august 2004 francis neuffer, radiologist
TRANSCRIPT
August 2004Francis Neuffer, Radiologist
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RADIOLOGYAs Clinical Anatomy
E-mail: [email protected] Radiology Website: http://radiology.med.sc.edu
Radiology Department:
Basement of Library
733-3295
Francis Neuffer M.D.
U.S.C. School of Medicine
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AP FOOT
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OUCH !
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GOALS
RELATE IMAGING TO GROSS ANATOMY
CLINICAL CASES TO BASIC SCIENCE
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RADIOLOGY EXAMS- IDENTIFY STRUCTURE AT ARROW.
LABELED IMAGES FROM LAB FILM SETS
AND DIGITAL FILM SETS
LECTURE
POWERPOINT
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WHAT IS RADIOLOGY?
MEDICAL SPECALITY THAT SUPERVISES AND INTERPRETS IMAGING STUDIES
REPORTS FINDINGS TO REFERRING PHYSICIANS
ANATOMY VS PATHOLOGY
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X-RAY
DISCOVERED AND NAMED BY DR. W. C. RÖNTGEN AT UNIVERSITY OF WÜRZBURG, 1895
AWARDED FIRST NOBEL PRIZE FOR PHYSICS, 1901
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HOW IS IMAGING DONE?
X-RAYS: IONIZING RADIATION
GAMMA RAYS: IONIZING RADIATION
SOUND WAVES
MAGNETIC FIELDS / RADIO FREQUENCY WAVES
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RADIOLOGY TOOLS
X- RAY
ULTRASOUND
NUCLEAR MEDICINE
MAGNETIC RESONANCE
COMPUTED TOMOGRAPHY
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X- RAY HIGH ENERGY PHOTON
IONIZING RADIATION
EXPOSES FILM / DETECTOR
PROJECTION DATA
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XRAYS
PLAIN FILM RADIOGRAPHY
CXR MAMMOGRAPHY ABDOMEN SPINE EXTREMITIES,
BONES & JOINTS SKULL
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BONE
SOFT TISSUE
FAT
AIR
X - RAY -- FOUR BASIC DENSITIES
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CONTRAST RADIOGRAPHY INJECTION, INGESTION, OR OTHER
PLACEMENT OF OPAQUE MATERIAL WITHIN THE BODY
INCREASES INHERENT CONTRAST
CAN DEMONSTRATE FUNCTIONAL ANATOMY AND PATHOLOGY
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UPPER GI – ORAL BARIUM CONTRAST
BARIUM ENEMA - RECTAL BARIUM CONTRAST
WITHOUT CONTRAST
STOMACH
COLON
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INTRAVENOUS PYELOGRAM – IVPINTRAVENOUS IODINE CONTRAST
ARTERIOGRAM INTRAARTERIAL IODINE CONTRAST
WITHOUT CONTRAST
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COMPUTED TOMOGRAPHY HIGH ENERGY PHOTON
IONIZING RADIATION
EXPOSES DETECTOR
TOMOGRAPHIC DATA
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CT- EXAMPLE
CT REFERENCE FILM
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NUCLEAR MEDICINE
INJECTION OF RADIOPHARMACEUTICAL
HIGH ENERGY PHOTON
IONIZING RADIATION
EXPOSES DETECTOR
PROJECTION DATA
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NM - EXAMPLES
HEPATOBILIARY
RENAL
BONE
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ULTRASOUND
SOUND WAVE
NO IONIZING RADIATION
REFLECTED TO DETECTOR
TOMOGRAPHIC DATA
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US - EXAMPLES
GALLBLADDER
KIDNEY
OB
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MAGNETIC RESONANCE
HYDROGEN PROTONS IN A MAGNETIC FIELD
RADIO WAVE SIGNAL TRANSMISSION
NO IONIZING RADIATION
TOMOGRAPHIC DATA
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MAGNETIC RESONANCE EXAMPLES
BRAIN
SPINE
JOINT
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MR HAS ADVANTAGE OF MULTI PLANAR IMAGING
SAGITTALAXIAL CORONAL
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HOSPITAL LINGO
X- RAY PLAIN FILM
COMPUTED TOMOGRAPHY CAT SCAN CT SCAN
NUCLEAR MEDICINE NUC MED
ULTRASOUND ULTRASOUND
MAGNETIC RESONANCE MR MRI MRA
YOU WILL HEAR AND SEE THESE ABBREVIATIONS USED FREQUENTLY IN THE
MEDICAL COMMUNITY
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L-1
T-12
SACRUM
LUMBAR SPINEAP VIEW
TRANSVERSE PROCESS
SPINOUS PROCESS
LAMINA
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BODY
SPINOUS PROCESS
SPINAL CANAL
PEDICLE(ROOT)
LAMINA
PARTS OF THE ARCH
TRANSVERSEPROCESS
INFERIOR ARTICULARPROCESS
SUPERIOR ARTICULARPROCESS
VERTEBRA
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LAMINA
INF. VERTEBRALNOTCH
BODY
PEDICLE
SUP. VERTEBRAL BODY
SUP. ARTICULAR PROCESS
TRANSVERSE PROCESS
SPINOUS PROCESS
INF. ARTICULAR PROCESS
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OH… THE MANY USES
OF
MODERN IMAGING ?
KING TUTNUC MED STUDY OF A HORSE’S