Part I Sectional Anatomy of the Body (Chest …

1 body ImagingPart ISectional Anatomy of the body ( chest abdomen pelvis )Slide # 1 (Chest , abdomen , pelvis ) Carolyn Kaut Roth, RT (R)(MR)(CT)(M)(CV) FSMRTCEO Imaging Education I Planes of the chest , abdomen & pelvis Sectional Anatomy of the chest & HeartOutlineSlide # 2 MR imaging of the chest Sectional Anatomy of the abdomen & pelvis MR imaging of the abdomen & PelvisAxialCT ImagesMedian LineMid-sagittal PlaneParasagittal PlanesImaging PlanesAxialMRI ImagesFrontal orCoronal PlaneTransverseOr AxialPlaneSlide # 3 Sagittal ReformatCoronal ReformatSagittal Coronal Sagittal Axial Coronal chest Coronal, Heart & LungsHeartCTAMRAS lide # 4 LungsEnhanced Coronal CTCoronal MRIC hest Coronal, VasculatureCTAMRAS lide # 5 Pulmonary ArteriesPulmonary VeinsEnhanced Coronal CTCoronal MRIC hest Coronal.

2 Lungs & AirwayUpper Lobe of the right lungUpper Lobe of the left lungBronchi - carinaMiddle lobe of the right lung*remember there is no Slide # 6middle left because of the heart!Lower lobe of the right lungLower lobe of the left lungDiaphragmCoronal CTCoronal MRI2 chest Coronal Muscles of the chest Trapezi u sLatissimusPectoralis musclesHeart MuscleAxial CTAxial MRIS lide # 7 Intercostal MusclesDiaphragm Coronal CTCoronal MRIS agittal chest Candy Cane Shot Aortic ArchAscending AortaDescending AortaSlide # 8 HeartSagittal CTSagittal MRIA xial chestAxial slice #1 Axial slice #2 Axial slice #3 Axial slice #1 Axial slice #2 Axial slice #3 Axial slice #1 Axial slice #1 Pectoralis MuscleAortic ArchLatissimus MuscleSpine (vertebral body )Slide # 9 Axial slice #2 Axial slice #3 Axial slice #2 Axial slice #3 Spine (vertebral body )

3 Ascending AortaPulmonary arteriesPulmonary veinsDescending AortaHeartHeart anatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)TriRvP valveCTA CORONALMRI CORONALS lide # 10P valvePaLungsPvLaBiLvAortic valveAorta coronaryarchCT AXIALMRI AXIALH eart AnatomyHeart flowSVC (superior vena cava)RA (right atrium)Tri cuspid valveRvP valveCTA CORONALMRI CORONALS lide # 11P valvePaLungsPvLaBiLvAortic valveAorta coronaryarchCT AXIALMRI AXIALH eart AnatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)P valveCTA CORONALMRI CORONALS lide # 12P valvePaLungsP-S vLaBiLvAortic valveAorta coronaryarchCT AXIALMRI AXIAL3 Heart AnatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 13 Pulmonary valvePA (Pulmonary artery)LungsPvLaBiLvAortic valveAorta coronaryarchCT AXIALMRI AXIALH eart AnatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 14 Pulmonary valvePA (Pulmonary artery)LungsPV (pulmonary veins)

4 LABiLVAortic valveAorta coronaryArchCT AXIALMRI AXIALH eart anatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 15 Pulmonary valvePA (Pulmonary artery)LungsPV (pulmonary veins)LA (Left Atrium)BiLVAortic valveAorta coronaryArchCT AXIALMRI AXIALH eart anatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 16 Pulmonary valvePA (Pulmonary artery)LungsPV (pulmonary veins)LA (Left Atrium)Bi cuspid valveLVAortic valveAorta coronaryArchCT AXIALMRI AXIALH eart anatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 17 Pulmonary valvePA (Pulmonary artery)LungsPV (pulmonary veins)LA (Left Atrium)Bi cuspid valveLV (Left Ventricle)Aortic valveAorta coronaryArchCT AXIALMRI AXIALH eart anatomyHeart flowIVC & SVC (Inferior & Superior vena cava)RA (right atrium)Tri cuspid valveRV (right ventricle)Pulmonary valveCTA CORONALMRI CORONALS lide # 18 Pulmonary valvePA (Pulmonary artery)LungsPV (pulmonary veins)LA (Left Atrium)Bi cuspid valveLV (Left Ventricle)

5 Aortic valveAorta coronaryArchCT AXIALMRI AXIAL4 Aortic Arch the A, B, C s Ascending aortaCoronariesBrachiocephalic (aka Innominate)right common carotidright subclavianright vertebralLeft common carotidSlide # 19 Left SubclavianLeft vertebralCTA CORONALMRA CORONALA scending aortaCoronariesBrachiocephalic (aka Innominate)right common carotidright subclavianright vertebralLeft common carotidAortic Arch the A, B, C s Slide # 20 Left SubclavianLeft vertebralCTA CORONALMRA CORONALA scending aortaCoronariesBrachiocephalic (aka Innominate)right common carotidright subclavianright vertebralLeft common carotidAortic Arch the A, B, C s Slide # 21 Left SubclavianLeft vertebralCTA CORONALMRA CORONALA scending aortaCoronariesBrachiocephalic (aka Innominate)

6 Right common carotidright subclavianright vertebralLeft common carotidAortic Arch the A, B, C s Slide # 22 Left SubclavianLeft vertebralCTA CORONALMRA CORONALM edian LineMid-sagittal PlaneParasagittal PlanesImaging PlanesFrontal orCoronal PlaneTransverseOr AxialPlaneSlide # 23 AxialCT ImagesSagittal reformatCoronal reformatSagittalAxial CoronalMedian LineMid-sagittal PlaneParasagittal PlanesFrontal orCoronal PlaneTransverseOr AxialPlaneImaging PlanesSlide # 24 AxialCT ImagesSagittalCoronalSagittalAxial Coronal5 Coronal AbdomenKidneysAdrenalsSpleenApproximate Slice locationApproximate Slice locationSlide # 25pLiverPsoas MusclesGleuteus MusclesCoronal CT imageCoronal MR imageStomachLiverLiver MassSpleenCoronal AbdomenApproximate Slice locationApproximate Slice

7 LocationSpleenSlide # 26 BowelSmall BowelStructures of the Small bowelDuodenumJejunemIleumCoronal CT imageCoronal MR imagebody Anatomy Slide 2bStomachStructures of the stomach:Lesser curvatureFundusPylorusGreater curvatureLesser curvatureSpleenCoronal AbdomenApproximate Slice locationApproximate Slice locationLiverumorSlide # 27 Small BowelStructures of the Small bowelDuodenumJejunemIleumLarge bowel (colon)Ascending colonTransverse colonDescending colonSigmoid colonCoronal CT imageCoronal MR imageAxial AbdomenApproximate Slice locationApproximate Slice locationLiverDiaphragmDiaphragmSlide # 28 SpleenStomachAortaVertebralbodyAxial CT imageAxial MR imageAxial AbdomenApproximate Slice locationApproximate Slice locationLiverSpleenSlide # 29 SpleenStomachAortaVena cavaVertebralbodyAxial CT imageAxial MR imageAxial AbdomenApproximate Slice locationApproximate Slice locationLiverSpleenSlide # 30 SpleenPancreasKidneys Axial CT imageAxial MR image6 Axial AbdomenApproximate Slice locationApproximate Slice locationRectus abdominus musclesLiverGall bladderSlide # 31 PancreasKidneysAxial CT imageAxial MR

8 ImageSagittal AbdomenApproximate Slice locationApproximate Slice locationThoracic SpineLiverPancreasLumbar SpineAortaSlide # 32 AortaBowelSacrumCoccyxBladderSymphysis PubisSagittal CT imageSagittal MR image C =CeliacgastrichepaticsplenicAbdominal Vasculature See Spot Run ( C not see) Celiac, SMA, Renals (right & Left), IMAS lide # 33 Coronal CTA ImageCoronal MRA imageArises the aorta at the level of L1 Provides blood supply to the stomach, spleen and liverSMAsuperior mesenteric arteryArises anteriorly Abdominal Vasculature See Spot Run ( C not see) Celiac, SMA, Renals (right & Left), IMAS lide # 34 Coronal CTA ImageCoronal MRA imagefrom the aorta at the level of L2-3 Provides blood supply to the stomach, small bowel and part of the colonRenal arteriesrightleftAbdominal Vasculature See Spot Run ( C not see) Celiac, SMA, Renals (right & Left), IMAS lide # 35 Coronal CTA ImageCoronal MRA imageArises Bilaterally and posteriorly from the aorta at the level of L3-4 Provides blood supply to the right & left kidneyIMAI nfereriorMesentericArteryArises ante io l & Abdominal Vasculature See Spot Run ( C not see) Celiac, SMA, Renals (right & Left)

9 , IMAS lide # 36 Coronal CTA ImageCoronal MRA imageanteriorly & inferiorly from the aorta at the level of L 4-5 Provides blood supply to the inferior colon, sigmoid and rectum7(AAA)AbdominalAortic Aneurysm Abdominal Vasculature See Spot Run ( C not see) Celiac, SMA, Renals (right & Left), IMAS lide # 37 Coronal CTA ImageCoronal MRA imageAbdominalAortaIliac arteriesReview ALL Arteries: Carry oxygenated blood away from the heart Carry oxyhemaglobin blood to organsAlmost ALL Veins: Carry deoxygenated blood to the heartAbdominal VeinsPortal veinSplenic veinLeft renal ve(SMV)Superior mesenteric Vein(IVC)Inferior vena cavaSlide # 38heart Carry deoxyhemaglobin away from organsExceptions: Portal vein- Carries deoxyhemaglobin to the liver Pulmonary veins- Carries deoxyhemaglobin to the lungs Pulmonary arteries- Carries oxyhemaglobin to the heartCoronal abdominal venogramVein(IVC)Inferior vena cavaRight iliacveinPeripheral Vasculature Run-off sAbdominal AortaIliac arteries(at the level of the Ileum)Femoral ArteriesSuperficial femoral & common femoral(at the level of the Femur)Slide # 39 Coronal CTA ImageCoronal MRA imagePopliteal Arteries(at the level of the Knee)Tr i f u r c a ti o n(Lower Leg)*Anterior Tibeal*Posterior Tibealis*Peroneus Brevis(at the level of the Foot)

10 Dorsalis PedisMedial MalalearFemale pelvis AnatomyUterusFundusJunctional ZoneSagittal ultrasound imageFundusEndometriumApproximate Slice locationsSlide # 40body Anatomy Slide 8aEndometriumCervixVaginaBladder Symphysis pubis Sagittal Reformatted CTSagittal MRI (T2 image)Female pelvis AnatomyUterusJunctional ZoneEndometriumOvaryFallopian tubeBl ddApproximate Slice locationsSlide # 41 BladderMusclesGleuteal MusclesIleumAcetabulumObturator internus musclesObturator extermus musclesCoronal Reformatted CTCoronal MRI (T2 image)Female pelvis AnatomyRectus abdominus musclesUterusendometriumGleuteal musclesrectumApproximate Slice locationsMR #1MR #2CT #1CT #2 Approximate Slice locationsSlide # 42 BladderOvary Femoral headObturator Internus musclesCervixVagina Axial CT #1 Axial CT #2 Axial MR #1 Axial MR #28 Male pelvis AnatomyApproximate Slice locationsApproximate Slice locationsSlide # 43 Coronal Reformatted CTCoronal Oblique MRI (T2 image)High resolution (small FOV)Psoas MusclesBladderProstate (base)Seminal vessiclesVas defferensUrethraApex of the ProstatePubic boneMale pelvis AnatomyApproximate Slice locationsApproximate Slice locationsSymphysis PubisNAVELS lide # 44 Axial MR High resolution (small FOV)