radiology role of radiology in surgery

DR.K.G.SRINIVASAN,MD,RD.

IMAGING MODALITIESRADIOGRAPHBARIUM MEAL ,FOLLOW THROUGH,

ENTEROCLYSIS AND BARIUM ENEMACT INCLUDING CT ANGIO AND PET CTMR INCLUDING MR ANGIO

Evolution of Imaging in RadiologyEvolution of Imaging in CT

WILHELM CONRAD RONTGEN

FATHER OF RADIOLOGY

INVENTED X RAY-1895

SIR GODFREYHOUNSFIELD

FATHER OF CT

INVENTED CT-1975

SIRETOM CT-1975

30 MIN

3 SEC

SINGLE SLICE AND SEQUENTIAL CT SCAN

SENSATION 64 SLICE CT SCAN

DUAL SOURCE SOMATOM DEFINITION128/256 SLICE CT SCAN

CALCULUS CHOLECYSTITIS

ACUTE CHOLECYTITIS WITH PERFORATED GB

CAECUM WITH APPENDIX

S.I

DISTENDED DUODENUM SECOND PART WITH BAND OBSTRUCTING THE THIRD

DISTENDED DUODENUM

NORMAL

DUODENUM

BAND

DIVISION OF BAND

DIVISION OF BAND

MOBILE CAECUM WITH APPENDIX

CAECUM WITH APPENDIX

RELATIONSHIP OF SMV

SMV POSTERIOR TO DUODENUM

SMV

DUODENUM

COMPLETION OF SURGERY

DUODENUM

STOMACH

S.I

II PartIII Part

POST CHOLECYSTECTOMY DISTAL CBD STONE

ACUTE NECROTISING PANCREATITISACUTE EDEMATOUS

PANCREATITIS

PSEUDO CYST

PANCREATIC SEPSIS

GALL/PAN. STONE PANCREATITIS

Axial Coronal

Sagittal Zoom Sagittal

RETAINED FB WITH PERITONEAL ABSCESS

INTUSSUSCEPTION

INTUSSUSCEPTION DUE TO ADENO CARCINOMA

LEFT PARADUODENAL HERNIA WITHINTUSSUSCEPTION

ACUTE TYPHILITIS

ECTOPIC GESTATION

ECTOPIC GESTATION

Trauma

HYDATID CYST

ACUTE NECROTISING PANCREATITIS

ACUTE EDEMATOUS PANCREATITIS

POST OPERATIVE JAUNDICE

PANCREATIC SEPSIS

Common indications for USGADULT Renal colic RIF pain

Appendicitis / mass / abscessEctopicTorsionTubo-ovarian Mass

Epigastric painAcute pancreatitis

Distension – Perforation / Peritonitis / Obstruction

Blunt Trauma – Focussed Abdominal Sonography in Trauma (FAST)

Obstetric – anomalies / Guided interventions

Interventions (FNAC / Drainage)

PEDIATRIC Worms Intussusception UTI Malrotation / volvulus Hepatosplenomegaly Mesenteric adenitis

ACUTE FOCAL NECROTISING PANCREATITIS

PERIPANCREATIC INFLAMMATORY CHANGES

VACULAR COMPLICATIONS OFPANCEATITIS. ?PSEUDO ANEURYSM

PANCREATICO DUODENAL FISTULA