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Brain Normal PDF
Brain Normal PDF
CT & MRI
Mamdouh Mahfouz MD
Professor of Radiology
Cairo University
ssregypt.com
Patient Preparation
Patient position
Technique
Scanogram [frontal, lateral]
Scan intervals
Orbito-meatal line:
From External Canthus
To Ext. Auditory meatus
Patient Preparation
Fasting 4- 6 hours
Contrast material
[ Urographin, Telebrix, Isovest] 1-2 ml/kg
Anesthesia
Children, Uncooperative patients
Contrast material administration
Basilar Art.
Prepontine
Cistern
Ambean
Cistern
Pones
Middle
Cerbellar
Peduncle
4th Ventricle
Cisterna Magna
Vallecula
Aqueduct
Midbrain
of Sylvius
Cerebellar Folia
Quadrigeminal Cistern
Ventricular anatomy
External Capsule Internal Capsule
Basal Ganglia
Head of caudate
Insula
Lentiform nucleus
Thalamus
3rd Ventricle
Quadrigeminal Cistern
Quadrigeminal Cistern
Pineal body
Inter. Cerebr. veins Vellum interpositum
Vein of Galen
Retro-thalamic Cistern Retro-thalamic Cistern
Sup.cerebellar Cistern
Pineal body
Inter. Cerebr.
veins
Septum
Pleusedum
F
T T
O
F
F F F
P
T P
P
O
P
O O
Corona Radiata
Centrum Semi-ovale (superf.)
MCA A. Communicating A.
ACA (a2)
ACA (a1)
ICA
P. Comm. A.
PCA
Basilar A.
BRAIN MRI
Strong magnetic field and
Radiofrequency (RF) coils
Cavum velum
interpositum
Quadrigeminal
Cistern
Interpeduncular
Cistern
Prepontine
Cistern
Cisterna Magna
Suprasellar Cistern
CLOSED MAGNET
OPEN MAGNET
OPEN MAGNET
EXTERMITY MAGNET
MR advantages
Multiplanar imaging
Tissue characterization
No bone artifacts
Shows blood vessels without contrast
BRAIN MRI
T1 WIs (TR< 800 msec TE 20 msec)
T2 WIs (TR> 1000 msec TE> 80 msec)
PD WIs (TR> 1000 msec TE= 20 msec)
Cortical bone
Mature fibrous tissue ( ligaments and tendons)
Calcifications ( physiological, pathological)
Flowing blood in the vessels ( fast moving protons) (signal void)
Air in the sinuses, lungs,( minimal hydrogen protons)
Others..
T1[High signal] T2[High signal]
Subacute blood [met Hb]
Others.
Hippocampal Formation
(epilepsy)
Hippocampal region
Mesial temporal sclerosis
Choroidal fissure , Hippocampal tail , Vein of Galen
(Retrothalamic Cistern)
Verchaw Robbens spaces (dilated perivascular spaces)
Seen in T1WIs
Not seen in FLAIR
No clinical correlation
Anatomic sites
Grey matter : Whitish
White matter: Greyish
Value of sagittal images