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Anatomy in Neuroradiology:A CT Approach

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

David E. Rex, MD, PhD

Stanford University Hospital

Department of Radiology

The Brain

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

14 years old39 years old

92 years old

The Brain

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

The Brain

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Stroke WindowBrain Window

Soft Tissue WindowBone Window

The Brain

Spinal Cord / Medulla

Cerebellar Tonsils

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Cerebellar Tonsils

Foramen Magnum

The Brain

InferiorFrontal Lobe

Pons

Temporal LobeAnterior Pole

Basilar Artery

Internal CarotidArteries

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Pons

CerebellarHemisphere

4th Ventricle

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The Brain

SuprasellarCistern

InterpeduncularFossa

Sylvian Fissure

Uncus

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

CerebellarHemisphere

CerebralPeduncleAmbient Cistern

The Brain

FrontalCortex

Caudate

InsularCortex

Gyrus

Sulcus

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

3rd Ventricle

Tentorium

Putamen

CerebellarCortex

The Brain

FrontalCortex Interhemispheric

FissureWhiteMatter

Anterior HornLateral Ventricle

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Thalamus

Posterior HornLateral Ventricle

TemporalCortex

OccipitalCortex

Lateral Ventricle

The Brain

PreCentral Gyrus

Falx Cerebri

Frontal Lobe

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Central Sulcus

Parietal Lobe

PostCentral Gyrus

Superior SagittalSinus

The Brain

Ear

Closed EyesNose

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Paw

Nose

Paranasal Sinuses

Nares

NasalSeptum

M ill

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Nasal TurbinateMaxillarySinus

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Paranasal Sinuses

NasalCavity

Bony NasalSeptum

M ill

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Sphenoid SinusMaxillarySinus

Paranasal Sinuses

L i

EthmoidAir Cells

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Sphenoid SinusLaminaPapyracea

Paranasal Sinuses

FrontalSinus

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Paranasal Sinuses

Eth id

LaminaPapyracea

CribriformPlate

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Infundibulum(OsteomeatalUnit)

EthmoidAir Cells

MaxillarySinus

Orbits

L i l

Optic LensSuperiorOblique

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

LacrimalGland

Globe

Orbits

O ti N

MedialRectus

SuperiorRectus

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Lateral RectusOptic Nerve

MaxillarySinus

Inferior Rectus

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Orbits

Lateral RectusGlobe

MedialRectus

Optic Nerve

Optic Lens

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Optic NerveIntraconal Fat

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Cervical Spine

Pedicle ForamenTransversarium

PrevertebralSoft Tissues Vertebral Body

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Transversarium

LaminaSpinal Cord& Canal

Cervical Spine

PrevertebralSoft Tissues

Posterior Arch C1

Dens / C2

Anterior Arch C1

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Soft Tissues

Posterior SpinousProcesses

Spinal Canal& Cord

Disc Space

C7 Vertebral Body

Cervical Spine

C3 Facet

Odontoid Process(Dens)

S i l C l

Occipital Condyle

C1

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Spinal Canal& Cord

Facet JointT1 VertebralBody

CT Angiogram Head / Neck

Trachea

BrachiocephalicArtery

Left BrachiocephalicVein

L ft C

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

EsophagusAortic Arch

Left CommonCarotid Artery

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CT Angiogram Head / Neck

External CarotidArtery

ForamenTransversarium

Vertebral Artery

Jugular Vein

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Artery

Internal CarotidArtery

CT Angiogram Head / Neck

Vertebral Artery

Jugular Vein

Superior SagittalSinus

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Common CarotidArtery

Subclavian Vein

Aortic Arch

g

BrachiocephalicArtery

BrachiocephalicVein

CT Angiogram Head / Neck

Straight Sinus

Superior SagittalSinus

Torcula

Great Vein(of Galen)

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Basilar Artery

BrachiocephalicArtery Aortic Arch

CT Angiogram Head / Neck

External CarotidArtery

Internal CarotidArtery

Carotid Bulb

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Common CarotidArtery

Jugular Vein

CT Angiogram Head / Neck

VertebrobasilarJunction

Posterior CerebralArtery

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Vertebral Artery

Basilar Artery

CT Angiogram Head / Neck

MCA TerritoryAnteriorCerebral Artery

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Middle CerebralArtery

Internal CarotidArtery

ACA Territory

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CT Angiogram Head / Neck

Middle CerebralArtery

AnteriorCerebralArtery

Posterior

Internal CarotidArtery

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010

Artery

TransverseSinus

PosteriorCerebralArtery

Basilar ArteryTip

D.E. Rex, 3rd Stanford Computed Tomography Workshop, 6/5/2010