1 Head MR The MedPixMan James G. Smirniotopoulos, M.D.Basic Axial Anatomy James G. Smirniotopoulos, M.D. Professor of Radiology, Neurology, and Biomedical Informatics Center for Neuroscience and Regenerative Medicine Radiology and Radiological Sciences Uniformed Services University Bethesda, MD The MedPixMan
2 Myelin is fat … fat is bright on T1-weighted MRHead – Axial – MR – T1W Myelin is fat … fat is bright on T1-weighted MR
3 Image File Name: i00001.jpg Smirniotopoulos 2014
4 Maxilla Maxillary Sinus Hard Palate Lateral mass C1 C2 OdontoidImage File Name: i00001.jpg Cx Spinal Cord Smirniotopoulos 2014
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6 Maxilla Maxillary Sinus Hard Palate Occipital Condyle ClivusImage File Name: i00002.jpg Cx Spinal Cord Smirniotopoulos 2014
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8 Nose Maxillary Sinus Vomer Occipital Condyle Clivus Medulla oblongataImage File Name: i00003.jpg Medulla oblongata Cerebellar Tonsil Smirniotopoulos 2014
9 Image File Name: i00004.jpg Smirniotopoulos 2014
10 Nose Maxillary Sinus Vomer Clivus Medulla oblongata Cerebellar TonsilImage File Name: i00004.jpg Medulla oblongata Cerebellar Tonsil Smirniotopoulos 2014
11 Image File Name: i00005.jpg Smirniotopoulos 2014
12 Nose Maxillary Sinus Vomer Clivus Medulla oblongata Cerebellar TonsilImage File Name: i00005.jpg Medulla oblongata Cerebellar Tonsil Smirniotopoulos 2014
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14 Nose Maxillary Sinus Vomer Clivus Medulla oblongata Cerebellar TonsilImage File Name: i00006.jpg Medulla oblongata Cerebellar Tonsil Smirniotopoulos 2014
15 Internal Auditory Canal w/ CNN 7 & 8Temporal lobe Petrous apex marrow Internal Auditory Canal w/ CNN 7 & 8 Image File Name: i00007.jpg Brachium pontis (middle cerebellar peduncle) Vermis Smirniotopoulos 2014
16 Nose Orbit Sphenoid sinus Clivus Pons Vermis (nodulus)Image File Name: i00007.jpg Pons Vermis (nodulus) Smirniotopoulos 2014
17 Internal Auditory Canal w/ CNN 7 & 8Nose Orbit Temporal lobe Sphenoid sinus Petrous apex marrow Internal Auditory Canal w/ CNN 7 & 8 Clivus Image File Name: i00007.jpg Pons Brachium pontis (middle cerebellar peduncle) Vermis (nodulus) Vermis Smirniotopoulos 2014
18 Cerebello-pontine angle & cistern CNN 7 & 8Temporal lobe Petrous apex marrow Cerebello-pontine angle & cistern CNN 7 & 8 Image File Name: i00007.jpg Brachium pontis (middle cerebellar peduncle) Vermis Smirniotopoulos 2014
19 Nose Orbit Sphenoid sinus Clivus Pons Vermis (nodulus)Image File Name: i00007.jpg Pons Vermis (nodulus) Smirniotopoulos 2014
20 Cerebello-pontine angle & cistern CNN 7 & 8Nose Orbit Temporal lobe Sphenoid sinus Petrous apex marrow Cerebello-pontine angle & cistern CNN 7 & 8 Clivus Image File Name: i00007.jpg Pons Brachium pontis (middle cerebellar peduncle) Vermis (nodulus) Vermis Smirniotopoulos 2014
21 T1 --- T2 Temporal lobe Petrous apex marrowInternal Auditory Canal w/ CNN 7 & 8 Image File Name: i00007.jpg Brachium pontis (middle cerebellar peduncle) Vermis Smirniotopoulos 2014
22 T1 --- T2 Nose Orbit Sphenoid sinus Clivus Pons Vermis (nodulus)Image File Name: i00007.jpg Pons Vermis (nodulus) Smirniotopoulos 2014
23 T1 --- T2 Nose Orbit Temporal lobe Sphenoid sinus Petrous apex marrowInternal Auditory Canal w/ CNN 7 & 8 Clivus Image File Name: i00007.jpg Pons Brachium pontis (middle cerebellar peduncle) Vermis (nodulus) Vermis Smirniotopoulos 2014
24 Cerebello-pontine angle & cistern CNN 7 & 8Temporal lobe Petrous apex marrow Cerebello-pontine angle & cistern CNN 7 & 8 Image File Name: i00008.jpg Brachium pontis (middle cerebellar peduncle) Vermis Smirniotopoulos 2014
25 Nose Orbit Sphenoid sinus Clivus Pons 4th VentricleImage File Name: i00008.jpg Pons 4th Ventricle Smirniotopoulos 2014
26 Cerebello-pontine angle & cistern CNN 7 & 8Nose Orbit Temporal lobe Sphenoid sinus Petrous apex marrow Cerebello-pontine angle & cistern CNN 7 & 8 Clivus Image File Name: i00008.jpg Pons Brachium pontis (middle cerebellar peduncle) 4th Ventricle Vermis Smirniotopoulos 2014
27 Cerebello-pontine angle & cistern CNN 7 & 8Ethmoid sinus Uncus of Temporal lobe Cerebello-pontine angle & cistern CNN 7 & 8 Image File Name: i00009.jpg Brachium conjunctivum (superior cerebellar peduncle) Vermis Smirniotopoulos 2014
28 Nose Eyeball Sphenoid sinus Pre-pontine cistern Pons 4th VentricleImage File Name: i00009.jpg Pons 4th Ventricle Smirniotopoulos 2014
29 Cerebello-pontine angle & cistern CNN 7 & 8Nose Eyeball Ethmoid sinus Sphenoid sinus Uncus of Temporal lobe Cerebello-pontine angle & cistern CNN 7 & 8 Pre-pontine cistern Image File Name: i00009.jpg Pons Brachium conjunctivum (superior cerebellar peduncle) 4th Ventricle Vermis Smirniotopoulos 2014
30 Brachium conjunctivum (superior cerebellar peduncle)Ethmoid sinus Uncus of Temporal lobe Ambient cistern Image File Name: i00010.jpg Brachium conjunctivum (superior cerebellar peduncle) Vermis Smirniotopoulos 2014
31 Nose Eyeball Pituitary fossa Pre-pontine cistern Upper PonsImage File Name: i00010.jpg Upper Pons 4th Ventricle Smirniotopoulos 2014
32 Brachium conjunctivum (superior cerebellar peduncle)Nose Eyeball Ethmoid sinus Pituitary fossa Uncus of Temporal lobe Ambient cistern Pre-pontine cistern Image File Name: i00010.jpg Upper Pons Brachium conjunctivum (superior cerebellar peduncle) 4th Ventricle Vermis Smirniotopoulos 2014
33 Cerebral peduncle and midbrain (mesencephalon)Optic nerve Uncus of Temporal lobe Ambient cistern Cerebral peduncle and midbrain (mesencephalon) Image File Name: i00011.jpg Superior Sagittal sinus Smirniotopoulos 2014
34 Interpeduncular cisternCrista galli Eyeball Optic chiasm Interpeduncular cistern Image File Name: i00011.jpg Cerebral aqueduct Vermis of Cerebellum Smirniotopoulos 2014
35 Interpeduncular cistern Cerebral peduncle and midbrain (mesencephalon) Crista galli Eyeball Optic nerve Optic chiasm Uncus of Temporal lobe Ambient cistern Interpeduncular cistern Cerebral peduncle and midbrain (mesencephalon) Image File Name: i00011.jpg Cerebral aqueduct Vermis of Cerebellum Superior Sagittal sinus Smirniotopoulos 2014
36 T1 --- T2 Crista galli Eyeball Optic nerve Optic chiasmUncus of Temporal lobe Ambient cistern & PCA Interpeduncular cistern Cerebral peduncle and midbrain (mesencephalon) Cerebral aqueduct Vermis of Cerebellum Superior Sagittal sinus Smirniotopoulos 2014
37 Temporal horn, lateral ventricleeye L. Sylvian fissure Hippocampus Temporal horn, lateral ventricle Image File Name: i00012.jpg Quadrigeminal plate cistern Occipital lobe Smirniotopoulos 2014
38 Cerebral peduncle (corticospinal tracts)eye R. Sylvian fissure 3rd ventricle Cerebral peduncle (corticospinal tracts) mid Image File Name: i00012.jpg vermis Inf. sagittal sinus Sup. sagittal sinus Smirniotopoulos 2014
39 Temporal horn, lateral ventricleeye L. Sylvian fissure Hippocampus Temporal horn, lateral ventricle Image File Name: i00012.jpg Quadrigeminal plate cistern Occipital lobe Smirniotopoulos 2014
40 Tectal (quadrigeminal) plateOptic tracts eye L. Temporal lobe hypothalamus L. Mammillary body Image File Name: i00012.jpg Tectal (quadrigeminal) plate Occipital lobe Smirniotopoulos 2014
41 Cerebral peduncle (corticospinal tracts) L. Mammillary body midOptic tracts eye L. Temporal lobe R. Temporal lobe hypothalamus Cerebral peduncle (corticospinal tracts) L. Mammillary body mid Image File Name: i00012.jpg Tectal (quadrigeminal) plate vermis Occipital lobe Inf. sagittal sinus Sup. sagittal sinus Smirniotopoulos 2014
42 Cerebral peduncle (corticospinal tracts) L. Mammillary body midOptic tracts eye L. Temporal lobe R. Temporal lobe hypothalamus Cerebral peduncle (corticospinal tracts) L. Mammillary body mid Image File Name: i00012.jpg Tectal (quadrigeminal) plate vermis Occipital lobe Inf. sagittal sinus Sup. sagittal sinus Smirniotopoulos 2014
43 Image File Name: i00013.jpg Smirniotopoulos 2014
44 Quadrigeminal CisternGyrus rectus Frontal lobe Anterior Commissure Thalamus Image File Name: i00013.jpg 3rd ventricle Quadrigeminal Cistern Sup Sagittal Sinus Smirniotopoulos 2014
45 Lat Vent – atrium (trigone)Sylvian Fissures Image File Name: i00013.jpg Lat Vent – atrium (trigone) Smirniotopoulos 2014
46 Quadrigeminal CisternCaudate nucleus Frontal lobe Anterior Commissure Thalamus Image File Name: i00014.jpg 3rd ventricle Quadrigeminal Cistern Sup Sagittal Sinus Smirniotopoulos 2014
47 2 - Sulcus centralis insulae 3 - Gyrus longus insulae 1 - Gyri breves insulae 2 - Sulcus centralis insulae 3 - Gyrus longus insulae 4 - Gyri temporales transversum (Heschl’s Gyri) Description Human brain view on transverse temporal and insular gyri Date 30 November 2005 Source Author John A Beal, PhD Dep't. of Cellular Biology & Anatomy, Louisiana State University Health Sciences Center Shreveport Permission (Reusing this file) CC-BY Smirniotopoulos
48 Lat Vent – atrium (trigone)Sylvian Fissures Heschl's Gyri Heschl's Gyri Image File Name: i00014.jpg Lat Vent – atrium (trigone) Smirniotopoulos 2014
49 Putamen Lenticular NucleusCaudate Head Putamen Lenticular Nucleus Lateral Geniculate Body Column of Fornix (post-commissural) Image File Name: i00014.jpg Occipital lobe calcarine cortex Smirniotopoulos 2014
50 Image File Name: i00015.jpg Smirniotopoulos 2014
51 Heschl's Gyri Heschl's GyriImage File Name: i00015.jpg Smirniotopoulos 2014
52 Putamen Lenticular NucleusCaudate Head Putamen Lenticular Nucleus Lateral Geniculate Body Column of Fornix Image File Name: i00015.jpg Occipital lobe calcarine cortex Smirniotopoulos 2014
53 Corpus Callosum SpleniumCaudate nucleus Frontal lobe Putamen Internal Capsule Thalamus Image File Name: i00015.jpg Corpus Callosum Splenium Quadrigeminal Cistern Sup Sagittal Sinus Smirniotopoulos 2014
54 Corpus Callosum SpleniumCaudate nucleus head Frontal lobe Putamen Internal Capsule Thalamus Image File Name: i00016.jpg Corpus Callosum Splenium Quadrigeminal Cistern Sup Sagittal Sinus Smirniotopoulos 2014
55 Putamen Lenticular NucleusFrontal horn Putamen Lenticular Nucleus Lateral ventricle choroid plexus Column of Fornix Image File Name: i00016.jpg Occipital lobe calcarine cortex Smirniotopoulos 2014
56 T1 --- T2 Caudate nucleus head Frontal lobe Putamen Internal CapsuleThalamus Corpus Callosum Splenium Inferior Sagittal Sinus Interhemispheric fissure Sup Sagittal Sinus Smirniotopoulos 2014
57 T1 --- T2 Frontal horn Putamen Lenticular NucleusLateral ventricle choroid plexus Column of Fornix Occipital lobe calcarine cortex Internal Cerebral Veins Smirniotopoulos 2014
58 T1 --- T2 Smirniotopoulos 2014
59 T1 --- T2 Heschl's Gyri Heschl's Gyri Smirniotopoulos 2014
60 Occipital lobe calcarine cortexGenu Corpus callosum Corona Radiata Lateral ventricle Arch (body) of Fornix Image File Name: i00017.jpg Occipital lobe calcarine cortex Smirniotopoulos 2014
61 Corpus Callosum SpleniumCaudate nucleus head Frontal lobe Forceps minor Corona radiata Forceps major Image File Name: i00017.jpg Corpus Callosum Splenium Interhemispheric fissure Sup Sagittal Sinus Smirniotopoulos 2014
62 Lateral Ventricle bodyCaudate nucleus body Forceps minor Lateral Ventricle body Forceps major Image File Name: i00018.jpg Interhemispheric fissure Sup Sagittal Sinus Smirniotopoulos 2014
63 Image File Name: i00018.jpg Smirniotopoulos 2014
64 Intehemispheric fisureForceps minor Lateral Ventricle body Forceps major Image File Name: i00019.jpg Interhemispheric fissure Sup Sagittal Sinus Smirniotopoulos 2014
65 Image File Name: i00019.jpg Smirniotopoulos 2014
66 Intehemispheric fisureForceps minor Centrum Semiovale (white matter) Forceps major Image File Name: i00020.jpg Interhemispheric fissure Sup Sagittal Sinus Smirniotopoulos 2014
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69 Central Sulcus Image File Name: i00021.jpg NOTE: the “omega” of the pre-central gyrus (on the pt’s LEFT) this is the motor hand area of activation Smirniotopoulos 2014
70 Central Sulcus Image File Name: i00022.jpg NOTE: the “omega” of the pre-central gyrus (on the pt’s LEFT) this is the motor hand area of activation Smirniotopoulos 2014
71 Central Sulcus Image File Name: i00022.jpg Smirniotopoulos 2014
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73 Central Sulcus Image File Name: i00023.jpg Smirniotopoulos 2014
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75 Central Sulcus Image File Name: i00024.jpg Smirniotopoulos 2014
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80 CSF is water, water is bright on T2-weighted MRHead – Axial – MR – T2W CSF is water, water is bright on T2-weighted MR
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103 Cerebral peduncle (corticospinal tracts) Ant. Cerebral Arteries L. MCA flow-void eye R. MCA flow-void Suprasellar cistern Hippocampus Cerebral peduncle (corticospinal tracts) Temporal horn, lateral ventricle mid Image File Name: i00012.jpg Quadrigeminal plate cistern vermis Inf. sagittal sinus Occipital lobe Sup. sagittal sinus Smirniotopoulos 2014
104 Cerebral peduncle (corticospinal tracts) Ant. Cerebral Arteries L. MCA flow-void eye R. MCA flow-void Suprasellar cistern Hippocampus Cerebral peduncle (corticospinal tracts) Temporal horn, lateral ventricle mid Image File Name: i00012.jpg Quadrigeminal plate cistern vermis Inf. sagittal sinus Occipital lobe Sup. sagittal sinus Smirniotopoulos 2014
105 Cerebral peduncle (corticospinal tracts) L. Mammillary body midOptic tracts L. MCA flow-void eye R. MCA flow-void hypothalamus Cerebral peduncle (corticospinal tracts) L. Mammillary body mid Image File Name: i00012.jpg Tectal (quadrigeminal) plate vermis Inf. sagittal sinus Occipital lobe Sup. sagittal sinus Smirniotopoulos 2014
106 Cerebral peduncle (corticospinal tracts) L. Mammillary body midOptic tracts L. MCA flow-void eye R. MCA flow-void hypothalamus Cerebral peduncle (corticospinal tracts) L. Mammillary body mid Image File Name: i00012.jpg Tectal (quadrigeminal) plate vermis Inf. sagittal sinus Occipital lobe Sup. sagittal sinus Smirniotopoulos 2014
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