![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=1739305132-ppiPZqXVKBqyrhOhjJctzkYhl0iJFsQd-0-2ca53d395a87adc29f23815cdd5778ba)
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=1739305132-5LVLWUGY9048LlATg0fHrH0H9OQP6RKI-0-9ada963a09e5ef35bd8c271578809959)
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=1739305132-VpPUKkOmTxtaRmcgoAvdhT9fX3f7ZPBO-0-5e206e55869ec9363149dacca9d0e81b)
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=1739305132-ExQDMwRmrTxaHwRHkKd3Rr0cz0VB8QvX-0-d24618ce3139edc30f628db8ef23fea8)
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=1739305132-ZihOdWFZ6APcPlI7k9aJ3w8TMMkvWZx4-0-bf72af114086468afc39056826978341)
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=1739305132-rlMiS8d4uvQjsXM2DghdIG3E44aHg5c3-0-e836a0f4ca54f9aefe08bd91e3acedc1)
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=1739305132-OfE8MoO3iZgu9AzFcXYGtyxVYhuF2R7M-0-4f1a41e3dd485a52614b3404c1c4a7f0)
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=1739305132-Xd76vIlSdHkXiw6DzN3GSTgJKVnZaf0r-0-54aa7e02f0a194f47a787dd0a21e021c)
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=1739305132-T0kPonoZlgxIorWjjZSzm3ZBNohQytKl-0-1f6b09593f2d667735593d078c3c42ba)
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=1739305132-xNUPudnhbSGzN6yJDjXCi0SE9a6z4gu5-0-d5219f9f33a1f1586e5234c137577440)
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=1739305132-af8vNQKyT9AjcuyKkfni1LvIWyFY1Ld3-0-3a4324ae78352184389cd08999a3cbe2)
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=1739305132-NkxCqEbV3tgZFu5Acii6yte8wcbaYB51-0-5997372c6086861ca9a97e5a8fc97863)
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=1739305132-UZ9FeQswng8eerGefnQibi1SqJeFgW9G-0-c77795de777aaaa167019d9b38d1b3c0)
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=1739305132-FS7bN1AilgJ7sQIKHVYFlxEvcFh7MZcA-0-f7a56556129cee0a98fcb65e23a5f21d)
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=1739305132-RzcXsrRSSfkmvOyMvIiTvRwKv41nOuOm-0-cf58ac5666878e181762a4a737eb888c)
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=1739305132-KWy0f42tscu90ucaScT0ZsRk2k6HRIJ6-0-12832eed0937921d8e6661f46ca308c4)
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=1739305132-7COVo8az0yUSutMfgp2r9xsZ6k5pjFB3-0-e63d1e367eaa680d693b839e88c3447e)
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=1739305132-TkWlEaIOzx34ttCsEF3TtYpaEuFJutJT-0-0b1d999faa61a2ff22e2ec069e89df2f)
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=1739305132-olEzWsxjK8IuS9lai3y63LojIwaAQBfZ-0-76a64bd9828ba7258ccbf3bece6b3338)
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=1739305132-3cxWE6HikZwQwfacjj28UBeKzxkwy2L9-0-077ae5f0d4b00a5f01d1c8db15085f43)
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=1739305132-hunMLaLpLU3pi3joQhpTUrK9U6Kf31d4-0-f97b81b47c15caf558f6ac6a7ce19b97)
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=1739305132-wpEsXeIkvmyH8GEU5zuYZigvsQu5Bkoy-0-1d1eab116d044f289592038bea813df8)
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=1739305132-Qpk4CUz0GpWnT9D0cfO80ePLFkLxBoln-0-cccbc9c97eae2cdb0e109d29ffdfe6bc)
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=1739305132-yd2axF4lelqyjO8lgilUZNYf3qeJTtTL-0-7d2db80155a38c8ea3b90b2b2c415953)
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=1739305132-ThEfGD2H6YPnA0tAQx2gFRRCEavE6jQy-0-6d38efab54e2e0b56ff033895bc7064a)
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=1739305132-U42m9Hiezn8ttx9CTqg16W0546SuW42N-0-d502a51d440a681181ff7be57e199bf2)
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=1739305132-IwBqBuPMoXmGVxnSKC0RGukMZ5ju2TLY-0-eea471b34c29c10f459a65e04bfbf9d1)
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=1739305132-qmIn2901j73LlnMhSh65UOQaw8g5fJ3F-0-c957b69c70ba0645cd1a10c62457de5d)
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=1739305132-5XhyrZfGyw6OenJbFYmnWifztgrbfc9E-0-5f6f31d9c2510ea4c45d13734a59a525)
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=1739305132-ZEoBLTV75n8KQaqnV76BwQm6quM9e0nX-0-c792e5924977b277a4e13ceacc56ba65)
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=1739305132-HvsX8RKghXwm7fWeETw8SUstGomrmOiZ-0-f8562904c0efa45b29321ab044c3b91d)
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=1739305132-zzchpnzJScIXs8q2biE7Fo9x1IyIy2RD-0-c4c5c427cf6bbc4f60c66255fd678903)
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=1739305132-Paiv7SSj4FC0DvZWuGPetigXaVxOcKgF-0-ac7c7b59761df41bac218f079f020225)
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=1739305132-ZFHnGWRlvJLntFJqAFZSOnO85zwnhfyM-0-b50a9c52f0be44dee7814e43c2606e97)
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=1739305132-uUNnvdS459sQtTzH1dMTJhteqgfnEKTa-0-f782a3926a07821da53a1a5b0e090d81)
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=1739305132-murg8XicxUXDpJ9ippmWd4LytqKQipwH-0-a101d2eadc5ac9b535ee5eb846fb4c83)
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=1739305132-PcwBzwANIZ3VimJiLbItlCKmEcd1dKBv-0-45a6b6f7141928a907fe50f06093f15f)
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=1739305132-OubnWKxiwzAH2vxN9nQDOuU1Njj018DR-0-77a4d6eb35c717f5514994dd5effe6bf)
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=1739305132-vjwA442Qc5Gupj9TWARLv4U5n7PfD74k-0-7d4833f01490dfd22999056a54148f5b)
图3-1-39 经中脑导水管的冠状面脑彩色3D-MRI图