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医学影像学名词解释
Accessory
lobe:
additional
pleura
extending
into
the
pulmonary
segments,
forming
additional
pulmonary
lobe.
The
most
commonly
seen
are
azygos
lobe
in
the
inner
zone
superior
to
the
right
hilum,
and
inferior
accessory
lobe
in the inner zone of
inferior lobe.
Air
bronchogram sign :
Because the air in
the alveoli is replaced by
exudates,
while
the
air
in
the
bronchus
is
not
displaced
and
remain
patent.
This produces
contrast between the air in the bronchial tree and
the
surrounding airless parenchyma.
Ankylosis
of
joint:
bony
or
fibrous
tissues
connect
the
articular
surface.
In
plain
film,
it
is
characterized
by
a
narrowed
articular
space.
Whether
the trabeculae pass
through the articular space distinguishes bony or
fibrous ankylosis.
Artificial contrast
:Those
organs or spaces lack of natural
contrast
,
can be renderde to
be visible by means of contrast agents to create
an
artificial contrast.
Bone destruction
: localized
absence of normal bone tissue and replaced
by
pathological
tissues.
Both
the
cortical
and
spongy
bone
are
destructed
because of either
the absorption of bone tissues or the activation
of
osteoclasts by the pathological
tissue. In plain film, it appears to be
a decrease in bone density locally,
absence of normal bone tissue, and
probably worm-eaten or sievelike
cortical bone.
Cavity:
formed as a result
of the expulsion of necrotic tissues through
bronchus.
It
can
be
devided
into
worm-eaten,
thin-walled,
and
thick-walled cavities.
often seen in TB, pulmonary abscess, and lung
cancer.
Codman
’ triangle:
Codman’ triangle is due to direct
erosion of the
already formed
periosteal new bone by fast growing
tumor.
Colles’
fracture
:
The
fracture
line
is
within
2-3cm
from
the
articular
end
of
the
radius,
the
distal
fragment
is
displaced
dorsally
and
radially
and
is often associated
with fracture of
the styloid process
of the
ulna
and separation of the radioulnar
joint.
CTR:
the
ratio
between
maximal
transverse
diameter
of
the
heart:
summation
of
maximal
diameter
from
left
and
right
margin
of
the
heart
respectively
to
the
mid
line,
and
maximal
width
of
the
thorax:
a
horizontal
line
passing
through the right
diaphragmatic apex between inner edges of the
thorax.
maximum in adults:
Degeneration of joint:
degenerated and necrotic articular cartilage,
replaced
by
fibrous
tissues
gradually.
When
the
bony
surface
is
involved,
it
can cause hyperostosis of the bone, which leads to
rough articular
surface, formation of
osteophyte, and ossification of ligament. It is
often seen in weight-bearing or
frequently used joints.
Destruction of bone
: Bone
tissue elimination caused by sclerotin partly
substituted
with
pathologic
organism.
Roentgenologically,it
shows
osteolytic bone areas of decreased
density and loss of bone structures.
Double contour:
On PA film,
the right border of an enlarged left atrium
may produce an extra shadow
superimposed on the right cardiac border,
giving a double contour.
Early
gastric
cancer
:
Early
gastric
cancer
is
define
as
carcinoma
limited
to
the
mucosa
and
submucosa
regardless
of
the
presence
or
absence
of
lymph
node
involvement.
Epiphyseal
fracture:
occurs in
children’s long bone, for the epiphysis
has not linked with metaphysic, so they
may separate when there is an
external
force acting. In plain film, the epiphysis and
metaphysis are
not in the normal
place, or
the
epiphyseal plate is
broader
than normal.
The fracture line does not
exist.
Filling
Defect:
Filling
defect
is
caused
by
a
space
occuping
mass
producing defect on the
barium
.
Fracture
: a complete/
incomplete break in the continuity of a bone or a
cartilage.
Incomplete
fractures
include
crack
~
and
greenstick
~.
Complete
fractures
include
transverse,
oblique,
vertical,
spiral,
fragmented,
impacted, compression , and avulsion ~.
Greenstick
Fracture
:Greenstick
fracture
occur
almost
exclusively
during
infancy
and
childhood.
It
is
not
easy
for
external
force
to
cause
the
bone
cortex
complete break because of its pliant, so this kind
of fracture
showed
buckling
of
the
cortex
without
fracture
lines
or
a
transver
fracture occur in
the
cortex,
extending into
the
midport of the bone and
then
orienting
along
the
longitudinal
axis
of
the
bone
without
disrupting
the opposite cortex.
Hilar dance
: under
fluorescence, there will be an obviously enhanced
pulsation
of
the
hilar
arteries
in
pulmonary
hypertension,
seen
in
congenital heart diseases with left-to-
right shunt.
Hyperostosis
osteoscleroses:
osteosclerosis is
abnormal hardening or
increased density
of bone on radiographs
Intrapulmonary
air
containing
space:
pathological
distension
of
physiological space in
the lung. It appears to be a round translucency
with
a
smooth
wall
about
1mm
in
X-rays.
such
as
bullae
and
air
containing
bronchial cysts.
Inverted S curve sign:
PA
film, atelectasis of the right superior lobe,
elevated
horizontal
fissure,
hilar
mass, central
bronchogenic
carcinoma
in the right
superior lobe
Kerley
line:
pulmonary
interstitial
edema,
formed
due
to
thickening
interalveolar
septa
in
different
area.
A:
stretching
form
the
outer
zone
to the hilum obliquely,
seen in acute LHF; B:
in the
costophrenic
angle,
2-3cm
long,
stretches
horizontally,
seen
in
MS
and
chronic
LHF;
C:
in
the
inferior
field, netlike, seen in severe pulmonary venous
hypertension.
Kidney
Autonephretomy
:The
caseous
lesion
of
renal
tuberculosis
can
produce
calcification,
and
even
result
in
calcification
of
entire
kidney
called autonephritomy
Lung
markings:
consisting
of
pulmonary
a.,v.,
bronchi,
and
lymph
tissues.
In
plain
film,
it
appears
to
be
branch
like
shadow
radiating
outward
from
the
hilum and disappear with a gradual reduction in
size.
Niche:
On
profile, this unchanging collection of barium will
project
outside the confines of the
stomach.
Osteomalacia:
Osteomalacia
is
a
group
of
disorders
resulting
from
inadequate or delayed
mineralization of osteoid in mature cortical and
spongy
byne.
The
radiographic
changes
are
characterized
by
general
marked
decrease of bone density, thick cortex,
the normal outline of the bone
is
blurred.
Osteonecrosis:
Osteonecrosis
occurs
when metabolism
of bone
cells
cease
forever
from
local
ischemia
bone.
The
chief
characteristic
that
is
responsible
for
the
radiographic
definition
of
dead
bone
is
its
apparent
increase in density.
Osteoporosis
:
refers
to
a
decrease
in
normal
bone
tissue
per
unit
volume,
in which mineral and
organic matters decrease in proportion, leaving a
qualitatively
normal
but
quantitatively
deficient
bone
tissue.
The
deficient
bone
becomes
more
fragile
and
more
vulnerable
to
fractures.
In
plain film, it appears to be a decrease
in bone density generally, thin
and
sparse trabeculae, wide intertrabecular space, and
a thinner and
stratiform cortical bone.
It often occurs in the elderly, menopause in
women,
and
other
circumstances
such
as
tumor,
infection,
endocrine
disorders, etc.
Osteosclerosis and
Hyperostosis
: refers to an increase in
normal bone
tissue per unit volume. In
plain film, it appears to be an increase in
bone
density
generally,
with
thickened
cortex
and
trabeculae.
The
medullary
space
is
narrowed
or
even
vanished,
and
sometimes
the
cortical
bone
and
spongy
bone
cannot
be
distinguished.
It
is
usually
seen
in
tumor,
inflammation, and trauma.
Pancoast’s tumor:
peripheral
bronchogenic carcinoma in the apex. can
infiltrate
into
neighboring
vertebrae
and
ribs,
involves
cervical
sympathetic nerve and
cause
Horner’s syndrome.
Periosteal reaction
: when
the periosteum is irritated pathologically,
osteoblasts
in
the
inner
layer
will
be
activated
and
produce
sub-
periosteal new bone. In plain film, it appears to
be a high density
shadow
parallel
to
the
cortex,
with
various
patterns
as
linear,
luminar,
or lacelike. It
usually indicates a destruction or injury of the
bone.
Pleural
indentation:
V-shaped
or
cordlike,
dense
shadow
between
the
mass
and
pleura,
contraction
of
scar
tissue
in
tumor,
adenocarcinoma,
bronchioalveolar carcinoma
Primary complex:
a
combination of primary pulmonary tuberculous
focus,
hilar
tuberculous
lymphangitis
and
lymphadenitis.
fomrs
a
typical
dumbbell-like X-ray image.
Primary complex tuberculosis;
The combination of the primary
pulmonary
tuberculous
focus,
lymphangitis
and
intrathoracic
lymphadenitis
is
known
as the
primary complex tuberculosis. It occurs chiefly in
children.
Schmorl’s
nodule:
Prolapse
of
the
nucleus
pulposus
through
the
vertebral
body
endplate
into
the
spongiosa
of
the
vertebra,
accompanied
by
responsive
hyperostosis.
Stirlin sign:
There is a lack of barium retention in
a diseased segment
of ileum and caecum
but with a column of barium remains on either side
of the affected area. This phemonenon
may result from spasm, organic
constracture of a combination of both.
It is suggestive of tuberculosis
of
intestine.
Subpleural
line:
thickened
adjacent
interlobular
septa
connects
together,
dermatasclerosis, asbestosis
The
third
pathologic
arch:
It
may
form
a
separate
arch
between
the
pulmonary
segment
and
the
left
ventricle
,due
to
enlargement
of
the
atrial
appendage. It is called the third
pathologic arch.
Tree-budded
sign:
bronchiolus, diffuse
panbronchiolitis, bronchogenic
dissemination
流空效应:
由于信号的采集需要一定的时间,
快速流动的血液不产生或只产生极
低的信号,与周围组织、结构间形成良好的对比,这种现象叫流空效应。
p>
驰豫时间:静态磁场中,质子从高能态恢复到低能态所需要的时间。
像素
pixel
:
扫描所得的数据经计算而获得每个体素的
X
线衰减系数或称
吸收系
数,
再排列成矩阵,
其中每个数
字经数字、
模拟转换器转换为黑到白的不同灰度
的小方块,称<
/p>
~
体素
vox
el
:
CT
图像处理时将选定的层面分
成若干个体积相等的小方块,称
~
数
字减影血管造影
DSA
:
digiti
al substraction angiography
利用计算机处理数字影像信息,
将两幅图重叠,
消除血管周围组
织影,
使血管显
像清晰的成像技术。
DSA
is
a
procedure,,using
computer
techonolgy
to
process substracts
two
pictures
to
allow
for
visualization
of
blood
vessels
without
interference
from surrounding structure.
自然对比:
根据人体组织密度即比重的高低,
< br>人体组织可概括分为骨骼、
软组织
(包括液体)
脂肪及存在于人体内的气体四类。
这种人体组织自然存在的密度差
别称为
~
造影检查
:
对缺乏自然对比的结构或器官,
可将密度高于或低于该结构或
器官的
物质引入器官内或周围间隙,
使之产生对比显影,
即为造影检查造影检查的应用
扩大了
X
线检查的范围。
介入放射学:
以影象学为基础,
并在影象设备的介导下,
利用经皮
穿刺和导管技
术等,
对一些疾病进行非手术治疗或者用以取得组
织学、
细菌学、
生理和生化材
料,已明
确病变性质。
骨龄:骺软骨按不同发育时期逐渐骨化,骨化的
程度与年龄有相对的稳定关系,
将这种骺软骨骨化与年龄的关系称为骨龄。
通过发育的骨龄与真实年龄比较,
可
以对骨骼生长代
谢情况进行评价。
骨折:是骨骼发生断裂,骨的连续性中断。
骨骺分离也属骨折。在
X
线上呈不规
则
的透明线,称
~
根据骨折的程度可分为完全性和不完全性。
p>
关节脱位:失足成关节骨骼的脱离、错位,有完全性脱位和半脱位
两种。
骨质疏松
osteoporo
sis;
一定单位体积内正常钙化的骨组织减少,
有机物和无机
物均减少,但二者比例正常。其
X
线表
现为骨密度减低,骨松质内骨小梁变细、
减少、间隙增狂,骨皮质出现分层和变薄。在脊
柱,椎体内结构呈纵行条纹,甚
至消失,
周围皮质变薄。
椎体变扁,
锥间间隙增宽,
椎体可呈琐形。<
/p>
常见于老年、
营养不良、代谢和内分泌障碍、骨折、感染等。
p>
骨质软化
osteomalacia
p>
:一定单位体积内骨组织有机成分正常,无机成分减少。
其
X
线表现为骨密度减低,
骨小梁和骨皮质边缘模
糊,
承重骨常发生变形。
常见
于佝偻病
、骨软化症。
骨质破坏
destruction of bone
:局部骨质为病理组织所代替形成的骨质缺损,
其中全无骨质结构。
X
线表现为骨质局限性密度减低,骨小梁消失或形成骨质缺
损。骨皮质虫蚀状筛孔状缺损,骨松质斑片状缺损。常见于炎症、肉芽肿、肿瘤
或瘤样病变。
骨质增生硬化:一定单位体积内骨量的增多
。
X
线表现为骨质密度增高,伴或不
伴
有骨骼增大,骨小梁增多增粗密集,骨皮质增厚、致密,二者分界不清。多见
于慢性骨髓
炎、外伤和某些原发性骨肿瘤。
骨膜增生(骨膜反应)
periosteal
proliferation
reaction
骨膜受到刺激,骨
膜内层成骨细胞活动增加形成骨膜新生骨。
X
线早期表现为长短不定与骨皮质表
面平行的细线状
致密影,晚期表现为与骨皮质平行的线状、层状、花边状影。
In the forepart of the disease it
appears to be a linear opacity curving
slightly away from the cortex of the
bone and separated from reaction
casts
shadow of increase of density and occurs in
various of forms.
骨膜三角
Codman
三角
恶性骨
肿瘤累及骨膜及骨外软组织,刺激骨膜成骨,肿瘤继而破坏新生骨骨质,
其边缘残余骨质
形成三角形高密度灶,是恶性肿瘤的重要特征。
骨质坏死:骨
组织局部代谢的停止,坏死的骨组织称为死骨。
X
线表现为骨质
局
限性密度增高。多见于化脓性骨髓炎。
骺离骨折:
骨折发生于儿童长骨,
由于骨骺尚未与干骺端结
合,
外力可经过骺板
达干骺端而引起骨骺分离。其骨折线不能显
示,
X
线上显示骺线增宽或骺于干骺
端
对位异常。
青枝骨折
greenstick
fr
acture
:在儿童,骨骺柔韧性比较大,外力不易使骨质
完
全断裂,
仅表现为局部骨皮质和骨小梁的扭曲,
而不见骨折线,
或只引起骨皮
质发生皱折、
凹陷或隆突
。
It
may
be
incomplete
in
which
only
on
part
of
cortex
is buckled,or broken ,called greenstick
fracture and usually occurs in
children.
Clles <
/p>
骨折:称伸展型桡骨远端骨折,为桡骨远端
2
—
3cm
以内的横行或粉碎性
骨折
,骨折远端向背侧移位,断断向掌侧成角畸形,可伴尺骨茎突骨折。
肺间质:肺泡、肺壁间的纤维结缔组织支架。
肺实质:具气体交换功能的肺泡、肺壁。
肺纹理:在充满气体的肺野,可见肺门向外呈放射分布的树枝状影。
空洞
cavity
:肺内病变组织坏死、液化,经支
气管排出后留下的,
X
线显示大小
不等
边界清楚的密度减低区,多见于结核、肺癌。
The
cavity
is
formed
as
result
of
the
expulsion
of
necrotic
material
into
the
bronchus.
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