Pocket atlas of sectional anatomy vol i, head and neck 3rd ed t moeller, e reif (thieme, 2007)
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Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Pocket Atlas of
Sectional Anatomy
Computed Tomography
and Magnetic Resonance Imaging
Volume I
Head and Neck
Torsten B. Moeller, MD
Department of Radiology
Caritas Hospital
Dillingen, Germany
Emil Reif, MD
Department of Radiology
Caritas Hospital
Dillingen, Germany
Third edition, revised and updated
413 illustrations
Thieme
Stuttgart · New York
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
IV
Library of Congress Cataloging-in-Publication
Data is available from the publisher.
This book is an authorized and revised
translation of the German 3rd edition published and copyrighted 2005 by Georg
Thieme Verlag, Stuttgart, Germany. Title of
the German edition: Taschenatlas der
Schnittbildanatomie. Computertomographie
und Kernspintomographie. Band I: Kopf,
Hals
Translator: Barbara Herzberger, MD,
Munich, Germany
Illustrator: Barbara Gay, Stuttgart, Germany
1st German edition 1993
1st English edition 1994
1st Japanese edition 1994
1st Greek edition 1995
1st Spanish edition 1995
1st German edition 1997
1st French edition 1999
2nd English edition 2000
2nd Japanese edition 2000
2nd French edition 2001
2nd Spanish edition 2001
2nd Greek edition 2002
1st Portuguese edition (for Brazil) 2002
3rd German edition 2005
© 2007 Georg Thieme Verlag KG
Rüdigerstraße 14,
70469 Stuttgart, Germany
Thieme New York, 333 Seventh Avenue,
New York, NY 10001, USA
Cover design: Thieme Verlagsgruppe
Typesetting by primustype R. Hurler GmbH,
73274 Notzingen
Printed in Germany by Appl Aprinta Druck,
Wemding
ISBN 10: 3-13-125503-x (GTV)
ISBN 13: 978-3-13-125503-7 (GTV)
ISBN 10: 1-58890-475-x (TNY)
ISBN 13: 978-1-58890-475-1 (TNY)
1 2 3 4 5 6
Important note: Medicine is an everchanging science undergoing continual
development. Research and clinical experience are continually expanding our
knowledge, in particular our knowledge
of proper treatment and drug therapy.
Insofar as this book mentions any dosage
or application, readers may rest assured
that the authors, editors, and publishers
have made every effort to ensure that
such references are in accordance with
the state of knowledge at the time of
production of the book.
Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers
in respect to any dosage instructions and
forms of applications stated in the book.
Every user is requested to examine
carefully the manufacturers’ leaflets
accompanying each drug and to check, if
necessary in consultation with a physician or specialist, whether the dosage
schedules mentioned therein or the
contraindications stated by the manufacturers differ from the statements
made in the present book. Such examination is particularly important with
drugs that are either rarely used or have
been newly released on the market.
Every dosage schedule or every form of
application used is entirely at the user’s
own risk and responsibility. The authors
and publishers request every user to
report to the publishers any discrepancies or inaccuracies noticed. If errors in
this work are found after publication,
errata will be posted at www.thieme.com
on the product description page. Some
of the product names, patents, and
registered designs referred to in this
book are in fact registered trademarks or
proprietary names even though specific
reference to this fact is not always made
in the text. Therefore, the appearance of
a name without designation as proprietary is not to be construed as a representation by the publisher that it is in
the public domain.
This book, including all parts thereof, is
legally protected by copyright. Any use,
exploitation, or commercialization outside the narrow limits set by copyright
legislation, without the publisher’s consent, is illegal and liable to prosecution.
This applies in particular to photostat
reproduction, copying, mimeographing,
preparation of microfilms, and electronic data processing and storage.
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
V
Dedicated in love and gratitude
to our parents,
Alfred and Friedel Moeller and
Emil and Edith Reif.
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
VII
Preface
This book presents the basic anatomy needed to interpret modern sectional images.
In making a diagnosis from sectional images, even experienced diagnosticians must adapt their thinking to the sectional portrayal of anatomic
features. The Pocket Atlas of Sectional Anatomy aims to facilitate this
process by presenting the two modalities that have the greatest practical
importance in modern sectional imaging: computed tomography and
magnetic resonance imaging.
The importance of these modalities rests partly on their high resolution.
So many of the images were produced with 3-tesla instruments. We wish
to express our gratitude to the manufacturers, Siemens and Philips.
We have attempted to provide vivid, comprehensive coverage of sectional anatomic details while still making the book compact and easy to use.
The four-color illustrations were considered an essential part of this goal
to maintain clarity despite the quantity of information.
The contents of the three volumes (I: Head and Neck, II: Chest and
Abdomen, and III: Musculoskeletal System), which comprise a unit,
follow a strict format in which each CT or MR image is accompanied by
a correlative color diagram and a reduced-scale schematic drawing
indicating the level of the section. This format conveys maximum information in a minimum of space.
All the images were obtained in patients or volunteers. We wish to
express our special gratitude for the production of the images to our
radiolologic technologists, Monika Baumann, Silke Koehl, Sabine Mattil,
Stefanie Mueller, Heike Philippi, Brigitte Schild, and Petra Weber, as well
as to Birgit Reuter and Marion Hellinger from the Siemens manufacturing
center. We sincerely thank our fellow physicians, Nadine Dillinger, Heike
Ringling, Sigrid Roth, and especially Simone Zenner, for their helpful
discussions and suggestions.
Torsten B. Moeller
Emil Reif
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
VIII
Contents
Cranial CT
Cranial CT—Axial (Canthomeatal) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial CT—Vascular Territories (Axial) . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial CT—Neurofunctional Systems (Axial) . . . . . . . . . . . . . . . . . . . .
CT of the Petrous Part of Temporal Bone—Axial. . . . . . . . . . . . . . . . .
Cranial CT—Coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Spaces in the Facial Skeleton—Coronal. . . . . . . . . . . . . . . . . . . . . . . . . .
2
26
28
30
36
42
Cranial MRI
Cranial MRI—Axial (Horizontal Plane). . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Vascular Territories (Axial) . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Vascular Territories (Sagittal) . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Vascular Territories (Coronal) . . . . . . . . . . . . . . . . . . . . . .
Cranial MRI—Neurofunctional Systems (Coronal) . . . . . . . . . . . . . . . .
Cranial MR Angiography—Arterial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cranial MR Angiography—Venous. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44
78
84
110
112
148
150
152
158
Neck
Neck—Axial. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cervical Lymph Nodes—Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cervical Spaces—Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Larynx—Axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Neck—Sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cervical Spaces—Sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Neck—Coronal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
162
198
200
202
210
222
224
Bibliography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 248
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Cranial CT—Axial
Cranial CT—Coronal
Cranial MRI—Axial
Cranial MRI—Sagittal
Cranial MRI—Coronal
Neck—Axial
Neck—Sagittal
Neck—Coronal
Moeller, Sectional Anatomy © 2007 Thieme
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2
Cranial CT
Frontal lobe
Parietal lobe
Moeller, Sectional Anatomy © 2007 Thieme
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Axial (Canthomeatal)
3
1
2
3
4
5
6
7
8
10
12
9
11
14
13
1
2
3
4
5
6
7
Frontal bone
Superior frontal gyrus
Coronal suture
Precentral sulcus
Falx cerebri
Precentral gyrus
Parietal bone
8
9
10
11
12
13
14
Paracentral lobule
Central sulcus
Postcentral gyrus
Superior parietal lobule
Precuneus
Sagittal suture
Superior sagittal sinus
Moeller, Sectional Anatomy © 2007 Thieme
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4
Cranial CT
Frontal lobe
Parietal lobe
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Axial (Canthomeatal)
5
1
2
3
4
5
6
7
8
9
10
11
12
13
15
14
17
16
18
2
19
1
2
3
4
5
6
7
8
9
10
Frontal bone
Superior sagittal sinus
Superior frontal gyrus
Coronal suture
Falx cerebri
Middle frontal gyrus
Longitudinal cerebral fissure
Precentral sulcus
Precentral gyrus
Central sulcus
11 Cerebral white matter
(semioval center)
12 Postcentral gyrus
13 Paracentral lobule
14 Supramarginal gyrus
15 Parietal bone
16 Inferior parietal lobule
17 Precuneus
18 Parieto-occipital sulcus
19 Occipital bone
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
6
Cranial CT
Frontal lobe
Parietal lobe
Occipital lobe
Moeller, Sectional Anatomy © 2007 Thieme
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Axial (Canthomeatal)
7
1
3
2
4
5
6
7
8
9
10
12
11
13
14
16
15
18
17
19
21
23
20
22
1
2
3
4
5
6
7
8
9
10
11
Frontal bone
Superior frontal gyrus
Falx cerebri
Middle frontal gyrus
Cingulate sulcus
Coronal suture
Pericallosal
artery
Precentral gyrus
Corona radiata
Central sulcus
Corpus callosum
12
13
14
15
16
17
18
19
20
21
22
23
Postcentral gyrus
Lateral ventricle (choroid plexus)
Postcentral sulcus
Parietal bone
Supramarginal gyrus
Precuneus
Angular gyrus
Parieto-occipital sulcus
Occipital gyri
Cuneus
Occipital bone
Superior sagittal sinus
Moeller, Sectional Anatomy © 2007 Thieme
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8
Cranial CT
Frontal lobe
Temporal lobe
Parietal lobe
Occipital lobe
Moeller, Sectional Anatomy © 2007 Thieme
All rights reserved. Usage subject to terms and conditions of license.
Axial (Canthomeatal)
9
1
3
2
4
6
8
5
7
9
11
13
10
12
14
16
18
15
17
19
20
22
24
26
28
21
23
25
27
30
29
32
31
33
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Frontal bone
Falx cerebri
Superior frontal gyrus
Middle frontal gyrus
Inferior frontal gyrus
Cingulate gyrus
Corpus callosum (trunk)
Lateral ventricle (anterior horn)
Caudate nucleus (head)
Precentral gyrus
Central sulcus
Corona radiata
Postcentral gyrus
Claustrum
Thalamus
Lateral sulcus
Temporal operculum
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
Insula
Caudate nucleus (tail)
Superior temporal gyrus
Corpus callosum (splenium)
Fornix
Cingulum
Lateral ventricle (collateral trigone,
choroid plexus)
Straight sinus
Great cerebral vein (vein of Galen)
Parietal bone
Parieto-occipital sulcus
Occipital gyri
Cuneus
Superior sagittal sinus
Striate cortex
Occipital bone
Moeller, Sectional Anatomy © 2007 Thieme
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10
Cranial CT
Frontal lobe
Temporal lobe
Parietal lobe
Occipital lobe
Cerebellum
Moeller, Sectional Anatomy © 2007 Thieme
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Axial (Canthomeatal)
1
11
2
3
5
4
6
7
9
8
10
12
11
13
14
16
18
20
22
24
26
15
17
19
21
23
25
27
29
31
28
30
32
34
36
33
35
38
40
5
37
41
39
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Frontal bone
Frontal sinus
Superior frontal gyrus
Middle frontal gyrus
Falx cerebri
Caudate nucleus (head)
Cingulate gyrus
Inferior frontal gyrus
Corpus callosum (genu)
Internal capsule (anterior limb)
Lateral ventricle (anterior horn)
Third ventricle
Central sulcus
Precentral gyrus
Fornix
Postcentral gyrus
Interventricular foramen
(foramen of Monro)
18 Lateral sulcus
19 Claustrum
20 Insular arteries in the cistern of
lateral cerebral fossa (insular
cistern)
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
Internal capsule (posterior limb)
Insula
Thalamus
Globus pallidus (pallidum)
Pineal gland
Putamen
Caudate nucleus (tail)
Transverse temporal gyrus
Internal cerebral vein
Hippocampus
Vermis of cerebellum
Lateral ventricle (trigone with
choroid plexus)
Straight sinus
Middle temporal gyrus
Parietal bone
Parieto-occipital sulcus
Superior sagittal sinus
Occipital gyri
Occipital bone
Striate cortex
Occipital pole
Moeller, Sectional Anatomy © 2007 Thieme
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12
Cranial CT
Frontallappen
Frontal
lobe
Temporallappen
Temporal
lobe
Okzipitallappen
Occipital
lobe
Cerebellum
Zerebellum
Mesencephalon
Mesenzephalon
Moeller, Sectional Anatomy © 2007 Thieme
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Axial (Canthomeatal)
13
1
2
3
4
5
6
7
9
8
10
11
12
14
13
15
17
19
21
23
25
27
29
31
33
35
16
18
20
22
24
26
28
30
32
34
36
38
40
37
41
39
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Frontal bone
Frontal sinus
Falx cerebri
Superior frontal gyrus
Cingulate gyrus
Middle frontal gyrus
Corpus callosum (genu)
Lateral ventricle (anterior horn)
Internal capsule (anterior limb)
Caudate nucleus (head)
Parietal bone
Inferior frontal gyrus
External capsule
Putamen
Septum verum
(precommissural septum)
Cistern of lateral cerebral fossa
(insular cistern)
Hypothalamus
Internal capsule (genu)
Third ventricle
Claustrum
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
Superior temporal gyrus
Extreme capsule
Temporal bone
Globus pallidus (pallidum)
Geniculate body
Internal capsule (posterior limb)
Hippocampus
Thalamus
Parahippocampal gyrus
Pineal gland (calcified)
Tentorium cerebelli
Quadrigeminal plate (colliculus)
Vermis of cerebellum
Quadrigeminal
and ambient cisterns
Straight sinus
Middle temporal gyrus
Superior sagittal sinus
Lateral ventricle (trigone)
Occipital bone
Parietal bone
Occipital gyri
Moeller, Sectional Anatomy © 2007 Thieme
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14
Cranial CT
Frontal lobe
Temporal lobe
Occipital lobe
Cerebellum
Mesencephalon
Moeller, Sectional Anatomy © 2007 Thieme
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Axial (Canthomeatal)
15
2
1
3
4
5
6
8
7
10
12
14
16
18
20
22
24
9
11
13
15
17
19
21
23
25
27
26
28
30
32
34
29
31
33
36
35
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Frontal bone
Frontal sinus
Falx cerebri
Superior frontal gyrus
Cingulate gyrus
Middle frontal gyrus
Inferior frontal gyrus
Anterior cerebral artery
Striatum (inferior portion)
Lateral sulcus (insular cistern)
Insula
Insular arteries
Optic tract
Superior temporal gyrus
Hypothalamus
Third ventricle
Cerebral peduncle
Parietal bone
Lateral ventricle
(temporal horn)
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Interpeduncular cistern
Middle temporal gyrus
Hippocampus
Parahippocampal gyrus
Ambient cistern
Mesencephalon (quadrigeminal
plate)
Aqueduct
Inferior temporal gyrus
Quadrigeminal cistern
Lateral occipitotemporal gyrus
Vermis of cerebellum
(superior portion)
Parieto-occipital sulcus
Tentorium cerebelli
Superior sagittal sinus
Straight sinus
Occipital bone
Occipital gyri
Moeller, Sectional Anatomy © 2007 Thieme
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