CT心臟斷面解剖PPT學(xué)習(xí)教案

1、會(huì)計(jì)學(xué)1CT心臟斷面解剖心臟斷面解剖Ascending Aorta升主動(dòng)脈Descending Aorta降主動(dòng)脈Pulmonary Artery肺動(dòng)脈Superior Vena Cava上腔靜脈Left Coronary Artery(LCA)左冠狀動(dòng)脈Left Main Artery(LMA)左主干Left Anterior Descending(LAD)左前降支Left Marginal Branch(LMB)左邊緣支Left Circumflex(LCX)左回旋支Right Coronary Artery(RCA) 右冠狀動(dòng)脈Posterior Descending Artery(PD

2、A) 后降支Conus Branch 動(dòng)脈圓錐支Left Atrium 左心房Right Atrium 右心房Left Ventricle 左心室Right Ventricle 右心室Cardiac Vein 心臟靜脈Mitral Valv 二尖瓣Coronary Sinus 冠狀竇第1頁(yè)/共42頁(yè)傳統(tǒng)的影像學(xué)診斷方法有胸部X線、超聲心動(dòng)圖、MRI、心導(dǎo)管造影檢查 第2頁(yè)/共42頁(yè)第3頁(yè)/共42頁(yè)Ascending AortaPulmonary ArteryDescending AortaAscending AortaPulmonary ArteryDescending Aorta CT平掃圖

3、象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第4頁(yè)/共42頁(yè)Ascending AortaPulmonary ArteryDescending AortaSuperior Vena CavaAscending AortaPulmonary ArteryDescending AortaSuperior Vena Cava CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第5頁(yè)/共42頁(yè)Superior Vena CavaSuperior Vena CavaLMA LMA Ascending AortaAscending AortaDescending AortaDescending AortaLAD Left M

4、arginalBranch LAD Left MarginalBranch CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第6頁(yè)/共42頁(yè)Superior Vena CavaAscending AortaDescending AortaLAD Left MarginalBranch LMA LCX Superior Vena CavaAscending AortaDescending AortaLAD Left MarginalBranch LMA LCX Pulmonary ArteryPulmonary Artery CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第7頁(yè)/共42頁(yè)Superior

5、Vena CavaSuperior Vena CavaDescending AortaDescending AortaPulmonary ArteryPulmonary ArteryLAD LCx LCx LMB LMB LAD LeftAtriumLeftAtrium CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第8頁(yè)/共42頁(yè)Superior Vena CavaSuperior Vena CavaDescending AortaDescending AortaPulmonary ArteryPulmonary ArteryLAD LCx LCx LMB LMB LAD LeftAtriumL

6、eftAtrium CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第9頁(yè)/共42頁(yè)Descending AortaLCx LMB LAD LeftAtriumDescending AortaLCx LMB LAD LeftAtriumRightAtriumLeftVentricleLeftVentricleAscending AortaAscending AortaRightAtrium CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第10頁(yè)/共42頁(yè)RCA RCA Left VentricleLeft VentricleRight VentricleRight VentricleLeft Atriu

7、mLeft AtriumRightAtriumRightAtriumLCx LMB LCx LMB CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第11頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleLeft AtriumRightAtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRightAtriumLCx LMB Descending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第12頁(yè)/共42頁(yè)RCA RCA Left VentricleLeft Vent

8、ricleRight VentricleRight VentricleLeft AtriumLeft AtriumRight AtriumRight AtriumLCx LMB LCx Cardiac Vein LMB Cardiac Vein CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第13頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB Aortic ValveDescend

9、ing AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第14頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLCx LMB Aortic ValveCardiac Vein Cardiac Vein CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第15頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleLeft AtriumRigh

10、t AtriumLCx LMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB Descending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第16頁(yè)/共42頁(yè)Conus BranchConus BranchMitral ValveRCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB RCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB Cardi

11、ac Vein Cardiac Vein CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第17頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleLeft AtriumRight AtriumLMB RCA Right VentricleLeft AtriumRight AtriumLeft VentricleMitral ValveDescending AortaDescending AortaCardiac Vein Cardiac Vein CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第18頁(yè)/共42頁(yè)RCA Left VentricleRight Ventricle

12、Left AtriumRight AtriumRCA Left VentricleRight VentricleLeft AtriumRight AtriumDescending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第19頁(yè)/共42頁(yè)Descending AortaDescending AortaRCA Left VentricleRight VentricleRight AtriumRCA Left VentricleRight VentricleRight AtriumCoronary Sinus Coronary Sinus CT平掃圖象

13、平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第20頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRight AtriumRCA Left VentricleRight VentricleRight AtriumDescending AortaDescending AortaCoronary Sinus Coronary Sinus CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第21頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRight AtriumRCA Left VentricleRight VentricleRight AtriumDesc

14、ending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第22頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第23頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平掃圖象平掃圖象 CT

15、增強(qiáng)圖象增強(qiáng)圖象第24頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending AortaLiver Stomach Liver Stomach CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第25頁(yè)/共42頁(yè)RCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending Aorta CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第26頁(yè)/共4

16、2頁(yè)RCA Left VentricleRight VentricleRCA Left VentricleRight VentricleDescending AortaDescending AortaLiver Stomach Liver Stomach CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第27頁(yè)/共42頁(yè)P(yáng)DA Left VentricleRight VentriclePDA Right VentricleLiver Stomach Liver Stomach CT平掃圖象平掃圖象 CT增強(qiáng)圖象增強(qiáng)圖象第28頁(yè)/共42頁(yè)第29頁(yè)/共42頁(yè)n房間隔連續(xù)性中斷。需兩個(gè)層面以上可顯示房；可直接測(cè)量缺損大小 n右心房、室增大 n肺動(dòng)脈增寬 n伴肺動(dòng)脈高壓，主肺動(dòng)脈橫徑超過(guò)同水平主動(dòng)脈，右心室壁增厚，右室擴(kuò)大 第30頁(yè)/共42頁(yè)繼發(fā)孔型房間隔缺損繼發(fā)孔型房間隔缺損CT增強(qiáng)：房間隔連續(xù)中斷 第31頁(yè)/共42頁(yè)第32頁(yè)/共42頁(yè)nEBCT薄層掃描，顯示室間隔中斷、不連續(xù) n心室不同程度增大，肺血