Coulomb M, Dyon J F, Lebas J F, Sarrazin R
J Radiol. 1979 Aug-Sep;60(8-9):463-76.
This work is based on the separate study of a triple material: axial gross body sections from cadavers (4); normal and conventional radiographs with or without opacification; in vivo scans (210). Authors have selectionned thriteen scans patterns according to several regional levels: supra-aortic scans (n08 1, 2, 3); scan through the horizontal part of aortic arch (n0 4B); the scan of the aorto-pulmonary window (n0 4B); supra-cardiac scans through intra and extra-pericardic parts of great vessels: vena cava, aorta and pulmonary artery (n08 5, 6, 7); heart and cardiac cavities scans (n08 8, 9, 10, 11); scan through the retro-crural space (n0 12). Knowing these regional scan patterns, makes it possible to the radiologist to manage a topographic approach quite adapted to the technical mode of direct scannography through the area of interest, already tested by some constructors. The non pathologic variations are numerous. Mediastinal lipomatosis, dilated and tortuous great vessels in the older and atheromatic individual, constitutional variations of the vessels topography. Limits found out during this work concern heart examination and hilum study; great strides are to be achieved in these fields because of the unceasing technical improvments.
尸体的轴向大体切片(4例);有或无造影剂的普通和传统X线片;活体扫描(210例)。作者根据几个区域水平选择了13种扫描模式:主动脉上扫描(编号1、2、3,共8例);通过主动脉弓水平部分的扫描(编号4B);主肺动脉窗的扫描(编号4B);通过大血管的心包内和心包外部分(腔静脉、主动脉和肺动脉)的心脏上扫描(编号5、6、7,共8例);心脏和心腔扫描(编号8、9、10、11,共8例);通过膈脚后间隙的扫描(编号12)。了解这些区域扫描模式后,放射科医生就可以采用一种非常适合通过感兴趣区域进行直接扫描成像技术模式的局部解剖方法,一些制造商已经对此进行了测试。非病理性变异很多。纵隔脂肪沉积、老年人和动脉粥样硬化个体中大血管的扩张和迂曲、血管局部解剖的体质性变异。这项工作中发现的局限性涉及心脏检查和肺门研究;由于技术的不断改进,这些领域将取得巨大进展。