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ORBIT Imaging Anatomy

This document provides recommendations for imaging the orbit and eye. It recommends ultrasound as the first line modality for evaluating intraocular lesions due to its noninvasiveness. CT and MR are complementary for complex lesions, with CT excellent for bone detail and detecting calcifications, and MR providing best soft tissue contrast. Imaging protocols for CT and MR of the orbit and eye are outlined, including thin slice acquisition in axial and coronal planes with contrast. Examples of imaging views of the orbit, globe, and optic nerve are also shown.

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98 views41 pages

ORBIT Imaging Anatomy

This document provides recommendations for imaging the orbit and eye. It recommends ultrasound as the first line modality for evaluating intraocular lesions due to its noninvasiveness. CT and MR are complementary for complex lesions, with CT excellent for bone detail and detecting calcifications, and MR providing best soft tissue contrast. Imaging protocols for CT and MR of the orbit and eye are outlined, including thin slice acquisition in axial and coronal planes with contrast. Examples of imaging views of the orbit, globe, and optic nerve are also shown.

Uploaded by

Faisal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ORBIT Imaging anatomy

Imaging Recommendations
Radiography

Ultrasound
• First line modality for intraocular lesions
• Noninvasive, readily available

CT & MR are complementary techniques; both are indicated


for evaluation of complex lesions

CT
• Excellent evaluation of orbit aided by natural contrast.
between fat, bone, air & soft tissues.
• Easily detects calcifications.
MR

• Optimal soft tissue contrast for globe, optic nerve, orbital


structures, and intracranial findings.

• Stronger gradients, faster sequences, surface coils, routine use


of fat suppression ± gadolinium improve image quality
Radiography
WATERS PROJECTION

CM- canthomeatal line; CR- central ray.


(a, frontal sinus; b, medial orbital wall;
c, innominate line; d, inferior orbital rim;
e, orbital floor; f, maxillary antrum;
g, superior orbital fissure; h, zygomatic-frontal suture;
i, zygomatic arch)
CALDWELL PROJECTION

a, frontal sinus;
b, innominate line;
c, inferior orbital rim;
d, posterior orbital floor;
e, superior orbital fissure; f, greater wing of sphenoid;
g, ethmoid sinus; h, medial orbital wall;
i, petrous ridge; j, zygomatic-frontal suture
LATERAL PROJECTION

a, orbital roof;
b, frontal sinus;
c, ethmoid sinus;
d, anterior clinoid process;
e, sella turcica; f, planum sphenoidale
BASAL PROJECTION (SUBMENTO-VERTEX)

a, zygomatic arch;
b, orbit;
c, lateral orbital wall;
d, posterior wall of maxillary sinus;
e, pterygoid plate; f, sphenoid sinus
OPTIC FORAMEN (RHESE POSITION)

a, right optic canal;


b, optic strut;
c, superior orbital fissure;
d, ethmoid sinus;
e, planum sphenoidale;
f, greater wing of sphenoid
Sonography of eye
B-scan probe orientations
1. Axial scan is obtained by placing the probe face directly over
the center of the cornea.
The resulting B-scan image includes the lens and is bisected
by the optic nerve.
B-scan probe orientations
2. Longitudinal B-scan require the probe to be placed on the
conjunctiva overlying the sclera and directed through the
vitreous bypassing the lens.
It produce a cross-section of the eye along a specific clock
hour, displaying the anterior portion of the eye at the top of
the screen and the optic nerve at the bottom.
Imaging protocols
CT
• Axial + coronal planes; thin-sections (~ 2 mm),Multislice acquisition
• Soft tissue algorithm
• Contrast for masses or inflammatory disease
• Noncontrast only when in conjunction with MR
Bones of the Orbit
Bones of the Orbit
AXIAL BONE CT
CORONAL BONE CT
MR
• Axial: Above orbital roof to orbital floor
• Coronal: Back of pons through globe
• Thin-section (3-4 mm); small FOV (12-16 cm)
• T1 pre-contrast (axial + coronal)
• STIR or T2 FSE fat-saturation (axial + coronal)
• T1C+ with fat-saturation (axial+coronal)

• Sagittal oblique for optic nerves


CORONAL T1 MR
OBLIQUE SAGITTAL T1 MR
Optic nerve-sheath complex
CORONAL &AXIAL STIR MR
GLOBE
THANK YOU

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