Conventional Neuroradiological Examinations

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Conventional Neuroradiological Examinations. Baar Sarkaya, M.D. Associate Professor of Radiology Yeditepe University. What is neuroradiology?. Neuroradiology is a subspecialty of radiology which deals with imaging of the nervous system disorders using various imaging modalities. - PowerPoint PPT Presentation

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<ul><li><p>Conventional Neuroradiological ExaminationsBaar Sarkaya, M.D.Associate Professor of RadiologyYeditepe University</p></li><li><p>What is neuroradiology?</p><p>Neuroradiology is a subspecialty of radiology which deals with imaging of the nervous system disorders using various imaging modalities.</p></li><li><p>What is neuroradiology?Plain X-rays, [contrast enhanced X-rays (myelogram, cisternogram, etc)]Computed Tomography (CT)Magnetic Resonance Imaging (MRI)DSA (Digital Subtraction Imaging)</p></li><li><p>What is neuroradiology?Current practice focuses on advanced imaging methods such as perfusion MRI, MR tractography, functional MRI, MR spectroscopy etc as well as noninvasive cerebrovascular imaging such as MRA and CTA.</p></li><li><p> Unfortunately I am not going to talk about these fancy stuff!!!</p></li><li><p>What do we mean by conventional? used and accepted by most people : usual or traditional Meriam-Webster</p></li><li><p>Conventional Neuroradiological Examinations</p><p>Herein this lecture, we will mostly talk about plain X-ray films.Already partially representing history and soon to be totally historical.OUTDATED!!!</p></li><li><p>Wilhelm Conrad Roentgen(27 March 1845 10 February 1923)Nobel Prize in Physics 1901</p></li><li><p>December 22, 1895</p></li><li><p>Plain X-ray FilmsWidely available and easy to obtainImage obtained is a superposition of tissues (3D is converted into 2D) and mainly reflects bone because of penetration issues of X-ray.</p></li><li><p>Plain films of the headPA and lateral views 2 view series4 view seriesTowne and Waters</p></li><li><p> DONT FORGET: One view is no view!!!</p></li><li><p>Plain Films of the SpineAP and lateralR and L obliqueSpecial positions (Swimmers view for the cervicothoracic junction)</p></li><li><p>When do we obtain?For routine preoperative imaging (neurosurgery, ENT...)TraumaSinus diseaseHeadache?</p></li><li><p>WatersCaldwell</p></li><li><p>FOMInfcme</p></li><li><p>AP, lateral and oblique views of the spineCervicalThoracicLumbar</p></li><li><p>How many vertebrae do we have?Cervical: 7Thoracic: 12Lumbar: 5Sacral: 5Coccyx: 3-4</p></li><li><p>Plain Films for Spine ImagingFirst line of imaging for back or cervical pain or in case of trauma.To see any misalignment, lytic or destructive lesions or congenital issues.If negative: most of the time, MRI is required.In the trauma setting: CT is preferred over MRI. </p></li><li><p>Plain Films for Spine ImagingRoutine views are AP and lateralOblique views are required to see the neural foramina of the C spine and the pars interarticularis region of the lumbar level.Lateral views can be obtained in flexion and extension positions</p></li><li><p>AnatomyT12L1L2L3L4L5SC12th12thIIsisi</p></li><li><p>AnatomyBsTTPPD</p></li><li><p>BDDfPsapiap</p></li><li><p>Quiz-127 year-old male is brought to ER after motor vehicle accident. Patient suffers from intense head neck pain with bruises over the occipital bone. What is the preferred imaging method?UltrasoundX-ray of the C-spineMRIComputed TomographyNone of the above</p></li><li><p>Quiz-2Which X-ray view best demonstrates the acute sinusitis involving the maxillary sinuses?WatersCaldwellTowneLateralAP</p></li><li><p>Regarding the Scotty dog of the oblique lumbar view, what structure represents neck of the dog? Quiz-3PedicleInferior articular processSuperior articular processTransverse processPars interarticularis</p></li></ul>