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Anatomi Imejing MRI

Brain
Frontal Section
Csf
Cranial Reference Lines and Planes
Brain : Graphical presentation

Lingual gyrus
Collateral sulcus Fusiform gyrus(occipito-temporal 9
gyrus)
Infratentorial brain : Brainstem and cerebellum

Overview : T2 MR images in sagittal plane

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Medulla: axial cuts from inferior to superior( T2 MR images)

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PONS (Axial T2 MR images- inferior to superior)

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Midbrain: axial T2 MR section from inferior to superior

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Cerebellum : Inferior to superior axial T1 MR images

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T1 MR images from inferior to superior direction

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Coronal T1 MRI Images: from anterior to posterior direction

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Sagittal T1 MRI images: from lateral to medial side

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White matter tracts
White
matter tracts

Commisural Association Projection


fibers fibers fibers

1. Cingulum 1. Corona radiata


1. Corpus callosum
2. Uncinate fasciculus 2. Internal capsule
2. Anterior commisure
3. Superior longitudinal 3. Corticospinal tract
3. Posterior commisure
fasciculus 4. Corticobulbar
4. Inferior longitudinal 5. Corticopontine
fasciculus 6. Corticothalamic
5. Superior occipitofrontal
fasciculus
6. Inferior occipitofrontal
fasciculus

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AC-PC line (Bicommissural line) at mid-sagittal level : From superior edge
of anterior commissure to inferior edge of posterior commissure.
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Limbic system

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T1 MR images coronal cuts(anterior to posterior)

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SELLA,PITUITARY AND CAVERNOUS SINUS

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Ventricles

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3
4
1 6
7 5
8

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Axial T2 MR images (Inferior to superior)

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Liliequist classification of CSF cisterns
CSF
cisterns

Ventral Dorsal Communicating

1.Cisterna
Unpaired Paired Unpaired Paired magna
2.Lamina
terminalis

1.Medullary 1.Crural 1.Peri-callosal 1.Ambient


2.Pontine 2.Sylvian 2.Qadrigeminal 2.Retro-
3.Inter- 3.Supra-cerebellar thalamic
peduncular
4.Chiasmatic

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Perimesencephalic cisterns

1
2

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1.Inter-peduncular
2.Crural
3.Ambient
4.Quadrigeminal cistern
5.Pentagonal cistern=lamina
terminalis cistern + sylvian
cistern + Interpeduncular
cistern
The brain structures in the following
post-contrast axial MR images
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Post Contrast sagittal T1 Weighted


M.R.I.
2 Section at the level of Foramen
Magnum
1

Answers
4 1. Cisterna Magna
2. Cervical Cord
3. Nasopharynx
Fig. 1.1 Post Contrast Axial MR Image of the brain 4. Mandible
5. Maxillary Sinus
Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of medulla
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Answers
6. Medulla
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7. Sigmoid Sinus

Fig. 1.2 Post Contrast Axial MR Image of the brain


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13
12

11 Post Contrast sagittal T1 Wtd


M.R.I.
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10 Section at the level of Pons
16 Answers
15 9
8. Cerebellar 13. Internal Carotid
8 Artery
Hemisphere
9. Vermis 14. Cavernous Sinus

10. IV Ventricle 15. Middle Cerebellar


Peduncle
11. Pons
16. Internal Auditory
Fig. 1.3 Post Contrast Axial MR Image of the brain 12. Basilar Artery Canal
17. Temporal Lobe
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22 19
Post Contrast sagittal T1 Wtd
18 M.R.I.
21 Section at the level of Mid Brain

Answers
18. Aqueduct of Sylvius
19. Midbrain
20. Orbits
21. Posterior Cerebral Artery
Fig. 1.4 Post Contrast Axial MR Image of the brain
22. Middle Cerebral Artery
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Post Contrast sagittal T1 Wtd
M.R.I.
Section at the level of the
III Ventricle

Answers
23 23. Occipital Lobe
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24. III Ventricle
25. Frontal Lobe
26. Temporal Lobe
Fig. 1.5 Post Contrast Axial MR Image of the brain 27. Sylvian Fissure
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32
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35 31

30 Post Contrast sagittal T1 Wtd


M.R.I.
Section at the level of Thalamus

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Answers
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28. Superior Sagittal Sinus 33. Thalamus
33 29. Occipital Lobe 34. Temporal Lobe
30. Choroid Plexus within the 35. Internal Capsule
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occipital horn 36. Putamen
31. Internal Cerebral Vein 37. Caudate Nucleus
Fig. 1.6 Post Contrast Axial MR Image of the brain 32. Frontal Horn 38. Frontal Lobe
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Post Contrast sagittal T1 Wtd


39 M.R.I.
Section at the level of Corpus
Callosum

Answers
39. Splenium of corpus callosum
40. Choroid plexus within the
body of lateral ventricle
Fig. 1.7 Post Contrast Axial MR Image of the brain 41. Genu of corpus callosum
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Post Contrast sagittal T1 Wtd


M.R.I.
Section at the level of Body of
Corpus Callosum
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Answers
42. Parietal Lobe
43. Body of the Corpus Callosum
Fig. 1.8 Post Contrast Axial MR Image of the brain
44. Frontal Lobe
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Post Contrast sagittal T1 Wtd


M.R.I.
Section above the Corpus Callosum
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Answers
45. Parietal Lobe
46. Frontal Lobe
Fig. 1.9 Post Contrast Axial MR Image of the brain
References and bibliography
1. Osborn’s brain imaging, pathology and anatomy.

2. CT and MRI of the whole body (5th edition) by John R.Haaga.

3. ESR(European Society of Radiology) subarachnoid cisterns


article by D.Eiroa, P.N.Nunez Vila, V.Vazquez Sanchez,
E.Alventosa Fernandez, C.Gonzalez, Tenerife/ES.

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Thank you

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