第三章 正常志愿者神经纤维束图例
第一节 脑MR 3D成像图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-1_108531.jpg?sign=1739405542-fSgsos0i2VUQaTrypHNSPpA662Sf4b98-0-134a6bbae5f6e1be7c21742a8def34ac)
图3-1-1 经舌咽迷走神经的横断面脑3D-MRI图
在此层面上重点观察舌咽迷走神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-2_108534.jpg?sign=1739405542-qouCEk8dFZ1DfJfmjmco5MygvAZdZABH-0-4c8f68e2d375422322f034fa6ab10f17)
图3-1-2 经展神经的横断面脑3D-MRI图
在此层面上重点观察展神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-3_108539.jpg?sign=1739405542-zmN4xPm7SqBOTV6W9CimPiL7N3rrVNVC-0-406098542c7d9423dfd879f6cf91baeb)
图3-1-3 经面、听神经的横断面脑3D-MRI图
在此层面上重点观察听神经、面神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-4_108542.jpg?sign=1739405542-Y9AxX0MP9LuIXRwaFGbqsmFOIfXYWnEF-0-311ade19a151b5cad48b7bffd7596b00)
图3-1-4 经小脑中脚的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-5_108547.jpg?sign=1739405542-erDvE8cePUh6jJrNbej3uEBYCx3AOnZQ-0-f0a5a868f8eef8bfbf5fb41a0ef8e055)
图3-1-5 经三叉神经的横断面脑3D-MRI图
在此层面上重点观察三叉神经和小脑蚓部的形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-6_108550.jpg?sign=1739405542-0oeYYWdhWUZxfqxQb6rDtKKYxB3DrXDQ-0-862a74e5d6215ac29c121954ff6310e8)
图3-1-6 经第四脑室中部的横断面脑3D-MRI图
第四脑室正常形态为“马蹄形”,位于中线,四室中央位于两侧乙状窦壁连线的中点上
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-7_108555.jpg?sign=1739405542-TI7i4fRnFOsA8vO8pjqWtvraFrMj1dpm-0-9ef9fa6a8f9b9dfb12b8ed16a08f16fd)
图3-1-7 经小脑上脚的横断面脑3D-MRI图
本图主要显示直回、颞叶下极诸回的解剖学形态,其中侧脑室颞角的形态、位置在神经放射学科工作中很重要
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-8_108558.jpg?sign=1739405542-qc22N02Ni6wuHvVSsD3q3VewS0a10H0a-0-62aa786f797b574205429b66783268d3)
图3-1-8 经视交叉的横断面脑3D-MRI图
在此层面上要注意侧脑室下角的形态学变化,可以间接地判断颞叶病变
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-9_108563.jpg?sign=1739405542-trzx9ZwCvlXx6HdBSrYkz6s4jphh2ruL-0-8ae6e0004f026afa79cecaab3a9e467a)
图3-1-9 经海马的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-10_108566.jpg?sign=1739405542-yLBvlABvxvg61yHFajPTex1jVZOjbwh8-0-3da3b19f006da2bf21b5d9742199310e)
图3-1-10 经乳头体的横断面脑3D-MRI图
在此层面上要注意观察乳头体的形态、位置及信号
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-11_108571.jpg?sign=1739405542-nPZz9nDVyYNiIhmkdUpZnpxA1P4dDuWE-0-fd7629033914ac8f0d43a105246f116a)
图3-1-11 经前连合的横断面脑3D-MRI图
在此层面上要注意观察第三脑室的形态与位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-12_108574.jpg?sign=1739405542-tQc8RwMLQ0zpuvjDj1RgnRrhZHCK89PQ-0-a40e19c087b6548d9376489bbc1ee472)
图3-1-12 经穹窿的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-13_108579.jpg?sign=1739405542-O5nwpaW7tFddZhb0FzQLqVq13eMVNfar-0-cb823598f9931e748287ab442028b40d)
图3-1-13 经后连合的横断面脑3D-MRI图
此图应注意了解穹窿和后连合的位置与形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-14_108582.jpg?sign=1739405542-wjfb2uzp2bwHmnQJIzQYaJYwxM1uaz7w-0-2c1fbe964f111e8109dd5ed119a4ab3a)
图3-1-14 经松果体的横断面脑3D-MRI图
在此层面上要观察松果体的形态与位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-15_108587.jpg?sign=1739405542-HdXd32Elk57wNMSmIIUJrmRnN2vLN5Hp-0-9a287cd71c037375596a34927ae162a0)
图3-1-15 经胼胝体压部的横断面脑3D-MRI图
在此层面上要注意识别额叶、顶叶、枕叶和颞叶的解剖学分布与脑回标识,了解脑白质的形态与分布特征
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-16_108590.jpg?sign=1739405542-ZBU8EYed89c8WGqKEXS53xzDZNXAFaso-0-de14d1f65f0f7f7a1a8905ad7f5fe43c)
图3-1-16 经穹窿的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-17_108595.jpg?sign=1739405542-9Ctq3Ir3gxrLzHeChdJv8LKeXJVqFyue-0-1985d86e76076ef6b166f44f3121d2bf)
图3-1-17 经侧脑室体部的横断面脑3D-MRI图
在此层面上要注意了解额、顶叶的解剖学结构,观察尾状核体部的解剖学位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-18_108598.jpg?sign=1739405542-yfrzRAhCqOwpzF3q10QViVyPQEXjx12L-0-0ad5390138d472f90bedb8d92d82e29f)
图3-1-18 经扣带回及扣带的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-19_108603.jpg?sign=1739405542-UojU1JUqv4uL4E9LescccOJnyvvjZTNZ-0-5df5669e2e9f0ef2f7ae17185f8fd9e3)
图3-1-19 经半卵圆中心的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-20_108606.jpg?sign=1739405542-sdqCMwxckCzAMfYpth5qqHRMROO56zBX-0-b2b9d659ba9ad9d12f3fabbfea1ad991)
图3-1-20 经后连合的斜冠状面脑3D-MRI图
在这部分3D-MRI图像上,要重点观察脑白质的解剖学结构与形态以及脑白质的扇形构筑,同时也要注意灰质核团的立体形态和脑皮质、灰质的覆盖方式与厚度
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-21_108611.jpg?sign=1739405542-Z0w6Y7mwkkXCZIGncuBXPGFo2fbMEUew-0-799a80033a4abf1cba7726418a2ebeaf)
图3-1-21 经小脑扁桃体的冠状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-22_108614.jpg?sign=1739405542-TppwKZpGO10S23B46xAZyyDXlR3vf7Yj-0-e16e0d5f5b059aed8765e16476038a8f)
图3-1-22 经中脑导水管的冠状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-23_108619.jpg?sign=1739405542-ezIxXqIv4a6cAkKR2hvhs3V7DkmOYkyG-0-8a0f3fa3c39bc4ac81bdf32a1887f923)
图3-1-23 脑的斜冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-24_108622.jpg?sign=1739405542-qBlvw5GJhJlJn0gFEpU12Q2vOuU8XDhr-0-9e7942d90365bd620548d7176b9873a5)
图3-1-24 脑的斜冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-25_108625.jpg?sign=1739405542-gQKKkyuk5xImN7lijRWjTboaRUzOAoXp-0-fe8ff57132476c03f079c0fdfc31b110)
图3-1-25 脑近矢状面的冠状3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-26_108630.jpg?sign=1739405542-BxXd3Geu6sYtxpk8rniPIja8lLjKegAm-0-8d193f94643d782221222b5f166b33df)
图3-1-26 经垂体柄的矢状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-27_108633.jpg?sign=1739405542-u4ReZzEKQhq5gqZfEtklkmdl8tsLmLnT-0-70ea621ac40094f47713ea2940fe033c)
图3-1-27 经中脑导水管的矢状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-28_108636.jpg?sign=1739405542-ZJVCMm5iBboFu5nUvPaHQ7JrrVjuRaWo-0-7c9f5b4eb703c89908d782392bbd096a)
图3-1-28 脑的近矢状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-29_108641.jpg?sign=1739405542-nxLahhtLLQbjijLoT1ZFZirZUgRK226E-0-c8a3b766ee1cebdf003b3a3a95aea81c)
图3-1-29 脑的近冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-30_108644.jpg?sign=1739405542-62EybWy3vNMe4aORcL5v9f4cYqkFWCJg-0-adbd1a0648ba62f4b28b5982817e6ce7)
图3-1-30 经第三脑室的近冠状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-31_108647.jpg?sign=1739405542-I2Yl8OJ9tIyDnT1OBwosjbrDTFXoLj6k-0-848c51650338b46d13e926292c763769)
图3-1-31 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-32_108652.jpg?sign=1739405542-mLTssq371rtH0cYF0N6xZ4p5x0qbOycT-0-b8724d773ce8662e3ca40ed25f100051)
图3-1-32 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-33_108655.jpg?sign=1739405542-W5FK9qPGO4DNsZtba5wDLnwqOWSIhkCq-0-19d553958d9f8c2a443a771c1463e35e)
图3-1-33 脑的斜冠状面彩色3D-MRI图
顶枕叶的脑白质形态像一条“龙”的形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-34_108660.jpg?sign=1739405542-vAdEmQDtaihSViLsJJpmLEubKsZpQb79-0-2a2dafc9491b87c11cfbd86a3313ca35)
图3-1-34 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-35_108663.jpg?sign=1739405542-LNAl8Di9Ky9Evshp8q9AVWiQnICfJE22-0-9855df811466bc08df70a0eec688c87c)
图3-1-35 经胼胝体正中的矢状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-36_108668.jpg?sign=1739405542-m8tUxQkcjlJN0FqHfj4zxb9EjBATHE3S-0-7ad520c5e0853ec78079b1099ac556f9)
图3-1-36 经基底节的横断面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-37_108671.jpg?sign=1739405542-3V29uhOn80rybadjVZE75pgnpTXYMgz8-0-d243114910ceb13a35c7b507e0b21e09)
图3-1-37 经后连合的冠状面脑彩色3D-MRI图
两侧半球的脑白质形态,很像“龙”的形态,像两条相戏的“巨龙”
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-38_108676.jpg?sign=1739405542-GkZ7CD5mtlcibVhBqm5WFhVuvNzWCtwV-0-fa292d71930aaf3896abd63438d5f08e)
图3-1-38 经小脑中脚的冠状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-39_108679.jpg?sign=1739405542-zEX3cLX5VWdfIlfWsaGlM5zyxRShcuyT-0-e553c04881fc84a9378b10995c4d2977)
图3-1-39 经中脑导水管的冠状面脑彩色3D-MRI图