RADIOLOGIE
Universiteit Antwerpen
MASTER 2
,Inhoudsopgave
1. Beeldvormingsmodaliteiten ................................................................................................ 7
Conventionele RX ....................................................................................................................... 7
Echografie ................................................................................................................................. 8
CT ............................................................................................................................................. 9
MRI ......................................................................................................................................... 10
Soorten resolutie ...................................................................................................................... 12
Kostprijs .................................................................................................................................. 13
2. Contrast agentia ............................................................................................................... 13
RCM ........................................................................................................................................ 13
Adverse RCM reactions .................................................................................................................... 14
Gadolinium .............................................................................................................................. 17
Biodistributie.................................................................................................................................... 17
Adverse gadolinium reactions .......................................................................................................... 17
Conclusies .............................................................................................................................. 18
3. Borst ................................................................................................................................ 18
Beeldvormingsmodaliteiten ....................................................................................................... 18
Mammografie (RX) ............................................................................................................................ 19
Echo................................................................................................................................................. 19
MRI................................................................................................................................................... 19
Pathologie ............................................................................................................................... 19
Benigne borstmassa’s ...................................................................................................................... 19
Maligne borstmassa’s ...................................................................................................................... 20
Conclusies .............................................................................................................................. 21
4. Hart ................................................................................................................................. 21
Beeldvormingsmodaliteiten ....................................................................................................... 21
RX .................................................................................................................................................... 21
Echo................................................................................................................................................. 22
CT .................................................................................................................................................... 23
MRI................................................................................................................................................... 23
Pathologie ............................................................................................................................... 24
Pericard pathologie .......................................................................................................................... 24
5. Vaten ............................................................................................................................... 24
Beeldvormingsmodaliteiten ....................................................................................................... 24
Echo (doppler).................................................................................................................................. 24
DSA (digitale substractie angiografie) ............................................................................................... 24
CT angiografie (CTA) ......................................................................................................................... 26
1
, MR angiografie (MRA) ....................................................................................................................... 26
Pathologie ............................................................................................................................... 26
Atherosclerose ................................................................................................................................. 26
Longembolie .................................................................................................................................... 27
Diep veneuze trombose (DVT) .......................................................................................................... 27
Conclusies .............................................................................................................................. 28
6. Colon ............................................................................................................................... 28
Beeldvormingsmodaliteiten ....................................................................................................... 28
RX .................................................................................................................................................... 28
CT .................................................................................................................................................... 29
Coloninloop ..................................................................................................................................... 29
MRI................................................................................................................................................... 29
Pathologie ............................................................................................................................... 29
Conclusies .............................................................................................................................. 31
7. Dunne darm ..................................................................................................................... 31
Beeldvormingsmodaliteiten ....................................................................................................... 31
RX .................................................................................................................................................... 31
Echo................................................................................................................................................. 32
CT .................................................................................................................................................... 32
MRI................................................................................................................................................... 32
Interventionele radiologie ................................................................................................................. 33
Pathologie ............................................................................................................................... 33
Conclusies .............................................................................................................................. 35
8. Lever ................................................................................................................................ 35
Anatomie van de lever ............................................................................................................... 35
Beeldvormingsmodaliteiten ....................................................................................................... 36
RX .................................................................................................................................................... 36
Echo................................................................................................................................................. 36
CT .................................................................................................................................................... 36
MRI................................................................................................................................................... 37
Interventionele radiologie ................................................................................................................. 37
Pathologie ............................................................................................................................... 37
Diffuse leverziekten .......................................................................................................................... 37
Focale leverziekten .......................................................................................................................... 38
Conclusies .............................................................................................................................. 39
9. Galwegen ......................................................................................................................... 40
Beeldvormingsmodaliteiten ....................................................................................................... 40
Echo................................................................................................................................................. 40
CT .................................................................................................................................................... 40
2
, MRI................................................................................................................................................... 40
Interventionele radiologie ................................................................................................................. 41
Pathologie ............................................................................................................................... 42
Conclusies .............................................................................................................................. 42
10. Pancreas en milt............................................................................................................... 43
Pancreas ................................................................................................................................. 43
Beeldvormingsmodaliteit ................................................................................................................. 43
Pathologie ........................................................................................................................................ 45
Milt ......................................................................................................................................... 48
Beeldvormingsmodaliteiten ............................................................................................................. 48
Pathologie ........................................................................................................................................ 50
Conclusies .............................................................................................................................. 51
11. Vrouwelijke pelvis ............................................................................................................ 52
Beeldvormingsmodaliteiten ....................................................................................................... 52
RX .................................................................................................................................................... 52
Echo................................................................................................................................................. 52
CT .................................................................................................................................................... 53
MRI................................................................................................................................................... 53
Pathologie ............................................................................................................................... 54
Conclusies .............................................................................................................................. 55
12. Hoofd en hals ................................................................................................................... 56
Beeldvormingsmodaliteiten ....................................................................................................... 56
RX .................................................................................................................................................... 56
Echo................................................................................................................................................. 56
CT .................................................................................................................................................... 57
MRI................................................................................................................................................... 58
Pathologie ............................................................................................................................... 59
13. Musculoskeletaal ............................................................................................................. 61
Anatomie ................................................................................................................................. 61
Beeldvormingsmodaliteiten ....................................................................................................... 62
RX .................................................................................................................................................... 62
Echo................................................................................................................................................. 62
CT .................................................................................................................................................... 63
MRI................................................................................................................................................... 63
CT/MRI artrografie ............................................................................................................................ 64
Pathologie ............................................................................................................................... 64
Artropathieën ................................................................................................................................... 64
Degeneratief lijden van de wervelkolom ........................................................................................... 65
Fracturen ......................................................................................................................................... 65
3
Universiteit Antwerpen
MASTER 2
,Inhoudsopgave
1. Beeldvormingsmodaliteiten ................................................................................................ 7
Conventionele RX ....................................................................................................................... 7
Echografie ................................................................................................................................. 8
CT ............................................................................................................................................. 9
MRI ......................................................................................................................................... 10
Soorten resolutie ...................................................................................................................... 12
Kostprijs .................................................................................................................................. 13
2. Contrast agentia ............................................................................................................... 13
RCM ........................................................................................................................................ 13
Adverse RCM reactions .................................................................................................................... 14
Gadolinium .............................................................................................................................. 17
Biodistributie.................................................................................................................................... 17
Adverse gadolinium reactions .......................................................................................................... 17
Conclusies .............................................................................................................................. 18
3. Borst ................................................................................................................................ 18
Beeldvormingsmodaliteiten ....................................................................................................... 18
Mammografie (RX) ............................................................................................................................ 19
Echo................................................................................................................................................. 19
MRI................................................................................................................................................... 19
Pathologie ............................................................................................................................... 19
Benigne borstmassa’s ...................................................................................................................... 19
Maligne borstmassa’s ...................................................................................................................... 20
Conclusies .............................................................................................................................. 21
4. Hart ................................................................................................................................. 21
Beeldvormingsmodaliteiten ....................................................................................................... 21
RX .................................................................................................................................................... 21
Echo................................................................................................................................................. 22
CT .................................................................................................................................................... 23
MRI................................................................................................................................................... 23
Pathologie ............................................................................................................................... 24
Pericard pathologie .......................................................................................................................... 24
5. Vaten ............................................................................................................................... 24
Beeldvormingsmodaliteiten ....................................................................................................... 24
Echo (doppler).................................................................................................................................. 24
DSA (digitale substractie angiografie) ............................................................................................... 24
CT angiografie (CTA) ......................................................................................................................... 26
1
, MR angiografie (MRA) ....................................................................................................................... 26
Pathologie ............................................................................................................................... 26
Atherosclerose ................................................................................................................................. 26
Longembolie .................................................................................................................................... 27
Diep veneuze trombose (DVT) .......................................................................................................... 27
Conclusies .............................................................................................................................. 28
6. Colon ............................................................................................................................... 28
Beeldvormingsmodaliteiten ....................................................................................................... 28
RX .................................................................................................................................................... 28
CT .................................................................................................................................................... 29
Coloninloop ..................................................................................................................................... 29
MRI................................................................................................................................................... 29
Pathologie ............................................................................................................................... 29
Conclusies .............................................................................................................................. 31
7. Dunne darm ..................................................................................................................... 31
Beeldvormingsmodaliteiten ....................................................................................................... 31
RX .................................................................................................................................................... 31
Echo................................................................................................................................................. 32
CT .................................................................................................................................................... 32
MRI................................................................................................................................................... 32
Interventionele radiologie ................................................................................................................. 33
Pathologie ............................................................................................................................... 33
Conclusies .............................................................................................................................. 35
8. Lever ................................................................................................................................ 35
Anatomie van de lever ............................................................................................................... 35
Beeldvormingsmodaliteiten ....................................................................................................... 36
RX .................................................................................................................................................... 36
Echo................................................................................................................................................. 36
CT .................................................................................................................................................... 36
MRI................................................................................................................................................... 37
Interventionele radiologie ................................................................................................................. 37
Pathologie ............................................................................................................................... 37
Diffuse leverziekten .......................................................................................................................... 37
Focale leverziekten .......................................................................................................................... 38
Conclusies .............................................................................................................................. 39
9. Galwegen ......................................................................................................................... 40
Beeldvormingsmodaliteiten ....................................................................................................... 40
Echo................................................................................................................................................. 40
CT .................................................................................................................................................... 40
2
, MRI................................................................................................................................................... 40
Interventionele radiologie ................................................................................................................. 41
Pathologie ............................................................................................................................... 42
Conclusies .............................................................................................................................. 42
10. Pancreas en milt............................................................................................................... 43
Pancreas ................................................................................................................................. 43
Beeldvormingsmodaliteit ................................................................................................................. 43
Pathologie ........................................................................................................................................ 45
Milt ......................................................................................................................................... 48
Beeldvormingsmodaliteiten ............................................................................................................. 48
Pathologie ........................................................................................................................................ 50
Conclusies .............................................................................................................................. 51
11. Vrouwelijke pelvis ............................................................................................................ 52
Beeldvormingsmodaliteiten ....................................................................................................... 52
RX .................................................................................................................................................... 52
Echo................................................................................................................................................. 52
CT .................................................................................................................................................... 53
MRI................................................................................................................................................... 53
Pathologie ............................................................................................................................... 54
Conclusies .............................................................................................................................. 55
12. Hoofd en hals ................................................................................................................... 56
Beeldvormingsmodaliteiten ....................................................................................................... 56
RX .................................................................................................................................................... 56
Echo................................................................................................................................................. 56
CT .................................................................................................................................................... 57
MRI................................................................................................................................................... 58
Pathologie ............................................................................................................................... 59
13. Musculoskeletaal ............................................................................................................. 61
Anatomie ................................................................................................................................. 61
Beeldvormingsmodaliteiten ....................................................................................................... 62
RX .................................................................................................................................................... 62
Echo................................................................................................................................................. 62
CT .................................................................................................................................................... 63
MRI................................................................................................................................................... 63
CT/MRI artrografie ............................................................................................................................ 64
Pathologie ............................................................................................................................... 64
Artropathieën ................................................................................................................................... 64
Degeneratief lijden van de wervelkolom ........................................................................................... 65
Fracturen ......................................................................................................................................... 65
3
