22532045 anatomia-cerebral-por-tomografia-axial
TRANSCRIPT
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TOMOGRAFO
GANTRYMESA DESLIZABLECONSOLA DE CONTROLES
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TOMOGRAFIA COMPUTARIZADA
Proporciona imágenes perpendiculares al eje longitudinal del cuerpo.
Haz en abanico y un solo corte, se registra en una fila de detectores.
Los valores de atenuación que reflejan la densidad y número atómico de los tejidos se expresan en UNIDADES HOUNSFIELD (UH), agua es de 0 y aire -1000 (tejidos blandos 10 y 50 UH, grasa negativa y hueso 1000 UH)
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TOMOGRAFIA COMPUTARIZADA
La resolución de contraste de las estructuras vasculares, órganos y neoplasias hipervasculares pueden realzarse tras la infusión IV de medio de contraste hidrosoluble.
Para visualizar intestino se adminitra medio de contrate oral.
Artefactos por movimientos del paciente, cuerpos extraños de alta densidad( grapas metalicas quirurgicas)
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TOMOGRAFIA COMPUTARIZADA
Se adquiere un conjunto de proyecciones de localización de corte antes del posicionamiento del paciente.
La camilla es móvil y gantry se puede angular.
En fase de adquisición de datos el paciente permanece estatico, mientras que el tubo de rayos X rota alrededor.
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TOMOGRAFIA COMPUTARIZADA
TC Helicolidal: desplazamiento continuo del paciente, mientras que simultáneamente una rotación continúa del tubo de rayos X adquiere datos volumétricos. (apnea respiratoria suspendida).
Reducción del tiempo de exploración, mayor velocidad en el estudio de interés y mayor consistencia de la detección de pequeñas lesiones.
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1.Seno maxilar2.Hueso nasal3.Arco cigomático
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2.Hueso nasal4.Globo ocular5.Celdillas etmoidales6.Seno esfenoidal7.Celdillas mastoideas10.IV ventrículo11.Oido medio
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2.Hueso nasal4.Globo ocular5.Celdillas etmoidales6.Seno esfenoidal10.IV vetrículo11. Oido medio12.Nervio optico13.Lóbulo temporal15.Seno sigmoideo
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4.Globo ocular5.Celdillas etmoidales10. IV vetrículo12.Nervio optico13 lóbulo temporal14.Cerebelo15.Seno sigmoideo
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5.Celdillas etmoidales10. IV vetriculo13. Lóbulo temporal16. Fosa sellar17. tentorio
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13. Lóbulo temporal18.Cisterna suprasellar19.Lóbulo frontal20. Músculo recto superior
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13.Lóbulo temporal18.Cisterna suprasellar19.Lóbulo frontal22.Seno frontal
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|9. línea media22.Seno frontal23.Cisura de silvio24 cisterna cuadrigeminal
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19.Lóbulo frontal22.Seno frontal23.Cisura de silvio24.Cisterna cuadrigeminal26. Asta frontal del ventriculo lateral
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22.Seno frontal23.Cisura de silvio25.III vetriculo26.Asta frontal del ventriculo lateral28.Glándula pineal calcificada29.Nucleo caudado
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22.Seno frontal26.Asta frontal del ventriculo lateral28.Glándula pineal calcificada.29.Nucleo caudado30.Asta occipital del ventriculo lateral31.Plexo coroide calcificado
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26.Asta frontal del ventriculo lateral29.Nucleo caudado30.Asta occipital del ventriculo lateral31.Plexo coroideo calcificado.33.Sustancia gris cortical
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26.Asta frontal del Ventriculo lateral29.Nucleo caudado30. Asta occipital del ventriculo lateral32. Hoz del cerebro33.Sustancia gris cortical.
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32.Hoz del cerebro33. Sustancia gris cortical34.Sustancia blanca subcortical35.Ventriculos laterales
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32.Hoz del cerebro33.Sustancia gris cortical34.Sustancia blanca subcortical35.Ventriculos laterales
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32.Hoz del cerebro33.Sustancia gris cortical34.Sustancia blanca subcortical
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32.Hoz del cerebro33.Sustancia gris cortical34.Sustancia blanca subcortical
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32.Hoz del cerebro33.Sustancia gris cortical34.Sustancia blanca subcortical
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1.NUCLEO CAUDADO2.PUTAMEN3.TALAMO
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RESONANCIA MAGNETICA
En RM se utiliza un haz pulsado de radiofrecuencia (rf) en presencia de un inmenso campo magnético, para generar imágenes de alta calidad, en cualquier plano, (sagital, coronal y axial).
Los núcleos de hidrógeno orientados al azar, se alinean con el campo magnético estático.
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RESONANCIA MAGNETICA Para detectar la señal se aplica
transitoriamente un pulso de rf, que produce modificación en la alineación de los núcleos atómicos, cuando cesa el pulso, los espines vuelven a su equilibrio, disipando la energía de la moléculas que los rodean.
La tasa de cesión de energía viene determida por las propiedades intrísecas de relajación de cada tejido, caracterizadas por los tiempos de relajación longitudinal (T1) y transversal (T2)
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RESONANCIA MAGNETICA
El T1 representa la recuperación de la magnetización longitudinal, en la dirección del campo magnético principal.
El T2 representa la pérdida de la magnetización en el plano transversal, eprpendicular al eje del campo.
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RESONANCIA MAGNETICA
Sustancias con T1 largo (líquidos) aparecen oscuras. T1 corto (grasa), blancas con alta intensidad de señal.
En las imágenes potencias de T 2, una sustancia con un T2 largo (líquido) aparecerá brillante.
VENTAJAS: Magnifica resolución de contraste, elevada resolución espacial y ausencia de radiaciones ionizantes.
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RESONANCIA MAGNETICA
Contraste utilizado es gadopentetato dimeglumina, que contiene gadolineo, agente paramagnético (átomos con electrones no apareados en sus capas externas), acorta el T1.
La relajación tisular se modifica por la interacción del electrón no apareado del gadolineo y los protones de hidrógeno tisular
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RESONANCIA MAGNETICA
Contraindicaciones: Implantes metálicos o cuerpos
extraños como clips por tratamiento de aneurismas intracraneales, cuerpos extraños intraorbitarios, marcapasos cardíacos y algunos ticos de válvulas cardiacas. (desplazados o dañados por el campo magnético), clautrofóbicos o no colaboradores
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1. SENO SAGITAL2. VENTRICULOS LATERALES3. TALAMO4. NUCLEO CAUDADO5. TALAMO6. PROTUBERANCIA
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1.PUTAMEN2.LOBULOS FRONTALES3.LOBULOS OCCIPITALES4.LOBULOS TEMPORALES5.NUCLEO CAUDADO6.TALAMO7.SENOS FRONTALES
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1.GLOBOS OCULARES2.PROTUBERANCIA3.LOBULOS PARIETALES4.CEREBELO5.LOBULO OCCIPITAL
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1.LOBULO FRONTAL2. SENO FRRONTAL3.LOBULO PARIETAL4.LOBULO OCCIPITAL5.CEREBELO6.CUERPO CALLOSO7.VENTRICULOS8.BULBO9.MEDULA10.SENO ESFENOIDAL
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P IV B
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PEDICULO
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ANGIOTOMOGRAFIA
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2 2
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