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RADTO.TMAGISTICAPULMOIYARA-1
RADIO*IMAGISTICAPULMONALAI SI MEDIAS TIAILILUI
IMAGISTICA CU RAZE X:ft ONTTCTWNUGNOSTIC-RADTOFOTOGRAFTA MEDTCALA (RFM) ;. -FLUOROSCOPIA AMPLI/TV-DIGITALA;.RADIOGRANA STAI\DARD/DIGITALA'-TOMOGRAFTA PLANA (VALLEBONA);-COMPUTER TOMOGRAFTA (C.T.);-AI\IGIOGRAI'IA STAI{DARDID.S.A. :-pulmonara,
.BRONHOGRAFIA....-bronsica
Sr. Cor*tantln $i!ve*fumetllc orlmar rddiolos
do€tor ln olilnto rnedledteeod oosoB
IMAGISTICA TORACELTNAPARATUL RNSPIRATOR
METODE SI TEHNICI DE EXAMINARE
TNT.AGISTICA CU IZOTOPI RADIOACTIVI i
I S.P.E.C.T.= Single Photon Emission CT
', -scintigrafie de perfuzie - Tc 99; i''*,:
-scintigrafie de ventilatie - Xe 133
IMAGISTICA TORACELUIAPARATUL RESPIRATOR
IMAGISTICA CU REZONAI\TA MAGNETICA
(r.RM.).METODA NEINVAZIVA;-FIDELITATE IN REPRODUCEREA ANATOMIEI "TN WYO,
2 D si reconstractii 3D:
-PARE NC HIM P AL M O NAMPLE ARA/S CHE LE T ;-MEDMSTIN;
Definitie:f cantitatii de aer alveolar + modificari ale peretiloralveolari.
ASPECT RADIOLOGIC:- Distensiu pulmonara..-aplatizare diafragm iI A cranio-podal;
- deschiderea sinusurilor;-rotunjirea domului;,-aspect de "clopot"rt'butoitt
- Hipertransparenta: lgradului de absorbtie la Rx prin:- 'l- cantitatii de aer alveolarl- *"lf.'f;xil_.?lJiil?: si a lruxurui sanguin
SD.HIPERAERATIEE)(EMPLE
I EMFIZEMUL DIN BPOC: bronsita cronica, astm intricat;
Mecanism: obstructie bronsiolara (congestie, edem, mucus):>i nca rce ra re (s up ap a, " A I R TRA P P IN G " ) :> emf ze mce n t rol ob ul a;r,'c e n t r o a c i n a r.
Aspecte radiologice: -"sticls m ata"-infiltratia sept alveolar;- imagini miliare;- imagini nodulare gr.II (silicoza, careinox,a);- im ag i n i r etic u I ar e -, fag ar e,, (viro ze, c olag en o zc)- imagini reticulo-nodulare,
Cf 71.!a.gli! de-linete prin tehnica High Resotution ( HR)
GRIPA
SINII)ROM INTERSTITIAL LIMFANGTOZACARCINOMATOASA
SINDROMUL DE OBSTRUCTIE BRONSICAOBSTRUCTIA BRONSIILOR MARI
S E DIAL LE ZIUNII :- extrabronsic:)compresie,tractiune,indoire;- IIlUf al:)tumori,infl amatie;- intrabronSic:)secretii.corp strain,tumori;- mural * intrabronsiC=>Canger
SEMNE RADIOLOGICE:
-Dinamice- - Statice-
fe nom en "p endul mediastin al " -emftzem sistem atizat( deb ut)(Holzknecht&Jacohson) -stelectazie sistematizata:prin stenoze cu ventil, segment,lob, pulmon.
SINDROM OBSTRUCTIE BRONSICA
SINDROMUL VASCULAR
Fluxul sanguin pulmonar depinde de:-integritatea patului vasc.;-debitul arterial pulm.;-presiunea artlvenoasa. Alterarea acestorfactori duce la modificari morfo-functionale'decelabileimagistic.