09-06-10

The Brain
Anatomy in Neuroradiology:
A CT Approach

David E. Rex, MD, PhD

Stanford University Hospital
Department of Radiology
14 years old
39 years old
92 years old
D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

The Brain The Brain

Stroke Window
Brain Window
Soft Tissue Window
Bone Window

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

The Brain The Brain

Internal Carotid
Inferior Arteries
Frontal Lobe
Basilar Artery
Spinal Cord / Temporal Lobe
Medulla Anterior Pole
Cerebellar Tonsils Pons

4th Ventricle
Cerebellar
Hemisphere
Foramen Magnum

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

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The Brain The Brain

Gyrus
Frontal
Suprasellar Sylvian Fissure Cortex Sulcus
Cistern

Interpeduncular Insular
Uncus Fossa Cortex
Caudate

Putamen
Cerebral 3rd Ventricle
Ambient Cistern Peduncle

Cerebellar
Cerebellar Cortex Tentorium
Hemisphere

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

The Brain The Brain

Frontal
Cortex Interhemispheric Falx Cerebri
Fissure PreCentral Gyrus
White
Frontal Lobe
Matter
Anterior Horn
Lateral Ventricle
Temporal
PostCentral Gyrus Central Sulcus
Cortex
Thalamus

Posterior Horn Parietal Lobe

Occipital Superior Sagittal
Lateral Ventricle
Cortex Sinus

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

The Brain Paranasal Sinuses

Nasal
Ear Nares Septum

Closed Eyes
Nose Maxillary
M ill
Nasal Turbinate Sinus

Paw

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

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Paranasal Sinuses Paranasal Sinuses

Bony Nasal
Septum Ethmoid
Nasal
Air Cells
Cavity

Maxillary
M ill Lamina
L i
Sphenoid Sinus Sinus Sphenoid Sinus Papyracea

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

Paranasal Sinuses Paranasal Sinuses

Cribriform
Lamina Plate
Frontal Papyracea
Sinus
Ethmoid
Eth id
Infundibulum Air Cells
(Osteomeatal
Unit)
Maxillary
Sinus

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

Orbits Orbits

Superior Superior
Optic Lens Oblique Medial Rectus
Rectus

Lacrimal
L i l O ti Nerve
Optic N
Gland Lateral Rectus

Globe Inferior Rectus Maxillary

Sinus

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

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Orbits
Optic Lens
Medial
Rectus

Globe
Lateral Rectus

Optic Nerve
Intraconal Fat

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

Cervical Spine Cervical Spine Anterior Arch C1

Prevertebral Dens / C2
Soft Tissues Vertebral Body
Posterior Arch C1

Pedicle Foramen Prevertebral

Transversarium Soft Tissues

Spinal Cord Spinal Canal

Lamina Posterior Spinous
& Canal & Cord
Processes

Disc Space

C7 Vertebral Body
D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

Cervical Spine CT Angiogram Head / Neck

Odontoid Process Occipital Condyle Brachiocephalic
(Dens) Artery
Left Brachiocephalic
C1 Vein

C3 Facet Trachea
Spinal
S i lC Canall Left
L ft Common
C
& Cord Carotid Artery

Aortic Arch
Facet Joint
T1 Vertebral Esophagus
Body

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

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CT Angiogram Head / Neck CT Angiogram Head / Neck

Foramen
Transversarium
Superior Sagittal
Vertebral Artery Sinus Vertebral Artery

External Carotid
Jugular Vein Jugular
g Vein
Artery

Brachiocephalic
Common Carotid Artery
Internal Carotid
Artery
Artery
Subclavian Vein Brachiocephalic
Vein

Aortic Arch
D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

CT Angiogram Head / Neck CT Angiogram Head / Neck

Great Vein
(of Galen) Superior Sagittal Internal Carotid
Sinus Artery

Straight Sinus External Carotid

Torcula Artery Carotid Bulb

Basilar Artery
Jugular Vein

Common Carotid
Artery

Brachiocephalic
Artery Aortic Arch

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

CT Angiogram Head / Neck CT Angiogram Head / Neck

Anterior
Posterior Cerebral Cerebral Artery MCA Territory
Artery
Vertebrobasilar
Junction

Basilar Artery
ACA Territory

Middle Cerebral
Vertebral Artery Artery
Internal Carotid
Artery

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010

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CT Angiogram Head / Neck

Anterior
Internal Carotid Cerebral
Artery Artery

Middle Cerebral
Artery Posterior
Cerebral
Artery
Basilar Artery
Tip

Transverse
Sinus

D.E. Rex, 3rd Stanford Computed D.E. Rex, 3rd Stanford Computed
Tomography Workshop, 6/5/2010 Tomography Workshop, 6/5/2010