Skeletal musculature System Interventional radiology Dept. 1st Hospital .zzu. Li zhen
The aim of this class • Understand the features of the normal Musculoskeletal image.
Examination method • • • • •
Conventional X-ray ---Since 8Dec,1896 CT MRI Ultrasound Nuclear medicine
X-ray Announcements: 1.The normotopia view and lateral view are necessary to any site. Sometimes oblique view is needed in clinical practice. 2. X-ray photograph should include the surrounding soft tissue and adjacent bone joint to make out its anatomy .
X-ray 3.For the bilaterally symmetrical joints,if one seems to be abnormal in the photographs ,you’d better observe the other Photographs in the same conditions to compare.
Eg:
knee joint
Metaphysis
Cartilagenous Epiphyseal plate marrow
Growth plate
bones of fingers
Joint space diaphysis
18ys
End of bone
Spine:PA view and lateral view You cannot see it thoracic vertebrae
rib
lumbar vertebrae
Cartilagenous
intervertebral discs
Epiphyseal plate
femur
pubis
pelvis
bilaterally symmetrical joints
CT
intervertebral discs nerve root
intervertebral foramina
vertebral body
spinous process
olecranon radial bone
humerus
ulna
bones of toes
• Malformation ?!
• Which examination method will you select ? • Why ??
The keys • X-ray ! • Directly • Cheap/economical
skull
knee joint
MRI
muscle
disease Low signal
T1WI
T2WI
Thank you for your attention!!