![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=1738890726-JJE2By032uJUwSIcFxzQaVWRfKi4PJ96-0-7a3c90791975b5445513b0b305b831d0)
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=1738890726-lc2xUzIZjOPhhvb6x7bNL9t09sJdGScn-0-4f7b8c141ad02c9f13077188be03a26e)
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=1738890726-pbJqSGoVrtv0NyTFHA6O5aWfY6svaWT8-0-bb9cef2412a91f4f2b003153fbb8bcce)
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=1738890726-YxOlVHkZOBvrZAINa87n4bU99VArXHne-0-e6707d2a71d9f603981a324b1c92bf7f)
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=1738890726-qTHZeTasE7mbNUSDNE1Usk27KSjCsVAi-0-5e779d2508b94ae2171fc73e96ca6088)
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=1738890726-1UtuoAODXonh6pXcZdvuq3H3NNhPOiCZ-0-5db460ec77fa22af37c66c32948a3cd4)
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=1738890726-aotLWHYcPDkVH3bIRwIvZvyv6OUcZGOD-0-177f47f4cc6f1988f47698a39a28de37)
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=1738890726-QBIdVjPqfbmF3H9VlscwDK84JurUffh8-0-5d245cd0d1d8f9e4678e7283f29f0d46)
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=1738890726-8hXtshiA7Vh84QJrIIm8O4Xy2hpPHD2M-0-8133e7d7def59fd4a186895caa7d35c1)
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=1738890726-UFbVAvbDabyqmmuTfV4RM00qQabwQ4AT-0-29fca70362d41b198e32ed6014c1d155)
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=1738890726-evoQXlQyldWU7nOWRGo7UB7QWFtFGaWQ-0-51993acb712f73bf1cbc73b9a165d20b)
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=1738890726-QsPfIpqQXnPDS6OBiQXDnGe8mnpfXJcV-0-a4c1140fe8f6174f27754f20eed4f684)
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=1738890726-WAYMRaysLuDSz3GX2d0Y6Ze6f81pNSHf-0-0c5efab4b3e0592509c019ac5ee6f063)
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=1738890726-eXCBghWNfjnj5VKTdHvPKdOafVBPORlU-0-4f662f63f758691899c0da5579fca564)
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=1738890726-t6JZpYJ3F4kiEiJGYpMSZ0FEuNxNfnMS-0-bba4123fdb2d36aef3a039089424408a)
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=1738890726-Ffsqya5XB9wNAPtZct2ODZ3MmNJbTGd8-0-d07fd90fc0501444cd86e7a6831c9c68)
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=1738890726-ncL800uyJTgY51k9DvkwYqRKdJHIgqA9-0-cbf79da195d0c8c67c265c98257d6d98)
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=1738890726-lpMQKSq5Jswq8VlxH0sZfiZ16gRoWWjJ-0-505dd9aeab01701535f6d8e78f9252dd)
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=1738890726-nmWIUTTd86FvFJ71GaC5lJX9hp2zuvQR-0-e3d2479859f0e0328a7f385ed9404df5)
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=1738890726-5TmbAq5UbgJVwf69NVzZWp8bHdmfulUW-0-a817e2c5563d1745cbaa918678ebcb97)
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=1738890726-sVKtKcTAoEOxTocf4R9fjWuKAGoQgcAN-0-8885d1170a42dcc5d73bda8140803a09)
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=1738890726-uECANuSBYM1s98W6YJXO1kOi9weIW5tD-0-3a4767f79c9aa6997e6337c8d1fcd33c)
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=1738890726-hXuBZuNnYOZqucMUpDIC3gd03SJf9BDr-0-f06bc30154b4b4cd61b277e3542e6014)
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=1738890726-Vk5Q5huJCV5JkrgrPLi7OqwakGiic5K2-0-f2b97ffead4de5d9ed921f95655339fc)
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=1738890726-huGUGxWZfjlBmtU0PAboFcVrTZRIJSPx-0-5c59086d264eb7124974f0d24fc50115)
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=1738890726-hWORWZkSc2bZET0rKGcSRIckWzM4Oqmv-0-01d71713187eccd4eebb907fd9ff92ed)
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=1738890726-eu8rPreOz2chAnijWyuau4pmEd6bLi69-0-7b473c4207bdadb8b62a6db30e21bdc3)
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=1738890726-QX2Ss16NK9RoWxfcYkFjL8oZjutbIHYY-0-b2f4a68c5434e42c7bf72076312619d9)
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=1738890726-UZtqLw1OK4RbV3YEFcdAxUBUySsgUsSX-0-fe5e5e159e532ef1d16fdc3ac05730b4)
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=1738890726-03zqOku1urI4a8oNzh6Mf6oK2ySFI5zI-0-81b9c23714d6311a9ffdf0966dc7b9b2)
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=1738890726-Ig8MhlYOgC4O19TzgdKKzEXRk5tNIJ69-0-b4a58d56dc6140a07b02a895cf1fbdda)
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=1738890726-wYrds2Fg6DpAKpZG08CaEX69zLoAvYXM-0-b9f783ab15b018bd40764169fd1c884e)
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=1738890726-dkpXMo3K3N6py5gJb2ifRSS7qNEbC63R-0-2f1d05dc92bfa9e914d3d72072908950)
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=1738890726-OlGG0ZwGqvdt0MBYK6wkB1tEgi1iZdwM-0-a1fa865cfaa2640d2564286c7bc5421f)
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=1738890726-DImNukXrxjnk7jE2TUVbfv5ZdSvL8IDL-0-9ec51d123644575d109979269a01fe1f)
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=1738890726-CmEQdIZKAA28sP9Vt6TNdahm7IZDkEp9-0-82499781734c8dabb5f4d9fec8d456a8)
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=1738890726-eYfgCEv4I11DrrzdG8BF4OV33tjNjMTO-0-64af522b5a2d2cadc38403620522d5e1)
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=1738890726-YPYXRg1Z00H95xlnCiF4lXeLJ4d1dESX-0-685f5f2f5f86fb7d4eae70616af217bf)
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=1738890726-8ifcgMS170oZLCVXdPLYCuKgcNVRGf4X-0-b8290eeb111b1473dba6397432d6bad0)
图3-1-39 经中脑导水管的冠状面脑彩色3D-MRI图