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RADIOLOGY  of DIGESTIVE SYSTEM Chen,Shaoqiong  陈少琼
Diagnosis technique ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Plain Radiography ,[object Object],[object Object],[object Object]
Barium Labelled Contrast Radiography ,[object Object],[object Object],[object Object],[object Object],[object Object]
Barium Labelled Contrast Radiography ,[object Object],[object Object],[object Object],[object Object]
Oral Contrast Radiography
Oral Barium Labelled Contrast Radiography mucosal pattern Fold sulci
Barium Labelled Contrast Radiography ,[object Object],[object Object]
Barium Labelled Contrast Radiography Compression view  : Duodenal bulb 十二指肠球部加压像
Barium Labelled Contrast Radiography Gas-barium double Contrast Radiography   : Barium enema Sigmoid colon
Computed Tomography Finding: mass Spreading region Lymphatic metastasis Organ metastasis Blood supply
Technique ----CT Esophageal carcinoma  lymphatic metastasis
Upper GI series   (normal appearance) ,[object Object],[object Object],[object Object],[object Object],[object Object]
会厌   (cavity upon epiglottis) 梨状窝 Sinus Piriformis
Right anterior obligue view
Right anterior obligue view left anterior obligue view
Normal X-ray appearance of the Gastri
Gastri ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Steerhorn’ Type J-shaped   Cascade   Fishhook Type
钩型胃 Fish-hook Type
长型胃 Long type
cascade
 
牛角型胃   horn’ type
黏膜 fold
Normal gastric area Grid structure
 
area gastrica
 
Peristaltic wave
X-ray anatomy of the duodenum ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
Papilla
X - ray anatomy of the small intestine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
1 2 3 4 5 6
 
 
X - ray anatomy of the large intestine ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cecum right colic flexure  (hepatic)  transverse colon left colic flexure  (splenic)  descending colon   sigmoid flexure ascending colon
sigmoid flexure Rectum
vermiform appendix haustra
钡剂灌肠检查,分别显示充盈相和粘膜相
 
Sigmoid   colon
 
X-ray finding of basic pathology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Filling Defect
 
 
Crater
 
 
Thickened wall
憩室 diverticulum
 
Change of the mucosal folds ,[object Object],[object Object],[object Object],[object Object]
 
黏膜破坏
Thickening  mucosa
Flattening mucosa
Radial mucosa
Change of the lumen ,[object Object],[object Object]
eccentic narrowing
Distension
Change of the position or mobility
compression
Compression from gallbladder
 
Functional change ,[object Object],[object Object],[object Object],[object Object]
 
Diseases  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Narrowing type Narrowing type
 
Polypoid form
 
Filling defect crater mound
crater 环堤 Ulcerating form
 
 
E arlier period  esophygeal carcinoma: destruction of mucosa, small barium collection, rigidity and irreguler of the wall
 
 
 
 
 
 
esophageal-airway fistulae
Tracheoesophageal  fistula
esophageal-airway fistulae
Disease’s diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Endoscopy
Esophageal  varices  (CT)
Advance stage: Thickening and tortuous folds like Worm
Thickened and interrupted mucosal folds dash line
 
(earliest sign)
Peptic ulcer
G astric  U lcer s( 胃溃疡 ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
G astric  U lcer s( 胃溃疡 ) ,[object Object],[object Object],[object Object]
 
 
1 mm thin straight line at neck of ulcer in profile view
Hamptons line-ulcer
 
 
 
spastic incisura
 
P erforating  U lcer narrow neck sign
Linear  ulcer
 
 
appear linear
Tadpole-like
Duodenal Ulcer   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Secretion increased
 
 
 
胃癌 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Features of early gastric cancer: ,[object Object]
Polypoid  lesion >5mm   Superficial lesion  Excavated lesion  5mm
Type  Ⅰ filling defect
Type Ⅰ  Polypoid  lesion
Type  Ⅱa Superficial lesion
 
 
Excavated lesion
Carcinoma of the Stomach   ,[object Object],[object Object],[object Object],[object Object]
Carcinoma of the Stomach   ,[object Object],[object Object],[object Object]
Nodular lobulated
Mass  protrude  in the lumen
 
Caman meniscous sign  cusp angle
Caman meniscous sign
 
 
Ulcerating  carcinoma Lymphatic metastasis
浸润型胃癌 linitis plastica
 
 
Differential diagnosis of ulcers ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
T uberculosis of intestine ,[object Object]
T uberculosis of intestine ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Colon Carcinoma   ,[object Object],[object Object],[object Object],[object Object]
Polypoid  form
Infiltrating   form
Infiltrating   form
Apple core
Ulcerating  form
C olonic  P olyp ,[object Object],[object Object],[object Object],[object Object]
double contrast
 
Multiple polyposis cobblestone
A cute abdomen ,[object Object],[object Object],[object Object],[object Object]
A cute abdomen ,[object Object],[object Object]
free air  under the diaphragm Erect position
Erect position Lateral decubitus
gastrointestinal perforation
Free gas
Intussusception ,[object Object]
Intussusception ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intussusception ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Intussusception ,[object Object],[object Object],[object Object],[object Object]
肠套叠 ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Coiled spring” appearance
Intussusception
Cupping of the head
 
 
急腹症 --- 肠套叠
Gas enema ( )为导管 ( )为气囊
I ntestinal obstruction ,[object Object]
Mechanical SBO Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],*Cause may be visible on plain film
Mechanical LBO Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
I ntestinal obstruction ,[object Object],[object Object],[object Object],[object Object]
I ntestinal obstruction ,[object Object],[object Object]
distended intestinal loops 空肠:肠腔内环状皱襞密集 回肠起始段:肠腔内较多环状皱襞 回肠末段:肠腔内不见环状皱襞 结肠:可见结肠袋的间隔 jejunum Terminal ileum 空肠 ileum 回肠末段 colon
Stack-of-coins
 
“ Coiled spring” appearance  of the intestinal mucosa
“ Coiled spring” appearance  of the intestinal mucosa
 
 
Supine  position
 
Intraluminal mass ,[object Object]
[object Object],Gallbladder stone falled into the small intestine
150 Strangulated intestinal obstrution- volvulus 空肠主要位于右上腹部,位置固定
Strangulated intestinal obstrution- volvulus 空肠主要位于右上腹部,位置固定
Strangulated intestinal obstruction-pseudotumor sign
Strangulated intestinal obstruction-pseudotumor sign 立卧位平片见下腹部无肠气充盈区,位置固定,似肿瘤占位
Strangulated intestinal obstruction-coffee bean sign 咖啡豆
SMA 栓塞至血运性肠梗阻;右肾梗塞 volvulus
[object Object],[object Object],[object Object],[object Object],[object Object],Paralytis intestinal obstrution
Paralytis intestinal obstrution
Paralytis intestinal obstrution 大小肠普遍性胀气呈蜂窝状,未见气液平面
Paralytis intestinal obstrution 大小肠普遍性胀气呈蜂窝状,未见气液平面
Sigmoid Volvulus
A huge,distended,gas-filled loop of sigmoid colon Eagle’s beak
 
 
 
The end
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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Radiology of the Digestive System