Basic Reading Computed

Tomography (CT) of Brain

By…Ext.วรปรัชญ์
สามารถ
 Systemic Approach to Head CT
Interpretation

• Symmetry – Compare left and right side of the cranium

• Midline – Look for midline shift

• Cross-sectional anatomy – Review anatomical landmark for

each slide
– Brain tissue : gray matter, white matter , intracerebral lesions
– CSF space : ventricle, basal cistern, cortical sulci, fissure
– Skull and soft tissue : scalp swelling, fractures, sinuses, orbit

• Subdural windows : Look for blood collection adjacent to the

skull

• Bone windows : Skull, orbit and sinuses, intracranial air

Lateral View of Brain
Ventricular System
 Cross-sectional Anatomy

• Grey/White interface, Subcortical white matter

 Cross-sectional Anatomy

• Paired of crescent-shape = Twin bananas

Cross-sectional Anatomy
Basal ganglia
 Cross-sectional Anatomy

• Third ventricle, Basal ganglia, Superior cerebellar cistern

Hydrocephalous
Physiologic Calcification
Brain Anatomy
Cross-sectional Anatomy

• Third ventricle, Smiley face

 Cross-sectional Anatomy

• Midbrain, Interpeduncular cistern

 Cross-sectional Anatomy

• Star shape ~ Circle of Willis,

• Fourth ventricle, Temporal horn ~ slit
Subarachnoid hemorrhage
 Cross-sectional Anatomy

• Base of skull, Midline bony prominence,

• Prepontine cistern, Pretrous bone, Frontal sinus
Cross-sectional Anatomy

• Orbits, Ethmoid air cell

The End…