MedicalMRIreportsMRI诊断报告讲解

MedicalMRIreportsMRI诊断报告TeachingContentII.NotesI.WordsandExpressionsIV.ExerciseIII.QuestionsTeachingObjectivesKnowledge:Ability:Morality:toacquirethewords,sentencesanddiscourse

aboutmedicalMRIreports;tounderstandthereportsbyusingdifferentreadingskills(skimming，scanning，detailedreading)anddevelopthecriticalthinkingability;tostimulatethestudentstobecarefulandearnestwhiletakingmedicalMRIexams.I.WordsandexpressionsNewWords1.gadolinium[ˌɡædəˈlɪniəm]n.钆gá2.cisterns[ˈsɪstən]n.蓄水池；脑池3.ventricular[venˈtrɪkjələ(r)]n.室性，心室的4.cortical[ˈkɔːtɪkl]adj.皮质的；[生物]皮层的；外皮的5.sulci[ˈsʌlsaɪ]n.沟，槽，裂缝6.mastoid[ˈmæstɔɪd]n.乳突；乳般突起;adj.乳头状的7.paranasal[pærəˈneɪzəl]adj.鼻旁的；鼻侧的8.sinuses[ˈsaɪnɜ:sɪs]n.鼻窦；鼻窦炎9.pituitary[pɪˈtjuːɪtəri]n.（脑）垂体adj.脑垂体的；垂体分泌失调引起的10.cerebellar[ˌserɪˈbelə(r)]adj.小脑的NewWords11.tonsils[ˈtɑːnslz]n.[解剖]扁桃体12.anatomic[ˌænəˈtɒmɪk]

adj.组织的；解剖学上的；结构上的13.ischemic[ɪsˈkimɪk]

adj.缺血性的；局部缺血的14.microvascular[ˌmaɪkrəʊˈvæskjʊlə]

adj.微脉管的15.demyelinate[diːˈmaɪəlɪneɪt]n.脱髓鞘16.correlation[ˌkɒrəˈleɪʃ(ə)n]n.相互关系，关联；相关量17.sagittal[ˈsædʒɪt(ə)l]adj.矢状的，（位于）矢形面的；箭样的18.parenchyma[pəˈreŋkɪmə]n.[组织]实质；软细胞组织19.intracranial[ˌɪntrəˈkreɪnɪəl]adj.颅内的20.cerebellopontine

[seiə'beləpɒntaɪn]

小脑脑桥的NewWords21.vestibular[veˈstɪbjʊlə(r)]adj.前庭的；门厅的，门口走廊的22.Schwannoma[,ʃwɑ:n'əumə]n.[肿瘤]神经鞘瘤；许旺氏细胞瘤23.trigeminal[traɪˈdʒemɪnl]n.[解]三叉神经|adj.三叉神经的24.caliber[ˈkælɪbə(r)]n.口径；才干；水准；（同calibre）[医药科学]管径25.artery[ˈɑːtəri]n.动脉；干线，干道，干流26.parenchyma[pəˈreŋkɪmə]n.[组织]实质；软细胞组织27.edema[ɪˈdiːmə]n.[病理]水肿（等于oedema）；瘤腺体28.chondromalacia[kɒndrəʊməˈleɪʃə]n.[外科]软骨软化29.patella.[pəˈtelə]n.[解剖]膝盖骨30.contusion[kənˈtjuːʒn]n.挫伤；撞伤；青肿NewWords31.infraspinatus[iːnfrəspɪˈneɪtəs][解剖]冈下肌32.teres[ˈteriːz]n.[解剖]圆肌adj.圆柱状的33.tendons[ˈtendənz]n.肌腱，[解剖]腱；蹄筋（tendon的复数）34.supraspinatus[sʌprɑ:spɪ'neɪtəs]n.[解剖]冈上肌；棘上肌35.subscapularis[sʌbˌskæpjʊˈleərɪs]n.肩胛下肌36.arthrosis[ɑːˈθrəʊsɪs]n.[解剖]关节；[外科]关节病37.coracoacromial[kɔ:rə'kəʊkrəmɪəl]adj.喙肩关节的,与喙突和肩峰骨有关的38.ligament[ˈlɪɡəmənt]n.韧带；纽带，系带39.effusion[ɪˈfjuːʒ(ə)n]n.渗出；泻出；渗漏物40.

atrophy[ˈætrəfi]n.萎缩，萎缩症；发育停止vi.萎缩；虚脱II.NotesBrevityisthesoulofwit.（言以简为贵）

1.MRIwasperformedofthebrainpriortoandfollowingtheadministrationofIVgadoliniumutilizingstandardprotocol.采用标准方案在静脉注射钆前后对脑部进行MRI检查protocol[ˈprəʊtəkɒl]n.礼仪；协议；医疗方案；v.以协议形式发布；拟定

thedetoxification

protocol戒毒方案theprotocolofdiplomaticvisits外交访问的礼仪minorbreachesof

protocol小小的失礼

Report1Brevityisthesoulofwit.（言以简为贵）Eg.Hehasbecomesomethingofasticklerforthefinerobservancesofroyal

protocol.他已经变得非常刻板，哪怕是最细微的皇室礼仪也会遵循。Itissetoutinalegallybindingprotocolwhichformspartofthetreaty.这在有法律约束力的、构成条约之一部分的附件中有说明。Aspiringcontestantswerealreadyfrustratedbecauseofunclear

protocol.由于规则模糊不清，信心满怀的参赛选手已经开始感到沮丧。Report1Brevityisthesoulofwit.（言以简为贵）2.Nopriorstudyisavailableforcomparison.available/əˈveɪləbl/adj.avail有利,有用+-able可...的A.(ofthings)thatyoucanget,buyorfind

(东西)可获得的；可购得的；可找到的Ticketsareavailablefreeofchargefromtheschool.学校有免费票。Whenwilltheinformationbemadeavailable?何时才可以了解到情况？Furtherinformationisavailableonrequest.详情备索。We'llsendyouacopyassoonasitbecomesavailable.Everyavailabledoctorwascalledtothescene.Report1Brevityisthesoulofwit.（言以简为贵）B.(ofaperson)freetoseeortalktopeople(人)有空的Willshebeavailablethisafternoon?今天下午她有空吗？Thedirectorwasnotavailableforcomment.主管没有时间发表意见.WhileIamwillingtohelp,Idonothavemuchtimeavailable.尽管我愿意帮忙，但是没有多少时间.Someonewhoisavailableisnotbusyandisthereforefreetotalktoyouortodoaparticulartask.MrLeachisonholidayandwasnotavailableforcomment.Report1Brevityisthesoulofwit.（言以简为贵）3.Therighttemporalhornisslightlyprominentandasymmetric.asymmetric[ˌeɪsɪˈmetrɪk]adj.不对称;不对等的symmetric[sɪ'metrɪk]adj.对称的否定前缀a/an-（无，非）:“离开，除去”:abacterial（无菌的）anemia（贫血）asynergy（不协调）；aberrant（迷走的）anaerobe（厌氧菌）anesthesia（无感觉，麻醉）Report2Brevityisthesoulofwit.（言以简为贵）ab-（去，离开）:abnormal（不正常的），abnerval（来自神经的）anti-（对抗，取消，抑制，解除）:antitoxin（抗毒素），antibody（抗体）。de-（向下，减少，除去，否定，离开，解除，脱去）deactivation（灭活性），deamination（脱氨作用）dis-（否定，分开，相反）:disability（丧失劳动力），disacidity（去酸），disassimilation（异化作用）disequilibrium（不平衡）Report2否定前缀Brevityisthesoulofwit.（言以简为贵）il-，im-，in-，ir-（非，无，不）:inacidity（无酸），inaction（无作用）impermeability（非渗透性），imbalance（不平衡）illusion（幻觉），ill-nourished（营养不良的）irrespirable（不能呼吸的），irrhythmia（心律不齐）non-（非，无，不）:nonacid（非酸性的），nonimmune（非免疫性的），noncongestive（非充血性的）,noncontrast（非对比的)un-（不，非，无）:unconsciousness（无意识），uncomplemented（未给补体的）Report2否定前缀Brevityisthesoulofwit.（言以简为贵）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[əˈpriːʃieɪt]v.ap-朝,向+preci价格,价值+-ate做,造成A.(notusedintheprogressivetenses)torecognizethegoodqualitiesofsb/sth(不用于进行时)欣赏；赏识；重视

Youcan'treallyappreciateforeignliteratureintranslation.看翻译作品不能真正欣赏到外国文学原著的美妙之处。Histalentsarenotfullyappreciatedinthatcompany.他的才干在那家公司未受到充分赏识。Herfamilydoesn'tappreciateher.她的家人不重视她。Report2Brevityisthesoulofwit.（言以简为贵）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[əˈpriːʃieɪt]v.ap-朝,向+preci价格,价值+-ate做,造成B.(notusedintheprogressivetenses)tobegratefulforsththatsbhasdone;towelcomesth(通常不用于进行时)感激；感谢；欢迎I'dappreciatesomehelp.如果有人帮忙我将非常感激。Yoursupportisgreatlyappreciated.十分感谢你的支持。Iwouldappreciateitifyoupaidincash.Idon'tappreciate

beingtreatedlikeasecond-classcitizen.Wewouldappreciate

youlettingusknowofanyproblems.Report2Brevityisthesoulofwit.（言以简为贵）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[əˈpriːʃieɪt]v.ap-朝,向+preci价格,价值+-ate做,造成C.(notusedintheprogressivetenses)tounderstandthatsthistrue

(通常不用于进行时)理解；意识到；领会WhatIfailedtoappreciatewasthedistancebetweenthetwocities.我没有意识到这两座城市间的距离。Idon'tthinkyouappreciatehowexpensiveitwillbe.我想你不了解它会有多昂贵。Wedidn'tfullyappreciatethathewasseriouslyill.我们没有充分认识到他的病情很严重。Report2Brevityisthesoulofwit.（言以简为贵）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[əˈpriːʃieɪt]v.ap-朝,向+preci价格,价值+-ate做,造成D.toincreaseinvalueoveraperiodoftime增值；升值Ifsomethingthatyouownappreciatesoveraperiodoftime,itsvalueincreases.增值Theirinvestmentshaveappreciatedovertheyears.他们的投资这些年来已经增值。Theydon'thaveanyconfidencethathouseswillappreciateinvalue.他们完全不相信房子会升值。Report2Brevityisthesoulofwit.（言以简为贵）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[əˈpriːʃieɪt]v.欣赏;感谢;理解;欢迎;重视;赏识ap-朝,向+preci价格,价值+-ate做,造成Youcan'treallyappreciateforeignliteratureintranslation.看翻译作品不能真正欣赏到外国文学原著的美妙之处。Histalentsarenotfullyappreciatedinthatcompany.他的才干在那家公司未受到充分赏识。Herfamilydoesn'tappreciateher.她的家人不重视她。I'dappreciatesomehelp.如果有人帮忙我将非常感激。Report2Brevityisthesoulofwit.（言以简为贵）5.Thereisafairlylargebroadband

ofedemainthemedialtibialplateauextendingtothemedialaspectofthelateraltibialplateau

compatiblewithanareaofedema,orcontusion....extendingtothemedialaspectofthelateraltibialplateau

....=whichisextendingtothemedialaspectofthelateraltibialplateau

...

分词短语作后置定语，在意义上相当于一个定语从句，doing表示“主动”，done表示被动。Report4Brevityisthesoulofwit.（言以简为贵）Wemetalotofkidsreturningfromschool.

=Wemetalotofkidswhoreturnedfromschool.

Thereare

noabnormalareasofcontrastenhancementidentifiedwithinthebrain.在大脑内没有发现异常的对比增强区域。=...whichisidentifiedwithinthebrain.Youwillseethisproductadvertisedwhereveryougo.=whichisadvertisedwhereveryougo.Report4doing表示“主动”done表示被动Brevityisthesoulofwit.（言以简为贵）6.extendtoThe

talks

will

extend

to

the

church,

human

rights

groups

and

other

social

organizations

.会谈将涉及教会、人权团体和其他社会组织。The

best

time

for

surgery

was

6~

12

years

old

and

it

may

extend

to

3~

15

years

old.

病儿手术修复最佳时机为6～12岁，可扩展至3～15岁。I'd

like

to

extend

to

you

a

hearty

welcome

on

behalf

of

all

our

teachers

and

students.

我谨代表所有师生表达对您的热烈欢迎。Report4Brevityisthesoulofwit.（言以简为贵）7.MRIexaminationofthelumbarspineisperformedusingthefollowingprotocol:T1weightedandT2weightedaxialandsagittalsequences.腰椎MRI检查采用以下方案:T1加权和T2加权轴位和矢状位序列。perform

per-完全,贯穿+form形成A.

todosth,suchasapieceofwork,taskorduty做；履行；执行

performanexperiment/amiracle/aceremony做实验；创奇迹；举行仪式Sheperformsanimportantroleinourorganization.发挥着重要的作用Thisoperationhasneverbeenperformedinthiscountry.做过这种手术Report5

carryoutBrevityisthesoulofwit.（言以简为贵）perform

per-完全,贯穿+form形成B.

toentertainanaudiencebyplayingapieceofmusic,actinginaplay,etc.演出；表演

toperformsomersaults/magictricks表演空翻/魔术Theplaywasfirstperformedin1987.这个剧于1987年首次上演。I'dliketohearitperformedlive.我希望听现场演出。

toperformontheflute吹奏长笛I'mlookingforwardtoseeingyouperform.我期待着看你演出。Report5Brevityisthesoulofwit.（言以简为贵）perform

per-完全,贯穿+form形成C.

toworkorfunctionwellorbadly;~(well/badly/poorly)工作，运转（好/不好）

Theengineseemstobeperformingwell.发动机似乎运转正常。Thecompanyhasbeenperformingpoorlyoverthepastyear.

这家公司过去一年业绩欠佳.work/performmiracles创造奇迹；有奇效Herexerciseprogrammehasworked/performedmiraclesforher.她的健身计划对她很有效。Report5Brevityisthesoulofwit.（言以简为贵）Report58.performance

n.A.theactofperformingaplay,concertorsomeotherformofentertainment

表演；演出

oneoftheband'srareliveperformances那个乐队少见的一次现场演出.B.thewayapersonperformsinaplay,concert艺术上的表现；演技Shegavethegreatestperformanceofhercareer.她做了演艺生涯中最精彩的表演。8.performance

n.C.

howwellorbadlyyoudosth;howwellorbadlysthworks表现；性能；业绩；工作情况thecountry'seconomicperformance国家经济状况Hecriticizedtherecentpoorperformanceofthecompany.业绩不佳。high-performance(=verypowerful)cars高性能汽车performance-relatedpay绩效工资Thenewmanagementtechniquesaimtoimproveperformance.新的管理技术旨在提高效率。Report58.performance

n.D.(formal)theactorprocessofperformingatask,anaction,etc.

做；执行；履行Shehasshownenthusiasmintheperformanceofherduties.她在工作中表现出对工作的热忱。Hedidnotwantarepeatperformanceofthehumiliatingdefeathehadsuffered.他不想让失败的耻辱重演。Report59.Thesemaycontributetoclinicalimpingement.contributevt&viA.(为…)做贡献

Ifyoucontributetosomething,yousayordothingstohelptomakeitsuccessful.Weshouldcontributetoourcountrywithheartandsoul.Ibelievethateachofuscancontributetothefutureoftheworld我相信我们每一个人都能够对世界的未来有所贡献。ImmigrantshavecontributedtoBritishcultureinmanyways.Report6contribute

B.~(sth)(to/towardssth)togivesth,especiallymoneyorgoods,tohelpsb/sth捐献，捐赠（尤指款或物）；捐助

contribute(money)totheRedCross向红十字会捐钱Itwasgenerousofhertocontributesuchalargesumofmoney.她很大方，捐了这么一大笔钱。Report6contribute

C.tohelptomakesthhappen:leadto造成/促使(某事发生)Friends

can

contribute

tomy

personalgrowth

and

self-discovery.朋友可以对我的个人成长和自我发现产生积极影响。Lonelinessisaserioussocialproblemthatcancontributetodepressionandevencrimes.孤独是一个严重的社会问题,它会导致抑郁甚至犯罪。Stressisacontributingfactorinmanyillnesses.压力是诸多疾病的致病因素。Report6contribute

D.vt&vi投(稿);撰(稿):Ifyoucontributetoamagazine,newspaper,orbook,youwritethingsthatarepublishedinit.Iwasaskedtocontributetoanewspaperarticlemakingpredictionsforthenewyear.我受邀为报纸撰写一篇文章，对新的一年进行预测。Shecontributedanumberofarticlestothemagazine.她给这家杂志撰写了许多文章。contributorn[C]捐款人;撰稿人:起作用的因素Report6III.Questions1.(MRIBrainReport2)InMRIbrainexamination,ifthepatientrefusedcontrastenhancement,isitnecessarytobemarkedinthereport?Yes,itisnecessary.Itiswritteninthetechnique:thepatientrefusedcontrastenhancementsopost-contrastscanshavenotbeendone.Also,pleasenotethatdiffusionscanshavenotbeendone.Andintheimpressionthefollowingsentenceshouldbewrittenclearly:Pleasenotethatdiffusion-weightedscanshavenotbeendone.QuestionsQuestions2.(MRIBrainReport2)InMRIbrainexamination,ifthefindingsareasfollowing:Thebrainparenchymashowsnormalsignalintensityonthevariouspulsesequences.Thereisnointracranialmass,masseffectorareaofabnormalsignalintensity.Therighttemporalhornisslightlyprominentandasymmetric.Flowvoidsareappreciatedinthemajorintracranialvessels.Whatistheimpression?Theimpressionis:Normalnoncontrastmaiexaminationofthebrain.3.(MRIBrainIACReport3)Howdoweknowtheexamiswithinnormallimits?

Fromthefollowingexpressions:normal,noconfluentedemaormasseffect,noextra-axialcollectionidentified.wellformed,ingoodposition,unremarkable.,normalinsize,symmetric,normalinappearance,etc.Questions4.(MRIKneeReport4)

Fromwhichfinding(s)wecangetimpression”GradeIMCLsprain”?There

issomeedemamedialtotheMCLconsistentwitha

gradeIMCLsprain.Questions5.(MRIKneeReport4)

Fromwhichfinding(s)wecangetimpression”Chondromalaciapatella”?There

ischondromalaciapatellamostpronouncedalongthelateralfacetaswellasthelateralaspectof

themedialfacetnearthepatellarapex.Thechondromalaciapatellaismostpronouncedattheleveloftheupperpoleofthepatella.Questions6.(MRILumbarSpineReport5)

Fromwhichfinding(s)wecangetimpression”VeryminimaldiffusediscbulgesseenatlevelsL4-L5andL5-S1”?

AtdiscspacelevelsL4-L5andL5-S1,thereareveryminimaldiffusediscbulges.QuestionsIV.ExerciseA.Match1.（Report1）corticalsulci2.（Report2）intracranialvessels3.（Report3）corpuscallosum4.（Report3）vestibularschwannoma5.（Report4）cruciateligaments6.（Report4）subchondralcysts7.（Report4）femoralcondyle8.（Report5）canalstenosis9.（Report5）lumbarspine10.（Report6）degenerativearthrosisa.软骨下囊肿b.股骨髁c.椎管狭窄d.腰椎e.退行性骨关节病f.脑沟h.颅内血管i.胼胝体j.前庭神经鞘瘤k.十字韧带1.(Report1)TheⅦ-Ⅷnervecomplexeshaveasymmetricandunremarkableappearancewithoutevidenceofabnormalcontrastenhancement.Ⅶ-Ⅷ神经复合物呈对称且无异常对比增强征象。complex[ˈkɒmpleks]adj.复杂的,复合的;n.复合体symmetric[sɪ'metrɪk]adj.对称的；匀称的unremarkable[ˌʌnrɪˈmɑːkəbl]adj.平凡的；不显著的abnormal[æbˈnɔːm(ə)l]