Siêu âm 3 D docx

BM Ch n ốn Hình nh H Y Dư c C n Thơ Hình nh ch bóng c a s th t M C TIÊU Gi I THI U • Tr ng en = 2D • Màu = Doppler • 4D = 3D + Th i gian th c L CH S • 1895,ch có X quang quy c • T năm 1958, Ian Donald ưa Siêu âm vào ch n oán S n ph khoa • Năm 1972 có CT • Năm 1980,có MRI • SPECT PET Professor IAN DONALD W C ROENTGEN (1845-1923) (1910-1987) 1958 IAN DONALD (1910-1987) Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html c Giáo Hoàng Ian Donald Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html • 1961 Ian Donald t cách o BPD • 1963 th y túi thai (tình c ) • 1965 th y túi thai tu n • 1971 Stuart Campbell bi u s o BPD u thai nhi năm 1959 Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html 1987 • Ian Donal m t • L p gi i thư ng mang tên ông 1975 1980 1972 1965 Campbell >20 cách Hansmann Thompson TC Chu vi ng c Th ng kê TC Tu i thai AC Tr ng lư ng thai Chu vi b ng 1980 BPD HC AC FL CRL Campbell … Tokyo Kurtz BPD Hansmann Hadlock Osaka Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html L CH S 3D Hình thai nhi 3D- 1986 ( Acta Obstetrica et gynaecologica Taponica ) Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html 3D quét hình h c Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html • u dị qt i n t c a i h c Duke năm 1991 cho hình nh tim real-time 3D Ngu n: www.ob-ultrasound.net/history1.html /history2.html /history3.html 10 PH • • • • • • • • • KHOA Hình d ng n i m c t cung Tính th tích n i m c t cung Kh o sát kh i u t cung Kh o sát bu ng t cung V trí vịng tránh thai Kh o sát vô sinh Kh o sát c t cung ánh giá nang noãn o bu ng tr ng kh o sát ph n ph Hình m t c t trán c a t qua MPR cung ôi Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 51 o CRL, GS MPR Bs Liêm (2009), “ Siêu âm s n khoa”, Bài gi ng l p siêu âm HYD TPHCM o NT qua MPR Bs Liêm (2009), “ Siêu âm s n khoa”, Bài gi ng l p siêu âm HYD TPHCM 52 Kh o sát c t s ng qua MPR Bs Liêm (2009), “ Siêu âm s n khoa”, Bài gi ng l p siêu âm HYD TPHCM Kh o sát tu n hoàn thai nhi qua 3D Doppler Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 53 Kh o sát tu n hoàn bánh qua 3D Doppler Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA Kh o sát s b t chéo ng m ch qua 3D-Doppler Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 54 Kh o sát h xương qua MPR + X ray Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA Khi m khuy t xương sư n qua mode X-ray Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 55 Thoát v màng não t y vùng c t qua mode surface Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA S t môi v i mode surface Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 56 D ng hình não th t v i mode inverse Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA Các lát c t vùng u v i mode tomography Ngu n: Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the fetus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA 57 o th tích ùi qua mode tomogragphy Ngu n: Debora Levine (2007), Ultrasound Clinics, Elsevier M t qua mode surface 58 Bàn tay – tai –dây r n qua mode surface Chân qua mode surface 59 Gi i tính qua mode surface Dây r n qu n c qua mode surface 60 Song thai qua mode surface Bé mút tay qua mode surface 61 Bé quay lưng… …thè lư i… 62 Và m m cư i qua mode surface 63 K T LU N Siêu âm 3D có nhi u thu n l i 2D MPR giúp kh o sát t t nh t d t t 3D b m t giúp tr c quan d t t 3D ng d ng nhi u chuyên khoa Khi làm 3D ph i ý ch s TI, MI nguyên lý ALARA !ĩ s cáb í uq aủc i õd oe ht ựs nơ máC • • • • • 64 10 Bs Liêm (2009), “Siêu âm s n khoa”, Bài gi ng l p siêu âm HYD TPHCM Nguy n Quý Khoáng, Nguy n Quang Tr ng (2008), “Vai trị c a ch n ốn hình nh siêu âm s n ph khoa”, Bài gi ng l p siêu âm s n T Dũ Nguy n Phư c B o Quân (2008), “Cơ s v t lý”, Siêu âm b ng t ng quát, 13-15, NXB Thu n Hóa Aaron Fenster, Donal Downey (2000), “3D Ultrasound Imaging: Basic principles, pitfalls, and clinical applications”, Journal of Radiology, 171 (6) Debora Lev ine (2007), Ultrasound Clinics, Elsev ier Jane Bates (2004), Abdominal Ultrasound – How, why and when, Churchill Livingstone, Elsevier’s Health Sciences Rights Department in Philadelphia, JohnC.Hobbins (2008), Obstetric Ultrasound: Artistry in Practice, Blackwell Publishing, USA Peter W.Gallen (2008), “Chapter 24- The Role Of Three-Dimensional Ultrasound in the Evaluation of the f etus”, Ultrasonography in Obstetrics and Gynecology, 830-866, Elsevier, USA GE Healthcare (2011), The Basics of 3D/4D Ultrasound, http://www.gehealthcare.com/usen/ultrasound/education/products/cme_3 d4d.html www.ob-ultrasound.net/history1.html /history 2.html /history 3.html 65 ... sách N u 2D m t c t … …thì 3D g m nhi u m t c t 17 3D gì? • 2D: Lát c t • 3D – B d li u th tích – Hình kh i: nhi u lát c t – Cũng g p CT, MRI 4D Là 3D + Real time 3D= ch p nh em bé 4D= quay phim... hi n 13 3D T I BV HYD C N THƠ • Siemen Acuson X300 • ECM Imagyne • Toshiba Nemio XG Primer Siemens Acuson X300 14 ECM Imagyne Toshiba Nemio XG Primer 15 16 2D 3D N u 2D trang sách … …thì 3D quy... Fenster, Donal Downey (2000), “ 3D Ultrasound Imaging: Basic principles, pitfalls, and clinical applications”, Journal of Radiology, 171 (6) Ngu n: GE Healthcare (2011), The Basics of 3D/ 4D Ultrasound