Circulation system 循環(huán)系統(tǒng) 影像醫(yī)學(xué) 放射診斷學(xué) 北京協(xié)和醫(yī)院

1、Circulation system Xue Hua-danDep. of radiology, PUMCH20089Methods X ray CTMRICatheter angiographyUltrasound （trans- thorax, esophagus）Nuclear medicine (perfusion, metabolism)PAIIIIIIIVLATPre-cardiac space;Retro-cardiac space;Aortic windowRAOLAOCatheter angiographyPulmonary circulationCatheter angio

2、graphySystemic circulationLeft mainAnterior descendingCircumflexRight coronary a.BranchesRAO 300LAO 500LAO 500RAO 300RCAAbnormalityAbnormality of the heart Location Shape, size of the chamber Myocardial abnormality Valve abnormality Pericardiac abnormality Coronary artery abnormality Systemic circul

3、ation Pulmonary circulation Left Atrium EnlargementLeft Ventricle EnlargementRight Ventricle EnlargementRight Atrium EnlargementWhich chamber? Please figure it out.Mitral valve typeRepresent right heart prob. Aortic typeRepresent left heart prob.Universal enlargementPlaque and cavity patencySystemic

4、 circulation artery Aneurysm Stenosis Aortic node ？Systemic circulation - Inferior vena cava Buddy chiary syndrome Occlusion Pulmonary circulation Pulmonary artery Increase (congestion) Decrease (oligemia) Hypertension Pulmonary vein Mild: Passive congestion Severe: Interstitial congestion Acute: Alveolar congestionPulmonary artery congestion A normal B mild congestion C severe congestionOligemiaA mild oligemiaB severe oligemiaC collateral circulatio