intro headneck
- 1. „SelectedChaptersfromtheCross-SectionalAnatomy ofthe Human Body”András Jakab MD, Levente István Lánczi MD
- 2. Why to choose this elective?Images support the everyday medical practice. Medical students should become familiar with images(radiography, CT, MRI, US, NM).Theoretical knowledge -> clinical useMedical students have strong anatomy backgroundClinical correlations
- 3. Why to choose this elective?Support clinical and imaging educationImagesareimportantonexams, suchasStateexam (lastexambeforegraduation), USMLE Step 1,2 & 3 and others„Every picture tells a story”
- 4. Structure of the LecturesBackground informationMacroscopic anatomy revisionClinical anatomy – „Why is this region important?”Cross-sectional demonstration using www.imaios.com and other sourcesSelected clinical cases (www.eurorad.com)Sources
- 5. About medical imagingMethods using X-ray”Classical” two-directionalx-rayCTUltrasound (US)Magnetic Resonance Imaging (MRI)Nuclear Medicine imaging and hybrid technologiesSPECT, PETPET-CT, PET-MRImage fusion
- 6. On a CT scan/radiography…Whitebone, contrastagent (vessels, bowels, masses, etc.), implants/foreign body (metalic) Greyparenchymalorgans (liver, brain, etc.)Blackair (gas), water, liquor
- 7. On a T1 MRI scan…WhitefatBlackwater, liquorGood graymatter/whitemattercontrastinthebrain
- 8. On a T2 MRI scan…Whitewater, liquorBlackFatEdemaimaging
- 9. „ Selected Chapters from the Cross-Sectional Anatomy ” –Head and neck anatomy: pharynx, larynx, oral cavityAndrásJakab MD, LeventeIstvánLánczi MD
- 11. Whatcan be seenontheaxial MR images of theneck?BoneshyoidbonevertebraeNeckmusclesVesselscommoncarotidarteryInferior/superiorthyroidarteryvertebralarteryInternal/external/anteriorjugularveinsLarynx: cartilages, muscles, cavitiesEsophagus, pharynxSpinalcord
- 12. Bones – cervicalvertebraespinousprocessvertebralarchvertebralforamensup./inf. articularprocessTransverseprocessvertebral body
- 13. C1: atlas, C2: axisdensof axisposteriorarchlateralmasstransverseprocessarticularsurfacearcus anterior
- 15. Muscles of theneckPlatysmaSternocleidomastoidmuscle (SCM)Suprahyoid – infrahyoidmusclesTriangles of theneckcarotid, submandibular, supraclavicular (omoclavicular, omotrapezoid)submentalScalenimusclesanterior, medius, posterior
- 16. Superficialneckmusclessternocleidomastoidmuscle (SCM)manubrium of sternummastoidprocessplatysma
- 17. Infrahyoidmusclessternohyoidmusclethyrohyoidmusclesternothyroidmuscleomohyoidmuscleomohyoidmuscle
- 20. Deep neck & scalenusmusclesspleniuscapitis, semispinaliscapitis m.levatorscapulae m.scalenusanterior m.scalenusmedius m.trapeziusmusclescalenusposterior m.
- 22. T2 MRI, Level Th1
- 23. Axialis metszet a Th1 magasságában (T2 MRI)T2 MRI, Level Th1
- 24. Axialis metszet a Th1 magasságában (T2 MRI)T2 MRI, Level Th1
- 25. Axialis metszet a Th1 magasságában (T2 MRI)T2 MRI, Level Th1
- 26. T2 MRI, Level Th1
- 27. T2 MRI, Level C7
- 28. T2 MRI, Level C7
- 29. T2 MRI, Level C7
- 30. T2 MRI, Level C7
- 31. LarynxRespiratorysystemHyalinecartilage, ligaments, muscles, mucosaHyoidbone -> tracheaCartilagesThyroidcartilage(Prominentialaryngea – Pomum Adami)CricoidcartilageArytenoidcartilageEpiglottisSmallcartilages: cuneiform, corniculate
- 34. T2 MRI, Level C6
- 35. T2 MRI, Level C6
- 36. T2 MRI, Level C6
- 37. T2 MRI, Level C6
- 38. T2 MRI, Level C6
- 39. T2 MRI, Level C6
- 40. T2 MRI, Level C6
- 42. T2 MRI, Level C5
- 43. T2 MRI, Level C5
- 44. T2 MRI, Level C5
- 45. T2 MRI, Level C5
- 46. T2 MRI, Level C5
- 47. T2 MRI, Level C5
- 48. T2 MRI, Level C4
- 49. T2 MRI, Level C4
- 50. T2 MRI, Level C4
- 51. T2 MRI, Level C4
- 52. T2 MRI, Level C4
- 53. Larynx– coronalplaneepiglottisvestibulethyroidcartilagevocalis m., vocallig.cricoidcartilagethyroidglandtrachea
- 54. T2 MRI, laryngealcavities, coronal plane
- 55. T2 MRI, laryngealcavities, coronal plane
- 56. T2 MRI, Level C3
- 57. T2 MRI, Level C3
- 58. T2 MRI, Level C3
- 59. T2 MRI, Level C3
- 60. Head – face & masticatorymusclesbuccinator m.parotidglandulezygomaticus major m.orbicularisoris m.SCMramusof manibulem. masseter
- 61. pterygoideusmed & lat m. buccinator m.occipitalis a.externalcarotid a.facial a.facial a.
- 62. T2 MRI, Level C1-2
- 63. Axialis metszet a C1-C2 magasságában (T2 MRI)T2 MRI, Level C1-2
- 64. Axialis metszet a C1-C2 magasságában (T2 MRI)T2 MRI, Level C1-2
- 65. Axialis metszet a C1-C2 magasságában (T2 MRI)T2 MRI, Level C1-2
- 66. Axialis metszet a C1-C2 magasságában (T2 MRI)T2 MRI, Level C1-2
- 67. Axialis metszet a C1-C2 magasságában (T2 MRI)T2 MRI, Level C1-2
- 68. T2 MRI saggital plane
- 69. Sagittalis metszet a fej-nyak régióról (T2 MRI)T2 MRI saggital plane
- 70. Sagittalis metszet a fej-nyak régióról (T2 MRI)T2 MRI saggital plane
- 71. Sagittalis metszet a fej-nyak régióról (T2 MRI)T2 MRI saggital plane
- 72. Sagittalis metszet a fej-nyak régióról (T2 MRI)
- 73. Sagittalis metszet a fej-nyak régióról (T2 MRI)
- 74. Sagittalis metszet a fej-nyak régióról (T2 MRI)
- 75. Sagittalis metszet a fej-nyak régióról (T2 MRI)
- 77. Selectedclinicalcase #148 y old man forfistulographythyreoglossalcystincision 5 yearsbeforeFistulographythyroglossaltract, sinus dilatation; taste of contrastagentUltrasoundovoidhypoechoiclesion, subtle flowCTcysticcomponentsMRIcysticsuprahyoidlesionThyroglossalductfistulahttp://www.eurorad.org/case.php?id=8884
- 78. Selectedclinicalcase #250 y old femaleHistory: dry eyes & mouth 1 yduration; foreign body sensation, enlargement of parotidsUS: mildlyenlargedparotidglandsdemonstratingechotextureheterogeneityMR sialographyimaging:bilateraldiffuseintra-glandularductectasiano sialolithPositiveSchirmer’s testSjogren’ssyndromehttp://www.eurorad.org/case.php?id=8515
- 79. Selectedclinicalcase #321 y old maleHistory: caraccidentCT examinationAir bubblesbetweenmusclesLinearband of negativedensitySurgicalintervention: 10 cm piece of woodhttp://www.eurorad.org/case.php?id=5072