![临床脑神经束图谱](https://wfqqreader-1252317822.image.myqcloud.com/cover/848/27613848/b_27613848.jpg)
第三章 正常志愿者神经纤维束图例
第一节 脑MR 3D成像图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-1_108531.jpg?sign=1738891070-BZ0d2I27P9u9OaEQeHfi98ghtZYkTwW4-0-0f30cb6bf2e3170ec8abe1d1e46b0072)
图3-1-1 经舌咽迷走神经的横断面脑3D-MRI图
在此层面上重点观察舌咽迷走神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-2_108534.jpg?sign=1738891070-qLugV9lfr0Zp3MGCcqVipg7KsiVsMMmN-0-d2b24b43429bd5a363389feeda09f699)
图3-1-2 经展神经的横断面脑3D-MRI图
在此层面上重点观察展神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-3_108539.jpg?sign=1738891070-YwpYB8zK8OTEfOIpNcrAas5vLZoJJ3Kg-0-522c82befee841ac4ea5cce23a16271f)
图3-1-3 经面、听神经的横断面脑3D-MRI图
在此层面上重点观察听神经、面神经
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-4_108542.jpg?sign=1738891070-wHKU2EbuZPZEVIloFgmtDFjUZe5N5T3z-0-92a0ae656feedbe9d15df9b2962269bf)
图3-1-4 经小脑中脚的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-5_108547.jpg?sign=1738891070-BKCEbMCrjqjSOBlp2asUgxCuLJoIcRrh-0-4fa1382d546a7d38b9c37ace385a6879)
图3-1-5 经三叉神经的横断面脑3D-MRI图
在此层面上重点观察三叉神经和小脑蚓部的形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-6_108550.jpg?sign=1738891070-z4MztxVUsa8zLeKem5W5whkPNyazqply-0-8f655d1e7ca4d96d100ada0b7a11c51b)
图3-1-6 经第四脑室中部的横断面脑3D-MRI图
第四脑室正常形态为“马蹄形”,位于中线,四室中央位于两侧乙状窦壁连线的中点上
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-7_108555.jpg?sign=1738891070-CgkYeJXDIE2u4OKoZnKjDcCIzJbGPfew-0-7753399ac1376c3448a53688c5793c5d)
图3-1-7 经小脑上脚的横断面脑3D-MRI图
本图主要显示直回、颞叶下极诸回的解剖学形态,其中侧脑室颞角的形态、位置在神经放射学科工作中很重要
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-8_108558.jpg?sign=1738891070-RbV4QYJGxvvWOlEzL8WDOkSn1rYioBU2-0-8a7d878305ad10da263c0a2fd6c20f7d)
图3-1-8 经视交叉的横断面脑3D-MRI图
在此层面上要注意侧脑室下角的形态学变化,可以间接地判断颞叶病变
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-9_108563.jpg?sign=1738891070-WizxANQVmSMIKFBztaWBvufxyj2AUHdz-0-fb20eff93560f5771ef69a9f308c28d2)
图3-1-9 经海马的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-10_108566.jpg?sign=1738891070-j6atNmxW5HTnFkxiZ30hwBWuW6Xga8As-0-808e5943f745f426931080198306619f)
图3-1-10 经乳头体的横断面脑3D-MRI图
在此层面上要注意观察乳头体的形态、位置及信号
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-11_108571.jpg?sign=1738891070-Dv3H4GJNYzNsQ5LcPUg8Fc5Cirl3tE8B-0-258a23931802eefbbefecc80f096a899)
图3-1-11 经前连合的横断面脑3D-MRI图
在此层面上要注意观察第三脑室的形态与位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-12_108574.jpg?sign=1738891070-GZGCiw3elWvqchJDzZFLr6mRxyqje3V2-0-0bb7713c076f37ae8a087631d7216ff7)
图3-1-12 经穹窿的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-13_108579.jpg?sign=1738891070-HGlbMx2v34lMKNGRGQXtE08FlXg1V6wj-0-2a682caa38e484c94bfc400daf530d19)
图3-1-13 经后连合的横断面脑3D-MRI图
此图应注意了解穹窿和后连合的位置与形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-14_108582.jpg?sign=1738891070-7Y2zI2dEkLJ3YW3cGylHQQYrhLdDrF7t-0-e7fb633ad64d2857120e745157d1dc87)
图3-1-14 经松果体的横断面脑3D-MRI图
在此层面上要观察松果体的形态与位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-15_108587.jpg?sign=1738891070-Pt0kqrOtJt3vWpYcfMTvi39vzsSPVHv4-0-e23b20a10b4e8888e05daa8e5577d8b6)
图3-1-15 经胼胝体压部的横断面脑3D-MRI图
在此层面上要注意识别额叶、顶叶、枕叶和颞叶的解剖学分布与脑回标识,了解脑白质的形态与分布特征
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-16_108590.jpg?sign=1738891070-AAW3Eetwbn2ybMaG0IeiWh9FDTLSRsyK-0-e4166ef1ef5300cc8d693f1d23c93616)
图3-1-16 经穹窿的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-17_108595.jpg?sign=1738891070-q5ydkdthZJ2NQgGnqYYlDUgEBCIPK9fN-0-9e5d0ad363bd01ff6e18c626aa8f43f5)
图3-1-17 经侧脑室体部的横断面脑3D-MRI图
在此层面上要注意了解额、顶叶的解剖学结构,观察尾状核体部的解剖学位置
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-18_108598.jpg?sign=1738891070-3K80dUvYhiS0OOmxMrUbit4WqNZyZazR-0-ea8db3fe076d95750e3119e7a8264de4)
图3-1-18 经扣带回及扣带的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-19_108603.jpg?sign=1738891070-29MNraAf0kL1w6iuFJzmz3VcNjdYm0mY-0-4054fdfa5f14f6a56d5f8d1bf2576b14)
图3-1-19 经半卵圆中心的横断面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-20_108606.jpg?sign=1738891070-sZuTtn8kHBOfeaoa3B2a2XQDEKqC9ozE-0-7af7c2b99f213f0df9b45412cca0d83c)
图3-1-20 经后连合的斜冠状面脑3D-MRI图
在这部分3D-MRI图像上,要重点观察脑白质的解剖学结构与形态以及脑白质的扇形构筑,同时也要注意灰质核团的立体形态和脑皮质、灰质的覆盖方式与厚度
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-21_108611.jpg?sign=1738891070-56CPOchVcmXDwb1oL1ZdtNDoDCT3pqua-0-d1a3605893ea7b204643048fc0542014)
图3-1-21 经小脑扁桃体的冠状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-22_108614.jpg?sign=1738891070-b0N3pjJ4IUC2NcJtEnLFiLMNMspygrNy-0-b48972ad52db4868261cce8cfc67c614)
图3-1-22 经中脑导水管的冠状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-23_108619.jpg?sign=1738891070-5hdk81Wlktupli32kyPPghpmNH5RXaU0-0-0216ea3632cec94ad64b4a42213bc07a)
图3-1-23 脑的斜冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-24_108622.jpg?sign=1738891070-uMuZL7t15paii0kpdqs1bn1MJbNXepju-0-b2661d277c08954744a37e3f522e0c99)
图3-1-24 脑的斜冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-25_108625.jpg?sign=1738891070-Y3n4kZvh6hJenR6TVyH89e5iUDIpnkIL-0-41c2c173c3a8d425f3b815181c24602a)
图3-1-25 脑近矢状面的冠状3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-26_108630.jpg?sign=1738891070-qCBj1OHiYeYn0uoEohSQoDPSJTXzwvVV-0-1bdbdd9a00699a6cbd1830928c8c62fd)
图3-1-26 经垂体柄的矢状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-27_108633.jpg?sign=1738891070-EEiwuZAkECuMkFP4acW0GeJo4mo5TBx9-0-0a2f67e1d2b8abf08ac12d2a04e57054)
图3-1-27 经中脑导水管的矢状面脑3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-28_108636.jpg?sign=1738891070-Waxb31WiHcbEuyZ6ly6syfGbA1sypdS5-0-314e5197c7b26dad358da825fd2ec023)
图3-1-28 脑的近矢状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-29_108641.jpg?sign=1738891070-wABQHPpaFFNYuctyglxlITXHKknZWlos-0-70a24326ac9cf701da8276e39c9a77a5)
图3-1-29 脑的近冠状面3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-30_108644.jpg?sign=1738891070-DWaGvDDBVZ2ydNzVK0kIcSbrPKq4JcAE-0-91e5a4b4231c8eb68e2ee1ade9f99ccf)
图3-1-30 经第三脑室的近冠状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-31_108647.jpg?sign=1738891070-Irgmlg6SevidXsZ9ruOFgsyySalPiiKB-0-208f83842b9d8c022ef0dcc7a072bdf6)
图3-1-31 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-32_108652.jpg?sign=1738891070-90CF73yavFZCrmNPck54iMTCHUS5FJox-0-26b9f4b241ffb195cb6cb455a87f6348)
图3-1-32 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-33_108655.jpg?sign=1738891070-Pig9PzK1Y59ZzBBCegJCm9ml9sdsnOCl-0-0a14a4e36fcab0867dc808ddc8485352)
图3-1-33 脑的斜冠状面彩色3D-MRI图
顶枕叶的脑白质形态像一条“龙”的形态
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-34_108660.jpg?sign=1738891070-2puFnuWESI19Wdu3aa4y0eHFvpLl01Xe-0-8e9968fe7879f7a2d9d502041458723f)
图3-1-34 脑的斜冠状面彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-35_108663.jpg?sign=1738891070-qQBsDUb6Cb9Ra6zq8xI7ccYBEtsIlUXc-0-4548e9ca1b03120dea0a8239588b4bb6)
图3-1-35 经胼胝体正中的矢状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-36_108668.jpg?sign=1738891070-f8LjJ2V64dLix8iqLesM4ODEIcPYxUGY-0-58c9d67de7a4de180b0cfa97b6db05a3)
图3-1-36 经基底节的横断面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-37_108671.jpg?sign=1738891070-jx8ZVBVkZKocoQPPTQdVcB8Y5VoZzqdh-0-75d4daf937855421316a5611621835d9)
图3-1-37 经后连合的冠状面脑彩色3D-MRI图
两侧半球的脑白质形态,很像“龙”的形态,像两条相戏的“巨龙”
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-38_108676.jpg?sign=1738891070-pniGaVyn1832699wELRr6UlMUELBu7SP-0-ddfd859e6c71a944f3c2233d6a0a38ae)
图3-1-38 经小脑中脚的冠状面脑彩色3D-MRI图
![](https://epubservercos.yuewen.com/EF88FA/15859879204976006/epubprivate/OEBPS/Images/P3-1-39_108679.jpg?sign=1738891070-TyLEgvZOcsb2rOCb3U6B62RstDRxxyQP-0-fe8a8f81c6f9e8d0d6e7d8834ca36ca1)
图3-1-39 经中脑导水管的冠状面脑彩色3D-MRI图