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Introduction to Neuroimaging

Introduction to Neuroimaging. SPINE. Ayşegül Sarsılmaz , MD R adiology Department Yeditepe University. Anatomy. Radiographic Anatomy. Cervical Spine – AP View. Cervical Spine – Lateral View. Cervical Spine – Oblique View. Cervical Spine – Open-Mouth (Dens) View. Lumbar Spine – AP View.

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Introduction to Neuroimaging

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  1. Introduction to Neuroimaging SPINE Ayşegül Sarsılmaz, MD RadiologyDepartment Yeditepe University

  2. Anatomy

  3. Radiographic Anatomy

  4. Cervical Spine – AP View

  5. Cervical Spine – Lateral View

  6. Cervical Spine – Oblique View

  7. Cervical Spine – Open-Mouth (Dens) View

  8. Lumbar Spine – AP View

  9. Lumbar Spine – Lateral View

  10. MRI Anatomy

  11. Spine Pathology • Trauma • Degenerative disease • Tumors and other masses • Inflammation and infection • Vascular disorders • Congenital anomalies

  12. Trauma

  13. Evaluating Trauma • Fracture – plain film / CT • Dislocation – plain film / CT • Ligamentous injury – MRI • Cord injury – MRI • Nerve root avulsion – MRI

  14. Plain film findings may be very subtle or absent! Anterolisthesis of C6 on C7 (Why??)

  15. CT Fractures of C6 left pedicle and lamina

  16. CT – 2D Reconstructions Acquire images axially… …reconstruct sagittal / coronal

  17. Vertebral body burst fx with retropulsion into spinal canal 2D Reformats

  18. Vertebral Artery Dissection/Occlusion Secondary to C6 Fracture

  19. Hyperflexion fx with ligamentous disruption and cord contusion

  20. Nerve root avulsion Axial Coronal Sagittal

  21. Degenerative Disease

  22. Degenerative Disc (and Facet Joint) Disease Foraminal stenosis Thickening/Buckling of Ligamentum Flavum

  23. Degenerative Disc (and Facet Joint) Disease

  24. Degenerative Disc (and Facet Joint) Disease

  25. Lumbar Spinal Stenosis

  26. Lumbar Spinal Stenosis

  27. Lumbar Spinal Stenosis

  28. Lumbar Spinal Stenosis

  29. Lumbar Spinal Stenosis

  30. Lumbar Spinal Stenosis Disc bulge, facet hypertrophy and flaval ligament thickening frequently combine to cause central spinal stenosis Note the trefoil shape of stenotic spinal canal

  31. Lumbar Spinal Stenosis Disc bulge, facet hypertrophy and flaval ligament thickening frequently combine to cause central spinal stenosis Note the trefoil shape of stenotic spinal canal

  32. Neural foramen Foraminal Stenosis

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