新生儿颅脑(lúnǎo)超声影像汪元芳MD,ARDMS,ARVT第一页,共四十六页。Neurosonography1Technique,Indication,AnatomyProtocolIVH&PVLSpinalSonography第二页,共四十六页。TechniqueandIndicationRoutinelyforprematureinfantsat6daysand4weeksandasneededtoruleoutIntraventricularHemorrhageandPeriventricularLeukomalacia,aswellasotherabnormalitiesTypicallyupto9monthsoraslongasfontanelleisopenUseanteriorfontanellemostly,alsotransmastoidandposteriorforbettervisualizationoftheposteriorfossaand4thventricleHighestfrequencytransducertoallowsufficientpenetrationandresolution(curvedorvector),linearimagestodefinesuperficialstructures第三页,共四十六页。AnatomyCorpusCollosumCSPCavumVergaeVelumInterpositumVentriclesChoroidPlexusCerebellumCaudateNucleusThalamusSylvianFissuresCircleofWillisCerebralHemispheresBrainCoveringLobesofCerebrum第四页,共四十六页。LobesofCerebrumTemporalParietalFrontalOcciptal第五页,共四十六页。VentriclesLateralVentricle-FrontalHorn-Body-OccipitalHorn-TemporalHorn第六页,共四十六页。第七页,共四十六页。AnatomyCSFPathway-ChoroidPlexus-LateralVentricles-ForaminaofMonro-3rdVentricle-AqueductofSylvius-4thVentricle-ForaminaofMagendieandLuschka-ForamenMagnum第八页,共四十六页。AnatomyCoveringofBrainSubduralVsSubarachnoidSubarachnoidSpaceSubduralSpace第九页,共四十六页。BESSI(BenignEnlargementoftheSubarachnoidSpacesofInfancy)-Enlargementoffrontal,temporalextracerebralCSFspaces,enlargementofthefrontalhorns,andmacrocephaly-Willshowbridgingcorticalveins(todistinguishbetweensubduralcollectionswhichareneverbenign)SubarachnoidVsSubdural第十页,共四十六页。SubarachnoidVsSubdural第十一页,共四十六页。ProtocolCoronalImages(frontaloccipital)FrontalatleveloforbitsOrbitalBonesFrontalhornsAnteriortoForamenofMonroMCARegion(MeasureLat.Vents.)ForamenofMonroPosterioraspectof3rdventriclethroughthalamiCerebellumandLateralVents.BodiesTentoriumLaertalVents.IncludingChoroidPlexusCortexofoccipitallobesandposteriorInterhemispher...