
SAT 胰腺 pancreatic duct
50.
胰头 head of
pancreas Portal vein gallbladder
51.
23 4 7
8 6 5 冠状位 GB
52.
7 8 6
5 6 5
53.
7 8
6 5 肾上腺 M
54.
55.
76 SP
56.
Disease of the
liver
57.
58.
CT Appearance
Hepatic C yst -C venous phase arterial phase
59.
CT Appearance
Hepatic C yst Polycystic disease
60.
MR appearance
Hepatic cyst
61.
Hepatic Abscess P
yogenic abscess - bacterium or Amoeba
62.
Plain Radiography
63.
64.
肝脓肿 肝右叶圆形低密度区,脓肿壁密度高于脓腔、低于正常肝。增强扫描:脓肿壁环形强化,轮廓光滑,厚度均匀,外围可见低密度水肿带
65.
肝脓肿 肝右叶椭圆形低密度区,增强扫描脓肿壁环形强化,轮廓光滑,厚度均匀,外围可见低密度水肿带
66.
67.
平扫 T 1
WI 平扫 T 2 WI 静脉期 septum 肝脓肿 肝右叶两个不规则形异常信号区, T 1 WI 脓肿壁信号高于脓腔、低于正常肝, T 2 WI 反之。增强扫描:脓肿壁环形强化,轮廓不光滑,边缘不整
68.
69.
70.
71.
Plain scan P
ortal phase D elayed phase A rterial phase
72.
73.
74.
75.
Plain Scan E
nhancement D elayed scan
76.
77.
78.
79.
C avernous hemangioma
80.
81.
82.
83.
84.
85.
86.
低密度 高密度 稍低密度
混杂密度
87.
CT appearance of
HCC
88.
89.
CT appearance of
HCC
90.
巨块型肝癌、肝内子灶、 IVC 癌栓
CT appearance of HCC Massive type
91.
肝硬化合并原发性结节型肝癌
nodular type CT appearance of HCC
92.
CT appearance of
HCC 原发型肝细胞癌合并 门静脉、下腔静脉癌栓 Diffuse type IVC
93.
94.
MR appearance of
HCC
95.
96.
97.
time CT Value
HCC Hemangioma
98.
99.
CT-H epatic metastasis
100.
CT-H epatic metastasis
101.
102.
103.
104.
C holelithiasis 平
片
105.
C holelithiasis
106.
C holelithiasis Cholecystography----radioparent
calculus
107.
C holelithiasis T
-tube Cholangiography
108.
C holelithiasis PTC
造影
109.
110.
C holelithiasis cholecystography
CT 检查
111.
C holelithiasis
112.
C holelithiasis MRCP
113.
114.
cholecystitis
115.
Chronic cholecystitis
: shrink of the gallbladder and thickening wall
116.
Calcification
117.
118.
Acute pancreatitis Excessive
swelling of the pancreas
119.
Acute pancreatitis
120.
Acute pancreatitis
121.
122.
123.
124.
125.
126.
127.
肝胆胰脾 --- 胆管癌
128.
肝胆胰脾 --- 胆管癌
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