Professional Documents
Culture Documents
of the
Brain
Prof Dr Mahmoud El Sheikh
Lecturer Abdel Aziz El Neikedy
Ass Lecturer Mohamed Samir
Radiology Department
Faculty of Medicine. University of Alexandria
Objectives
• Demonstration the radiological anatomy of the
different parts of the brain.
• Identification of different parts of the brain using
the imaging modalities.
• Differentiation between different modalities
used to image the brain.
The medical imaging modalities include:
• Conventional Radiography
• Computed Tomography (CT)
• Magnetic Resonance Imaging (MRI)
• Ultrasonography
• Nuclear Medicine
And Interventional Radiography
Computed Tomography (CT)
Principle of CT
The X-ray The X-rays
tube after
rotates traversing the
around the body are
patient in a picked up by
circle while the detectors
a ring of and are
detectors transmitted to
rotates the a computer
other side chain that
of the reconstructs
patient. digital images.
Normal CT Scan of
the Brain
CT scan of the Brain
Magnetic Resonance (MR)
Magnet
Radio-frequency Coil
T1 Weighted Images
Anatomy of The Brain
• Cerebrum.
• Cerebellum.
• Brain Stem.
• Pituitary Gland.
• Dural reflections.
• CSF Spaces.
Cerebrum
Cerebrum
• 2 Hemispheres.
• 4 Lobes
(Frontal, Parietal, Temporal & Occipital).
• Commissures.
Cerebrum
• Lobes
MR
Frontal, Parietal, Temporal & Occipital.
CT
Cerebrum
• Lobes
Frontal, Parietal, Temporal & Occipital.
MR
Cerebrum
Commissures
1- Corpus callosum
(rostrum, genu, body & splenium).
2- Anterior commissure. MR
3- Posterior commissure.
4- Hippocampal commissure.
Cerebrum
Fissures:
• Interhemispheric fissure.
• Sylvian fissure.
• Parieto-occipital fissure.
Cerebrum
Fissures: MR
• Interhemispheric fissure.
CT
Cerebrum
Fissures:
• Interhemispheric fissure. MR
CT
Cerebrum
Fissures:
• Sylvian fissure.
Cerebrum
Fissures:
• Sylvian fissure.
MR CT
Cerebrum
Fissures:
• Sylvian fissure.
MR
CT
Cerebrum
Fissures: MR
• Sylvian fissure.
CT
Cerebrum
Fissures: MR
• Parieto-occipital fissure.
Cerebrum
1. Gray Matter.
2. White Matter.
Cerebrum
Gray Matter:
• Cortex.
• Deep Nuclei.
Cerebrum
• Basal Ganglia.
• Caudate nucleus.
• Putamen.
• Globus Pallidus.
• Claustrum.
• Subthalamic Nucleus
Cerebrum
• Caudate nucleus.
Cerebrum
• Caudate nucleus.
Cerebrum
• Caudate nucleus.
MR
CT
Cerebrum
• Claustrum
Cerebrum
• Thalamus
Cerebrum
• Thalamus
Thalamus
MR
Cerebrum
• Hypothalamus:
MR
Cerebrum
• Hypothalamus:
• Infundibulum.
• Tuber cinerium.
• Mammillary bodies.
MR
Cerebrum
• Hypothalamus:
MR
CT
Cerebrum
CT
• White Matter.
• White Matter. MR
• White Matter.
Internal capsule
External Capsule
Anterior limb
Genu
Posterior limb
Brain Stem
Brain Stem
Brain Stem:
1. Midbrain.
2. Pons.
3. Medulla Oblongata.
Brain Stem
• Midbrain:
Cerebral
Peduncle
Tegmentum
Tectum
Brain Stem MR
• Midbrain:
Interpeduncular fossa
Cerebral peduncle
Substansia
Nigra Red nucleus
Cerebral
Aqueduct Colliculus
Brain Stem MR
• Midbrain.
Colliculi
Brain Stem MR
Sagittal
• Midbrain.
Brain Stem MR
Coronal
• Midbrain.
Brain Stem MR
• Pons.
Basis Pontis
Brain Stem
• Pons.
MR
Brain Stem
• Pons.
MR
Brain Stem
• Pons.
Cerebellar Peduncles:
1. Superior.
2. Middle (Brachium Pontis)
3. Inferior.
MR
Brain Stem
• Medulla Oblongata.
Brain Stem
• Medulla Oblongata.
MR
Brain Stem
• Medulla Oblongata.
MR
Pituitary Gland
Pituitary Gland
Pituitary Gland
Pituitary Gland MR
MR
Pituitary Gland
Optic Chiasm
Infundibulum
Anterior lobe
Posterior lobe
Pituitary Gland
Optic chiasm
MR
Infundibulum
Pituitary Gland.
Pituitary Gland
MR
Optic Chiasm.
Optic Nerve
Optic Chiasm
Optic Tract
Optic Chiasm.
MR
Optic Chiasm.
Optic Tract
Optic Nerve
Optic Chiasm.
MR
Optic Chiasm.
MR Optic Chiasm
Optic Tracts
Optic Nerves
Cerebellum
Cerebellum.
Location.
Cerebellum.
Parts:
• 2 hemispheres:
Anterior lobe.
Posterior lobe.
Floccunodular lobe.
• Vermis.
MR
Cerebellum.
Parts:
• 2 hemispheres: Anterior lobe. Primary Fissure.
Anterior lobe.
Posterior lobe.
Floccunodular lobe.
• Vermis. Floccunodular
lobe
Posterior lobe.
Tonsil
Cerebellum.
Parts:
• 2 hemispheres:
Anterior lobe.
Posterior lobe.
Floccunodular lobe.
• Vermis.
MR
Cerebellum.
Parts:
• 2 hemispheres:
Anterior lobe.
Posterior lobe.
Floccunodular lobe.
• Vermis.
MR
Cerebellum.
Parts:
• 2 hemispheres:
Anterior lobe.
Posterior lobe.
Floccunodular lobe.
• Vermis.
Cerebellum. MR
Cerebellar peduncles:
1. Superior.
2. Middle (Brachium Pontis).
3. Inferior.
Cerebellum.
Dentate Nucleus.
Dural Reflexions
Dural Reflexions.
Meninges.
Dural Reflexions.
Dura Mater.
Dura Mater.
Falx Cerebri.
Dural Reflexions.
Falx Cerebri.
Dural Reflexions.
Tentorium.
Dural Reflexions.
MR
Tentorium.
Dural Reflexions.
Diaphragma sellae:
- A dural fold that is stretched
between the
anterior & posterior clinoid
processes.
- It roofs the sella turcica & is
pierced by the
infundibulum of pituitary
gland.
CSF Spaces
CSF Spaces.
1. Ventricular System.
2. Subarachnoid Spaces.
CSF Spaces.
Ventricular System.
Supra-Tentorial.
• 2 Lateral ventricles.
• Third ventricle.
Infra-Tentorial
• Fourth ventricle
CSF Spaces.
Lateral Ventricles.
Lateral Ventricles.
CSF Spaces. MR
Lateral Ventricles.
CSF Spaces. MR
Lateral Ventricles.
MR
CSF Spaces.
Lateral Ventricles.
CSF Spaces.
Septum Pellucidum.
MR
CSF Spaces.
Foramen of Monro
MR
Fornix
CSF Spaces.
Third Ventricle.
CSF Spaces. MR
Optic Chiasm
Pineal Body
Infundibulum
Lamina Terminalis
Tuber CineriumMidbrain
Mammillary Bodies
CSF Spaces.
Third Ventricle.
Massa Intermedia
Chiasmatic Recess
Infundibular Recess
CSF Spaces.
MR
Third Ventricle.
CSF Spaces.
Aqueduct of Sylvius
MR
CSF Spaces.
Aqueduct of Sylvius
CSF Spaces.
Fourth Ventricle.
Roof:
Cerebellum.
Floor:
Pons.
Upper half of the medulla.
CSF Spaces.
Fourth Ventricle.
Drains into:
• 2 lateral foramina of Luschka.
• Median foramen of Magendi.
• Central Canal of the spinal co.rd
MR
CSF Spaces.
Fourth Ventricle.
CSF Spaces.
Cisterns.
Cisterna Magna.
CSF Spaces. MR
Sylvian Cistern.
CSF Spaces.
Quadrigeminal Cistern.
MR
CSF Spaces.
Quadrigeminal Cistern.
MR
CSF Spaces.
Ambient Cistern.
MR
CSF Spaces.
Cerebello-Pontine Angle
Cistern.
MR
CSF Spaces.
Supra-Sellar Cistern.
MR
CSF Spaces.
Interpeduncular Cistern.
MR
CSF Spaces.
Inter-hemispheric Cistern.
MR
Cerebral Vessels
Cerebral Arteries
Left
subclavian
artery
Arterial Vascular Territories
Callosomarginal
Pericallosal
Frontopolar
Medial orbitofrontal
Middle Cerebral Artery
M3 segment
Lateral lenticulostriate
M2 segmnt
M1 segment
Cortical Branches Of MCA
Angular (A)
Intracranial portion
Foramen magnum
Cervical portion
BA
VA
VA
BA
Vertebro-Basilar Branches
PCA
SCA
BA
AICA
VA
PICA
Ant.& Post spinal arteries
Supratonsillar
Precommunicating-P1
PComA
Ambiant-P2
Quadrigeminal-P3
Branches of PCA
Parieto-occipital
Calcarine
Posterior temporal
Circle of Willis
Circle of Willis
AComA
A1/ACA
Supraclinoid ICA
PComA
P1/PCA
BA
Cerebral veins
The cerebral venous system
Vein of Labbé
DEEP VEINS
VEINS OF
THE POSTERIOR CRANIAL FOSSA
Vein of Galen
Sigmoid
Superior Sagittal sinus Inferior Sagittal sinus Straight sinus
Cavernous sinus