消化系统x光.pdf

Radiology of the Radiology of the Radiology of the Radiology of the Radiology of the Radiology of the Radiology of the Radiology of the Digestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive System消化系统的消化系统的消化系统的消化系统的X X X X X X X X光学光学光学光学Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul Prof.dr.Paul BarthezBarthezBarthezBarthezBarthezBarthezBarthezBarthez,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI,Dip ACVR,Dip ECVDI美国兽医影像学协会认证兽医，欧洲兽医诊断影像学协会认证兽医美国兽医影像学协会认证兽医，欧洲兽医诊断影像学协会认证兽医美国兽医影像学协会认证兽医，欧洲兽医诊断影像学协会认证兽医美国兽医影像学协会认证兽医，欧洲兽医诊断影像学协会认证兽医VEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LuxembourgVEDIM,LDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive SystemDigestive System消化系统消化系统消化系统消化系统 Digestive tract Digestive tract Digestive tract Digestive tract Digestive tract Digestive tract Digestive tract Digestive tract 消化道消化道消化道消化道 Stomach Stomach Stomach Stomach Stomach Stomach Stomach Stomach 胃胃胃胃 Small intestine Small intestine Small intestine Small intestine Small intestine Small intestine Small intestine Small intestine 小肠小肠小肠小肠 Large intestine Large intestine Large intestine Large intestine Large intestine Large intestine Large intestine Large intestine 大肠大肠大肠大肠 Liver Liver Liver Liver Liver Liver Liver Liver 肝脏肝脏肝脏肝脏 Pancreas Pancreas Pancreas Pancreas Pancreas Pancreas Pancreas Pancreas 胰腺胰腺胰腺胰腺Stomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey RadiographsStomach:Survey Radiographs胃：常规胃：常规胃：常规胃：常规X X X X X X X X光片光片光片光片 Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall Hollow organ surrounded by a wall 由胃壁包围着的中空器官由胃壁包围着的中空器官由胃壁包围着的中空器官由胃壁包围着的中空器官 Gas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacityGas shadow surrounded by a soft tissue opacity 有软组织样不透明影环绕的气性阴影有软组织样不透明影环绕的气性阴影有软组织样不透明影环绕的气性阴影有软组织样不透明影环绕的气性阴影 Food:granular material Food:granular material Food:granular material Food:granular material Food:granular material Food:granular material Food:granular material Food:granular material 食物：颗粒样物质食物：颗粒样物质食物：颗粒样物质食物：颗粒样物质 Foreign objects Foreign objects Foreign objects Foreign objects Foreign objects Foreign objects Foreign objects Foreign objects 异物异物异物异物 Easily detected:Easily detected:Easily detected:Easily detected:Easily detected:Easily detected:Easily detected:Easily detected:容易检查出来：容易检查出来：容易检查出来：容易检查出来：Most cranial air bubble Most cranial air bubble Most cranial air bubble Most cranial air bubble Most cranial air bubble Most cranial air bubble Most cranial air bubble Most cranial air bubble of the abdomenof the abdomenof the abdomenof the abdomenof the abdomenof the abdomenof the abdomenof the abdomen 最大的颅侧腹部气泡最大的颅侧腹部气泡最大的颅侧腹部气泡最大的颅侧腹部气泡Stomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey Radiographs胃壁：常规胃壁：常规胃壁：常规胃壁：常规X X X X X X X X光片光片光片光片 Soft tissue opacity Soft tissue opacity Soft tissue opacity Soft tissue opacity Soft tissue opacity Soft tissue opacity Soft tissue opacity Soft tissue opacity 软组织不透明度软组织不透明度软组织不透明度软组织不透明度 Sometimes gastric Sometimes gastric Sometimes gastric Sometimes gastric Sometimes gastric Sometimes gastric Sometimes gastric Sometimes gastric rugalrugalrugalrugalrugalrugalrugalrugal folds visible folds visible folds visible folds visible folds visible folds visible folds visible folds visible 有时可见胃皱折有时可见胃皱折有时可见胃皱折有时可见胃皱折 May be collapsed on itselfMay be collapsed on itselfMay be collapsed on itselfMay be collapsed on itselfMay be collapsed on itselfMay be collapsed on itselfMay be collapsed on itselfMay be collapsed on itself 可能发生自身折叠可能发生自身折叠可能发生自身折叠可能发生自身折叠 Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)Wall+gastric content(fluid)胃壁胃壁胃壁胃壁 +胃内容物（液体）胃内容物（液体）胃内容物（液体）胃内容物（液体）Possible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thicknessPossible overestimation of the gastric wall thickness 对胃壁厚度的评估可能过高对胃壁厚度的评估可能过高对胃壁厚度的评估可能过高对胃壁厚度的评估可能过高Soft tissue opacitySoft tissue opacitySoft tissue opacitySoft tissue opacitySoft tissue opacitySoft tissue opacitySoft tissue opacitySoft tissue opacity软组织不透明度软组织不透明度软组织不透明度软组织不透明度Air bubbleAir bubbleAir bubbleAir bubbleAir bubbleAir bubbleAir bubbleAir bubble气泡气泡气泡气泡AirAirAirAirAirAirAirAir气体气体气体气体WallWallWallWallWallWallWallWall胃壁胃壁胃壁胃壁Gastric fluidGastric fluidGastric fluidGastric fluidGastric fluidGastric fluidGastric fluidGastric fluid胃液胃液胃液胃液Stomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey RadiographsStomach Wall:Survey Radiographs胃壁：常规胃壁：常规胃壁：常规胃壁：常规X X X X X X X X光片光片光片光片Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract Contrast Procedure of the Digestive Tract 消化道对比造影的操作程序消化道对比造影的操作程序消化道对比造影的操作程序消化道对比造影的操作程序 Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study Upper gastro-intestinal(GI)study 检查上消化道检查上消化道检查上消化道检查上消化道 Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v Barium sulfate 30%w/v 硫酸钡，按照硫酸钡，按照硫酸钡，按照硫酸钡，按照3030303030303030的重量的重量的重量的重量/体积比例使用体积比例使用体积比例使用体积比例使用 Use of a gastric tube Use of a gastric tube Use of a gastric tube Use of a gastric tube Use of a gastric tube Use of a gastric tube Use of a gastric tube Use of a gastric tube 使用胃管使用胃管使用胃管使用胃管 Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg Dosage:8 to 15 ml/kg 剂量：剂量：剂量：剂量：8-15 ml/kg8-15 ml/kg8-15 ml/kg8-15 ml/kg8-15 ml/kg8-15 ml/kg8-15 ml/kg8-15 ml/kg 8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:8 ml/kg:big dogs 8 ml/kg:大型犬大型犬大型犬大型犬 15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:15 ml/kg:small dogs and cats 15 ml/kg:小型犬和猫小型犬和猫小型犬和猫小型犬和猫Upper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :DogUpper Gastrointestinal Contrast Study :Dog 上消化道对比造影：犬上消化道对比造影：犬上消化道对比造影：犬上消化道对比造影：犬 Survey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R LateralSurvey radiographs:VD,R Lateral 常规常规常规常规X X X X X X X X光片：腹背位，右侧卧位光片：腹背位，右侧卧位光片：腹背位，右侧卧位光片：腹背位，右侧卧位 Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral Immediately after contrast administration:VD,DV,L and R lateral 注入造影剂后立即拍摄：腹背位，背腹位，左侧卧位和右侧卧位注入造影剂后立即拍摄：腹背位，背腹位，左侧卧位和右侧卧位注入造影剂后立即拍摄：腹背位，背腹位，左侧卧位和右侧卧位注入造影剂后立即拍摄：腹背位，背腹位，左侧卧位和右侧卧位 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 20 min:VD,R lateral 20 分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 40 min:VD,R lateral 40 分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 1 h:VD,R lateral 1 小时：小时：小时：小时：腹背位，右侧卧位腹背位，右侧卧位腹背位，右侧卧位腹背位，右侧卧位 1 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 11 h 30 min:VD,R lateral 1小时小时小时小时3030303030303030分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位分钟：腹背位，右侧卧位 2 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 22 h:VD,R lateral 2 小时：腹背位，右侧卧位小时：腹背位，右侧卧位小时：腹背位，右侧卧位小时：腹背位，右侧卧位 End:End:End:End:End:End:End:End:Contrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach emptyContrast in the colon and stomach empty 结束：结束：结束：结束：对比造影剂在结肠内，同时胃已排空对比造影剂在结肠内，同时胃已排空对比造影剂在结肠内，同时胃已排空对比造影剂在结肠内，同时胃已排空Upper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast StudyUpper GI Contrast Study上消化道对比造影检查上消化道对比造影检查上消化道对比造影检查上消化道对比造影检查 Duration:Duration:Duration:Duration:Duration:Duration:Duration:Duration:持续时间持续时间持续时间持续时间 2 hours in dogs 2 hours in dogs 2 hours in dogs 2 hours in dogs 2 hours in dogs 2 hours in dogs 2 hours in dogs 2 hours in dogs 犬为犬为犬为犬为2 2 2 2 2 2 2 2小时小时小时小时 1 hour in cats 1 hour in cats 1 hour in cats 1 hour in cats 1 hour in cats 1 hour in cats 1 hour in cats 1 hour in cats 猫为猫为猫为猫为1 1 1 1 1 1 1 1小时小时小时小时Normal Radiographic AspectNormal Radiographic AspectNormal Radiographic AspectNormal Radiographic AspectNormal Radiographic AspectNormal Radiographic AspectNormal Radiographic AspectNormal Radiographic Aspect正常正常正常正常X X X X X X X X光影像光影像光影像光影像 Gastric folds Gastric folds Gastric folds Gastric folds Gastric folds Gastric folds Gastric folds Gastric folds 胃壁皱摺胃壁皱摺胃壁皱摺胃壁皱摺 Gastric contractions Gastric contractions Gastric contractions Gastric contractions Gastric contractions Gastric contractions Gastric contractions Gastric contractions 胃的收缩胃的收缩胃的收缩胃的收缩 Appearance depends on positionAppearance depends on positionAppearance depends on positionAppearance depends on positionAppearance depends on positionAppearance depends on positionAppearance depends on positionAppearance depends on position 影像形态取决于体位影像形态取决于体位影像形态取决于体位影像形态取决于体位StomachStomachStomachStomachStomachStomachStomachStomach胃胃胃胃 Foreign bodies Foreign bodies Foreign bodies Foreign bodies Foreign bodies Foreign bodies Foreign bodies Foreign bodies 异物异物异物异物 Dilatation Dilatation Dilatation Dilatation Dilatation Dilatation Dilatation Dilatation 扩张扩张扩张扩张 Gastric dilatation Gastric dilatation Gastric dilatation Gastric dilatation Gastric dilatation Gastric dilatation Gastric dilatation Gastric dilatation volvulusvolvulusvolvulusvolvulusvolvulusvolvulusvolvulusvolvulus(GDV)(GDV)(GDV)(GDV)(GDV)(GDV)(GDV)(GDV)胃扩张扭转胃扩张扭转胃扩张扭转胃扩张扭转 Gastritis Gastritis Gastritis Gastritis Gastritis Gastritis Gastritis Gastritis 胃炎胃炎胃炎胃炎 Tumor Tumor Tumor Tumor Tumor Tumor Tumor Tumor 肿瘤肿瘤肿瘤肿瘤Gastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign Body胃异物胃异物胃异物胃异物 All kind All kind All kind All kind All kind All kind All kind All kind 各种类型各种类型各种类型各种类型 Opacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissueOpacity:bone,metal,soft tissue 不透明度：骨，金属，软组织不透明度：骨，金属，软组织不透明度：骨，金属，软组织不透明度：骨，金属，软组织 Obstruction?Obstruction?Obstruction?Obstruction?Obstruction?Obstruction?Obstruction?Obstruction?阻塞？阻塞？阻塞？阻塞？Upper GI contrast study Upper GI contrast study Upper GI contrast study Upper GI contrast study Upper GI contrast study Upper GI contrast study Upper GI contrast study Upper GI contrast study 上消化道对比造影上消化道对比造影上消化道对比造影上消化道对比造影 Filling defect Filling defect Filling defect Filling defect Filling defect Filling defect Filling defect Filling defect 充盈缺损充盈缺损充盈缺损充盈缺损Gastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign BodyGastric Foreign Body胃异物胃异物胃异物胃异物Gastric DilatationGastric DilatationGastric DilatationGastric DilatationGastric DilatationGastric DilatationGastric DilatationGastric Dilatation胃扩张胃扩张胃扩张胃扩张 Meal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volumeMeal:up to 5 times its original volume 饮食：最高能达到原来容量的五倍饮食：最高能达到原来容量的五倍饮食：最高能达到原来容量的五倍饮食：最高能达到原来容量的五倍 AerophagiaAerophagiaAerophagiaAerophagiaAerophagiaAerophagiaAerophagiaAerophagia:吞气症吞气症吞气症吞气症 IleusIleusIleusIleusIleusIleusIleusIleus 肠梗阻肠梗阻肠梗阻肠梗阻 DyspneaDyspneaDyspneaDyspneaDyspneaDyspneaDyspneaDyspnea 呼吸困难呼吸困难呼吸困难呼吸困难 Stress Stress Stress Stress Stress Stress Stress Stress 应激应激应激应激Gastric Dilatation Gastric Dilatation Gastric Dilatation G