![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=1739533670-goUPoAipUXEV6C5Y9DYjxprOeUDJAlS7-0-f2e3c5838c5c8b313902c5de5567e267)
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=1739533670-9RMZD1kzgfMnKQIzTGazvcs774tQvd85-0-58ab930f8f7b63371ef30086535049ca)
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=1739533670-0y9JNMkTvmHFmUNxIGQYFR6pLNT47FWM-0-f06dacd299b221446d2f90e552d9efe6)
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=1739533670-9SP7spiw9GmrVKokN5gIqFlMlFWgJzwQ-0-fbfcaddf6c33ee68da10cad31a088836)
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=1739533670-WigKFNQcUu40kdlFB9RxwOGkUquYaMjz-0-4b09ba03b75108d14151ee5300e25d59)
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=1739533670-ZSCZ8KW6rfcz9tfD6P7ffhsqTEYbQqRC-0-eb7c890a7fb50b199f6e54cb35c86781)
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=1739533670-2JnYfNLK9KZmbhEK0EcilvGRBkgr9a2L-0-71df4d7d84cfe740c1d7a1cf2e6a9b69)
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=1739533670-fyXSvumh7pWWXbl0U1lLn8HFSkP6tSfx-0-0847a6c8f655d1563008f15d061399dd)
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=1739533670-1LbgNingVhkavM8TBzsYirIJ1ZMEGACX-0-deb94f66a4833f5a3ec9db001036835f)
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=1739533670-7ipbYQ6zapdtWYtL4OdZ5YT2SPpWmLwi-0-d36ab9878a83ec0105d9792fb5528a4c)
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=1739533670-ZIoQtKdcxch9nJwK4siQUhjJLUjWU582-0-61ba52fbc6625453daa0afb0fcea682c)
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=1739533670-t0LdQclsyzaUzMzenrVEcABxmXWFVcU0-0-ddd80c1686c79d4031a4a443ae938678)
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=1739533670-tk5uY7zoOKftwP3I6RrQaAnfBawS6HwK-0-542ebf878996d75025dd5b48cc4af083)
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=1739533670-mdl1pD039O8F2u5xubI5FXX2QpxUSjQL-0-d25d2c810ee577119d4522e1aeb64235)
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=1739533670-fCk56300MmzgFat2bEmuI5hM9Bkn2Bp6-0-b1d99d14bac7b8442a36745aac8e61a1)
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=1739533670-UgnXlUvlBTzQl9hlqLNfwRuZSpzrOFjA-0-f031ed7cf0f0ebcc021d34506f4f46a1)
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=1739533670-hpws8DKrvWVzPu0MJDMAg3zG5jGkveFt-0-c1509f4d9bba1465961a9d0ba729fd1d)
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=1739533670-EVg0BBOI1MNCzf9lOz7hERwHySDe0jBp-0-fccd91f4ee829caa01f41f49f034550e)
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=1739533670-Z16L2BSEFw6IIQDulOSiZlGq9wcR6I7P-0-e40320ab162a3b5c260ae121e28b6100)
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=1739533670-Gin7aA7hnH00KkNacd5lo3dROqcWRVlw-0-82dbdb1b3d268795d2e9687b36cfd8f2)
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=1739533670-90XOLmbg8yyWMyRVeMLcNg3JSW3BgGzd-0-5698e1356aa8f0dc8240704cb2384287)
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=1739533670-TUfOtjGB6vFxFn5juyi85CIompWVW6wu-0-a41e4524035270fdae8def847c26ff98)
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=1739533670-WBMllB6jyQaZ6KZUMY7MQWLcqjhytyYe-0-cf642f5229bc27d79bca2041867cb632)
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=1739533670-Z6Tt5nIPlRRYM2lmYhtd9TshIURaSx7D-0-98b15cc8f13d1a1f80b067ff33d78f7c)
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=1739533670-2gOU5EurrGd7GCYcdfFHcwiMYidj2BY8-0-6277d8fcee9c323040506ffd31b858a1)
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=1739533670-yage1j8bXxfn2iys6NvvRRGJ0TlebCvq-0-a8caac021f6e7e99cdae2035062df91d)
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=1739533670-79ISSiD2eCf22FC8zJ7ZC34k1cbtok8U-0-4a278ef3f80cd9cfd640cc9c0ae071fd)
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=1739533670-Wi93TnsfgvgabODPtN7OuDNA9Dh4c0kv-0-89d44c4b288333310b428faef0f71a18)
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=1739533670-bu9VTCruV7uz06dYJjoYzWkdVRVxpFWR-0-91058b40115054d68121fbd6efa2c4a3)
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=1739533670-QnaX26s3I8pHWTa0JPV9nYczYZjPqQs7-0-84c8f27ca2548a6d4064f05bb33a9889)
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=1739533670-acW5z4yRAvPYP1riutJ9UgvYtdK4vjvx-0-3aca00f1ef1afc123c52911192149561)
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=1739533670-pSvWqlQe20eWYORQ16U9fCC1ooZLFETG-0-2e484a355bd8d3794ab4f1e7b8d14ab3)
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=1739533670-xHhblhgFuGLtayOShwvQqJSqhkZVdf2J-0-6627a19da3904d521d71019ca97e8f0c)
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=1739533670-NgChsr3s4MFfyLvdkhLeV9n9AN3DUkKD-0-a14f83934d4a69801d36eea3dcdf0b5f)
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=1739533670-aUdRjTbEu1uKLdgMJqwGOWKWz7CI1HWg-0-8e1479016342903df94181b81569ce8b)
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=1739533670-qBrRHJ98R0TXp3V8awjVP7DMg7BnL4oo-0-5fe17ca2b1a60f9635ecd6c590b5ee50)
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=1739533670-awjhBCLgiSklezUC8nStQoNIcwXl4GqY-0-5241f75e8d8b80354f27f01666cfe20e)
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=1739533670-4kGXXkzInBnhDwTRYYM7UL2l8gZdxasf-0-60a2b03eb4ebde3e73ee7f193a6e7e92)
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=1739533670-c88uZuFN6Yb2bTgqTTajGXgRRlcdwg7k-0-f8ec5454d3be63068d8d89e13f2a11c3)
图3-1-39 经中脑导水管的冠状面脑彩色3D-MRI图