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Samenvatting radiologie (H1-2-3) van Brys

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Samenvatting hoofdstuk 1,2 en 3 van prof Brys (radiologie) van vak menselijk bewegingsstelsel

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  • February 7, 2022
  • 8
  • 2021/2022
  • Summary
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MENSELIJK BEWEGINGSSTELSEL:
RADIOLOGIE

Inhoudsopgave
H1 Onderzoeksmethoden.............................................................................................................................. 2
Standaardradiografie (rX).....................................................................................................................................2
Computertomografie (CT).....................................................................................................................................2
Echografie.............................................................................................................................................................2
Magnetische resonantie.......................................................................................................................................3
Artrografische technieken....................................................................................................................................3

H2 Anatomische structuren............................................................................................................................ 5

H3 Indicaties radiologisch onderzoek............................................................................................................. 7
Sacroiliacale gewrichten.......................................................................................................................................7
Bottumor...............................................................................................................................................................7
Botmetasten bij gekende primaire tumor............................................................................................................7
Weke delentumor.................................................................................................................................................8




1

, H1 ONDERZOEKSMETHODEN

 Standaardradiografie (RX)
 Computertomografie (CT)
 Echografie
 Magnetische resonantie (MR)
 Artrografische technieken


STANDAARDRADIOGRAFIE (RX)

 Bot
 Gewrichtsverhoudingen
o Breedte van de gewrichtsspleet
o Verhouding gewrichtsvlakken
 Weke delen
o Wit = hoge densiteit: altijd abnormaal
 Kalk
 Corpora aliena, hout is niet zichtbaar op RX! (wel echografie)
o Zwart = lage densiteit
 Vet: normaal, tumoraal
 Lucht: altijd abnormaal, gasvormende bacteriën
o Veel normale en pathologische weefsels hebben densiteit van water
en kunnen op RX niet van elkaar onderscheiden worden (kraakbeen,
spier, pees, hematoom, tumor…)
 Cortex: dun in epi en metafyse, dik in diafyse
 Subluxatie: nog partieel contact tussen de gewrichtsvlakken
 Luxatie: geen enkel contact meer tussen de gewrichtsvlakken


COMPUTERTOMOGRAFIE (CT)

 Bot:
o CT > RX, want CT is cross sectioneel en RX projectioneel
o CT > MR: MR kan minder goed kleine details weergeven
 Gewrichtsverhoudingen
o Breedte van de gewrichtspleet
o Verhouding gewrichtsvlakken
 Weke delen
o MR >> CT (behalve voor
verkalkingen)
o Eenzelfde CT-scan kan bekeken
worden in een botvenster en weke
delenvenster
 Oppervlakte 3D reconstructie gebeurt door
beelden van CT te vervormen


ECHOGRAFIE



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