Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

29
Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy

Transcript of Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Page 1: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Neuroradiology

interactive lecture366 RAD (Radiology)

Prof. Ibrahim A. Alorainy

Page 2: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Skull X-RAY LAT. VIEW

LLSKULL PA VIEW

Name the structures

Page 3: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Which is true on this brain CT regarding anatomy:

A. Internal capsuleB. Caudate headC. Cerebral peduncleD. PutamenE. ThalamusF. 4th ventricle

Page 4: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Which is true in CT?

A. Bone is blackB. CSF is blackC. Gray matter is darker than white matterD. Gray and white matter can not be differentiated

Page 5: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.
Page 6: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Name the structures

Page 7: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Contraindication of MRI include all the following EXCEPT:

A.A. cardiac pacemakercardiac pacemakerB.B. cochlear implantscochlear implantsC.C. metal close to the eyemetal close to the eyeD.D. neurostimulatorsneurostimulatorsE.E. pregnancy (3pregnancy (3rdrd trimester) trimester)

Page 8: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

MRI diffusion (DWI) is particularly helpful in assessment of EXCEPT:

A.A. Brain infarctionBrain infarctionB.B. Brain abscessBrain abscessC.C. Brain tumorsBrain tumorsD.D. HydrocephalusHydrocephalus

Page 9: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

MRI Diffusion..MRI Diffusion..

DWI ADC map

MR diffusion

Very helpful in assessment of:

•Early brain infarction.

•Brain abscess.

•Certain types of brain tumor.

Page 10: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Which of the following is true?

A. This is CTA studyB. This is MRA studyC. This can only be done with contrastD. This is good to diagnose cerebral

venous thrombosis

Page 11: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

An MRI showed intra-axial lesion that is necrotic, irregular, strongly enhancing, and crossing midline. This lesion is most likely:

• Meningioma• Infarction• Multiple sclerosis• Glioblastoma multiforme

Page 12: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.
Page 13: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

The lesion on this CT is:• Meningioma• Abscess• Multiple sclerosis• Glioblastoma multiforme

Page 14: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

The lesion on this MRI is:• Meningioma• Infarction• Metastasis• Abscess

Page 15: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.
Page 16: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

The lesion on this MRI is:A.Pituitary adenomaB.CraniopharyngiomaC.MeningiomaD.Glioblastoma multiforme

Page 17: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

The abnormalities on this MRI are due to:A.Multiple sclerosisB.MeningitisC.Brain tumorD.Encehalitis

Page 18: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Which of the following is true about the lines of the cervical spine?

A. Red is intervertebral lineB. Brown is posterior spinous line C. Green is spinolaminar lineD. Blue is posterior vertebral line

Page 19: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.
Page 20: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

This MRI of the spine shows:

A. MeningoceleB. Extradural tumorC. DiscitisD. Vertebral fusion

Page 21: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Patient A Patient B Patient C

Page 22: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.
Page 23: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

Normal control Patient

What is the difference?

Page 24: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

DWIDWIFLAIRFLAIRT2WIT2WI

This MRI shows an infarction in the right basal ganglia.The infarction is:

A. Acute (recent)B. Chronic (old)C. HemorrhagicD. In PCA territory

Page 25: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

DWIDWIFLAIRFLAIRT2WIT2WI

This patient is most likely to have:A. Left monoplegiaB. Left hemiplegiaC. DiplegiaD. No symptoms

Page 26: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

This CT shows:

A.Subdural hematomaB.Subarachnoid hemorrhageC.Intraventricular hemorrhageD.All of the above

Page 27: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

The hematoma pointed by the arrow is:

A.Acute epiduralB.Chronic epiduralC.Acute subduralD.Chronic subduralE.None of the above

Page 28: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.

This CT shows:

A.Acute PCA infarctB.Chronic ACA infarctC.Subarachnoid bleedingD.MeningiomaE.Abscess

Page 29: Neuroradiology interactive lecture 366 RAD (Radiology) Prof. Ibrahim A. Alorainy.