CT心脏断面解剖幻灯片培训 参考ppt课件

先天性心脏病及先天性心脏病及CT影像诊断影像诊断小儿综合内科小儿综合内科张伟张伟Cardiac AnatomyCardiac Anatomy1 先天性心脏病及CT小儿综合内科Cardiac AnatomyGEMSC CT APPL TiPAscending AortaAscending Aorta升主动脉升主动脉Descending AortaDescending Aorta降主动脉降主动脉Pulmonary ArteryPulmonary Artery肺动脉肺动脉Superior Vena CavaSuperior Vena Cava上腔静脉上腔静脉Left Coronary Artery(LCA)Left Coronary Artery(LCA)左冠状动脉左冠状动脉Left Main Artery(LMA)Left Main Artery(LMA)左主干左主干Left Anterior Descending(LAD)Left Anterior Descending(LAD)左前降支左前降支Left Marginal Branch(LMB)Left Marginal Branch(LMB)左边缘支左边缘支Left Circumflex(LCX)Left Circumflex(LCX)左回旋支左回旋支Right Coronary Artery(RCA)Right Coronary Artery(RCA)右冠状动脉右冠状动脉Posterior Descending Artery(PDA)Posterior Descending Artery(PDA)后降支后降支Conus Branch Conus Branch 动脉圆锥支动脉圆锥支Left AtriumLeft Atrium 左心房左心房Right AtriumRight Atrium 右心房右心房Left VentricleLeft Ventricle 左心室左心室Right VentricleRight Ventricle 右心室右心室Cardiac Vein Cardiac Vein 心脏静脉心脏静脉Mitral ValvMitral Valv 二尖瓣二尖瓣Coronary SinusCoronary Sinus 冠状窦冠状窦Cardiac AnatomyCardiac Anatomy2Ascending Aorta升主动脉Right CorGEMSC CT APPL TiP传统的影像学诊断方法有胸部传统的影像学诊断方法有胸部X X线、超声心动图、线、超声心动图、MRIMRI、心导管造影检查、心导管造影检查 Cardiac AnatomyCardiac Anatomy3传统的影像学诊断方法有胸部X线、超声心动图、MRI、心导管造GEMSC CT APPL TiPCardiac AnatomyCardiac AnatomyMDCT的优势的优势扫描时间短扫描时间短空间分辨力较高空间分辨力较高空间分辨力较高空间分辨力较高三维后处理重组三维后处理重组4Cardiac AnatomyMDCT的优势扫描时间短4GEMSC CT APPL TiPAscending AortaAscending AortaPulmonary ArteryPulmonary ArteryDescending AortaDescending AortaAscending AortaAscending AortaPulmonary ArteryPulmonary ArteryDescending AortaDescending Aorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy5Ascending AortaPulmonary ArterGEMSC CT APPL TiPAscending AortaAscending AortaPulmonary ArteryPulmonary ArteryDescending AortaDescending AortaSuperior Superior Vena CavaVena CavaAscending AortaAscending AortaPulmonary ArteryPulmonary ArteryDescending AortaDescending AortaSuperior Superior Vena CavaVena Cava CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy6Ascending AortaPulmonary ArterGEMSC CT APPL TiPSuperior Superior Vena CavaVena CavaSuperior Superior Vena CavaVena CavaLMALMA LMA LMA Ascending AortaAscending AortaAscending AortaAscending AortaDescendingDescending Aorta AortaDescending Descending AortaAortaLAD LAD Left Left MarginalMarginalBranchBranch LAD LAD Left Left MarginalMarginalBranch Branch CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy7Superior Superior LMA LMA AsceGEMSC CT APPL TiPSuperior Superior Vena CavaVena CavaAscending AortaAscending AortaDescending Descending AortaAortaLAD LAD Left Left MarginalMarginalBranch Branch LMALMA LCXLCX Superior Superior Vena CavaVena CavaAscending AortaAscending AortaDescending Descending AortaAortaLAD LAD Left Left MarginalMarginalBranchBranch LMALMA LCXLCX Pulmonary ArteryPulmonary ArteryPulmonary ArteryPulmonary Artery CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy8Superior Ascending AortaDescenGEMSC CT APPL TiPSuperior Superior Vena CavaVena CavaSuperior Superior Vena CavaVena CavaDescending Descending AortaAortaDescending Descending AortaAortaPulmonary Pulmonary ArteryArteryPulmonary Pulmonary ArteryArteryLADLAD LCxLCx LCx LCx LMBLMB LMB LMB LAD LAD LeftLeftAtriumAtriumLeftLeftAtriumAtrium CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy9Superior Superior Descending DGEMSC CT APPL TiPSuperior Superior Vena CavaVena CavaSuperior Superior Vena CavaVena CavaDescendingDescending AortaAortaDescending Descending AortaAortaPulmonary Pulmonary ArteryArteryPulmonary Pulmonary ArteryArteryLADLAD LCxLCx LCx LCx LMB LMB LMB LMB LAD LAD LeftLeftAtriumAtriumLeftLeftAtriumAtrium CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy10Superior Superior Descending DGEMSC CT APPL TiPDescending Descending AortaAortaLCx LCx LMB LMB LAD LAD LeftLeftAtriumAtriumDescending Descending AortaAortaLCxLCx LMBLMB LADLAD LeftLeftAtriumAtriumRightRightAtriumAtriumLeftLeftVentricleVentricleLeftLeftVentricleVentricleAscending Ascending AortaAortaAscending Ascending AortaAortaRightRightAtriumAtrium CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy11Descending LCx LMB LAD LeftDesGEMSC CT APPL TiPRCA RCA RCARCA Left Left VentricleVentricleLeft Left VentricleVentricleRight Right VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumLeft Left AtriumAtriumRightRightAtriumAtriumRightRightAtriumAtriumLCx LCx LMB LMB LCxLCx LMBLMB CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy12RCA RCA Left Left Right Right GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRightRightAtriumAtriumLCx LCx LMB LMB RCARCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRightRightAtriumAtriumLCxLCx LMBLMB Descending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy13RCA Left Right Left RightLCx LGEMSC CT APPL TiPRCA RCA RCARCA Left Left VentricleVentricleLeft Left VentricleVentricleRight Right VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumLeft Left AtriumAtriumRight Right AtriumAtriumRight Right AtriumAtriumLCx LCx LMB LMB LCxLCx CardiacCardiac Vein Vein LMB LMB CardiacCardiac Vein Vein CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy14RCA RCA Left Left Right Right GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLCx LCx LMB LMB RCARCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLCxLCx LMBLMB Aortic ValveAortic ValveDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy15RCA Left Right Left Right LCx GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLCx LCx LMBLMB RCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLCx LCx LMB LMB Aortic ValveAortic ValveCardiacCardiac Vein Vein CardiacCardiac Vein Vein CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy16RCA Left Right Left Right LCx GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLCx LCx LMBLMB RCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLMB LMB Descending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy17RCA Left Right Left Right LCx GEMSC CT APPL TiPConusConus Branch BranchConus Conus BranchBranchMitral Mitral ValveValveRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLMBLMB RCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLMB LMB CardiacCardiac Vein Vein CardiacCardiac Vein Vein CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy18ConusConus Mitral RCA Left RigGEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLMBLMB RCA RCA Right Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumLeft Left VentricleVentricleMitralMitral ValveValveDescending Descending AortaAortaDescending Descending AortaAortaCardiacCardiac Vein Vein CardiacCardiac Vein Vein CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy19RCA Left Right Left Right LMB GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleLeft Left AtriumAtriumRight Right AtriumAtriumDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy20RCA Left Right Left Right RCA GEMSC CT APPL TiPDescending Descending AortaAortaDescending Descending AortaAortaRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumCoronary Coronary Sinus Sinus Coronary Coronary SinusSinus CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy21Descending Descending RCA LeftGEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumDescending Descending AortaAortaDescending Descending AortaAortaCoronary Coronary Sinus Sinus Coronary Coronary SinusSinus CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy22RCA Left Right Right RCA Left GEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleRight Right AtriumAtriumDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy23RCA Left Right Right RCA Left GEMSC CT APPL TiPRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy24RCA Left Right RCA Left Right GEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy25RCA Left Right RCA Left Right GEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleDescending Descending AortaAortaDescending Descending AortaAortaLiver Liver Stomach Stomach LiverLiver StomachStomach CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy26RCA Left Right RCA Left Right GEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleDescending Descending AortaAortaDescending Descending AortaAorta CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy27RCA Left Right RCA Left Right GEMSC CT APPL TiPRCARCA Left Left VentricleVentricleRight Right VentricleVentricleRCA RCA Left Left VentricleVentricleRight Right VentricleVentricleDescending Descending AortaAortaDescending Descending AortaAortaLiver Liver Stomach Stomach Liver Liver StomachStomach CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy28RCA Left Right RCA Left Right GEMSC CT APPL TiPPDA PDA Left Left VentricleVentricleRight Right VentricleVentriclePDA PDA Right Right VentricleVentricleLiver Liver Stomach Stomach Liver Liver Stomach Stomach CT CT平扫图象平扫图象平扫图象平扫图象 CTCT增强图象增强图象增强图象增强图象Cardiac AnatomyCardiac Anatomy29PDA Left Right PDA Right LiverGEMSC CT APPL TiP房间隔缺损房间隔缺损Atrial Septal Defect,ASDCardiac AnatomyCardiac Anatomy30房间隔缺损Atrial Septal Defect,ASGEMSC CT APPL TiPCT表现表现房间隔连续性中断。需两个层面以上可显示房；可直接测量缺损大小 右心房、室增大 肺动脉增宽 伴肺动脉高压，主肺动脉横径超过同水平主动脉，右心室壁增厚，右室扩大 Cardiac AnatomyCardiac Anatomy31CT表现Cardiac Anatomy31GEMSC CT APPL TiP继发孔型房间隔缺损继发孔型房间隔缺损继发孔型房间隔缺损继发孔型房间隔缺损CTCT增强：房间隔连续中断增强：房间隔连续中断 Cardiac AnatomyCardiac Anatomy32继发孔型房间隔缺损Cardiac Anatomy32GEMSC CT APPL TiP室间隔缺损室间隔缺损Ventrical Septal Defect，VSD Cardiac AnatomyCardiac Anatomy33室间隔缺损Ventrical Septal Defect，GEMSC CT APPL TiPCT表现n nEBCT薄层扫描，显示室间隔中断、不连续 n n心室不同程度增大，肺血管增多、增粗 n n血流序列扫描，观察分流，定量计算 Cardiac AnatomyCardiac Anatomy34CT表现EBCT薄层扫描，显示室间隔中断、不连续 CardiGEMSC CT APPL TiP室间隔缺损（圆锥部）室间隔缺损（圆锥部）35室间隔缺损（圆锥部）35GEMSC CT APPL TiP室间隔缺损（肌部）室间隔缺损（肌部）室间隔缺损（肌部）室间隔缺损（肌部）室间隔缺损室间隔缺损室间隔缺损室间隔缺损（膜周部）（膜周部）（膜周部）（膜周部）Cardiac AnatomyCardiac Anatomy36室间隔缺损（肌部）室间隔缺损Cardiac AnatomyGEMSC CT APPL TiP动脉导管未闭动脉导管未闭 Patent Ductus Arteriosus,PDA Cardiac AnatomyCardiac Anatomy37动脉导管未闭 Patent Ductus ArteriosGEMSC CT APPL TiPCT 表现表现n nEBCT或螺旋CT增强扫描可显示PDA n n较大的动脉导管，可见左心室增大 n n肺动脉高压时，主肺动脉、左右肺动脉增宽，右心室增大 Cardiac AnatomyCardiac Anatomy38CT 表现EBCT或螺旋CT增强扫描可显示PDA CardiGEMSC CT APPL TiP降主动脉呈一大漏斗状，导管与主肺动脉相连通降主动脉呈一大漏斗状，导管与主肺动脉相连通Cardiac AnatomyCardiac Anatomy39降主动脉呈一大漏斗状，导管与主肺动脉相连通Cardiac AGEMSC CT APPL TiPCT n n瓣膜增厚，开放受限 n n主肺动脉干狭窄后扩张 n n左肺动脉右肺动脉 Cardiac AnatomyCardiac Anatomy40CT 瓣膜增厚，开放受限 Cardiac Anatomy40GEMSC CT APPL TiP肺动脉瓣狭窄肺动脉瓣下狭窄 Cardiac AnatomyCardiac Anatomy41肺动脉瓣狭窄肺动脉瓣下狭窄 Cardiac Anatomy4GEMSC CT APPL TiPCardiac AnatomyCardiac Anatomy42 学海无崖苦作舟Cardiac Anatom