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
2
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