Introduction to Computed Tomography (CT): Cross Sectional Anatomy

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doc0703  on August 1, 2011

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Introduction to Computed Tomography (CT): Cross Sectional Anatomy

Axial
Also referred to as transverse plane

Transects the body from anterior to

posterior and from side to side.

Divides the body into superior and inferior portions
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Terms

Definitions

Axial Also referred to as transverse plane

Transects the body from anterior to

posterior and from side to side.

Divides the body into superior and inferior portions
Coronal A longitudinal plane dividing the body into anterior and posterior portions.

Passes from superior (coronal suture of the skull) to inferior and from side to side
Sagittal A longitudinal plane dividing the body into right and left portions

Passes from superior (sagittal suture of the skull) to inferior and from anterior to posterior.

Any plane parallel to the mid-sagittal is median plane
Oblique A longitudinal or transverse plane that is at an angle or slant and not parallel to the sagittal, coronal or horizontal planes.
Bones and other dense material white
Air and lower-density material - black
Fat, muscle, and organs various shades of gray
Baseline for CT numbers is water with a CT number of 0
Bone has a value of +150 or up to +1000
Dense bone has a value of +1000 to + 3000
Air has a CT value of -1000
Lower numbers - structures (soft tissues) that are more easily penetrated by x-rays, appear closer to black.
Higher numbers - more radiopaque structures (bones), lighter gray or white.
Frontal Forms the anterior surface of the skull, with a vertical portion that corresponds to the forehead and horizontal portion that forms the roof of the orbits
Parietal (x 2) Roughly square-shaped bones that articulate with the frontal bone at the coronal suture

Both parietal bones form the superior aspect or vertex and connected by the sagittal suture
Occipital Posterior aspect of skull; composed of a squamous and basilar portion
Foramen Magmun Large opening within squamous portion that allows passage of spinal cord into the brain
Temporal (x 2) Form part of the lateral walls of the cranium
Squamous Thin, fan-shaped, superior to the external ear
Tympanic Surrounds external ear canal
Mastoid Posterior to ear, perforated by many air-filled cavities
Petrous Dense ridge of bone within the cranium which protects the organs of hearing and balance
Ethmoid Found within the cranium and forms the medial walls of the orbits and part of the lateral walls of the nasal cavity.
Cribriform plane horizontal portion
Crista Galli small ridge projecting superiorly from the cribriform plate
Perpendicular plate and two (2) labyrinths Vertical portion forms the superior part of the bony nasal septum
Sphenoid At the center of the base of the skull, articulates with all the cranial bones.

Referred to as the "anchor bone of the cranium"
Sphenoid ***BODY contains the sella turcica

A cup shaped bone that surrounds and protects the pituitary gland
Two (2) sets of wings lesser and greater
Pterygoid portion Projects inferiorly from the body of the sphenoid and forms the posterior walls of the nasal cavity
14 facial bones, come in pairs except for vomer and mandible
Lacrimal Found in the medial wall of the orbit between maxilla and labyrinth of the ethmoid bones
Nasal Found in the medial wall of the orbit between maxilla and labyrinth of the ethmoid bones
Zygomatic Forms the inferolateral walls of the orbits
Maxilla Large bone that forms inferior surface of each orbit, lateral walls of the nasal cavity, and anterior portion of the roof of the mouth and the bony attachment of the maxillary teeth
Inferior nasal conchae Scroll-shaped bones found in the nasal cavity
Palatine L-shaped bones which form the posterior portion of hard palate
Vomer Forms inferior portion of the bony nasal septum
Mandible Consists of a body and 2 rami forming the alveolar ridge in which the lower teeth are embedded
The brain is surrounded by three protective layers called meninges Pia matter (inner most)
Arachnoid (middle)
Dura mater (outer)
Pia matter (inner most) Adheres directly to the brain

Made up of capillaries and supporting tissue
Arachnoid (middle) A delicate membrane that resembles a cobweb
Subarachnoid Lies between arachnoid and pia mater; CSF circulates in this space.
Dura mater (outer) Most external of the meninges, double layered
Cerebrum - largest structure

Divided by the longitudinal fissure into 2 hemispheres
Corpus Callosum white matter tract that connects the hemisphere RT/LT.
Brainstem Composed of the midbrain, pons and medulla oblongata
Cerebellum Lies in the postero-inferior region of the cranium

Smaller in size than the cerebrum but similar in composition
Ventricles produce Cerebrospinal Fluid (CSF)
Lateral ventricles largest ventricle, found in each cerebral hemisphere
3rd ventricle Found between the cerebral hemispheres inferior to the lateral ventricles

CSF passes into the midline 3rd ventricle through the interven-tricular foramina
4th ventricle between the cerebellum and the brainstem
Four major arteries supply the brain and it's related structures. 2 internal carotid arteries

2 vertebral arteries
2 internal carotid arteries Supply the anterior structures of the brain
2 vertebral arteries Transverse the neck and enter the posterior skull by way of the foramen magnum
Circle of Willis prevents blood loss in the brain by a unique arterial anastomosis
Venous drainage in the cranium is accomplished by two systems Cerebral veins

Dural venous sinuses
Cerebral veins One of the major veins within the skull
Dural venous sinuses Created by gaps formed between the inner and outer layers of the dura- mater
T-spine Vertebra Each of the 12 vertebra are subdivided in to a body and vertebral arch
Vertebral foramen is the opening between divisions of vertebra
Vertebral arch formed by 2 pedicles, 2 laminae, 2 transverse processes, 1 spinous process.
Ribs 12 pairs curl around lateral thorax to protect lungs and heart
Costo-vertebral joint junction of rib and thoracic vertebra
Sternum Lies in the midline of anterior chest wall.
Sternal, or jugular, notch lies at the level between 2nd and 3rd thoracic vertebra.
Clavicles "S" shaped bones that extend across the upper anterior thorax
SC joint articulation of the medial end of clavicle with sternum
AC joint - articulation of lateral extremity of the clavicle to the acromion process of the scapula.
Scapulae Triangular bone in superior posterior thorax
Surfaces anterior and posterior
Borders superior, medial and lateral
Angles superior, lateral and inferior
Trachea Originates at C6

Bifurcates into right and left bronchi at T4-T5
Carina last cartilage ring of the trachea
Lungs Enclosed in thoracic cavity by double walled pleural membrane.
Apex the portion of the lung that lies superior to the clavicle
Base rests on the diaphragm
Costophrenic angle most posterior and inferior portion of the base

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