Veterinary Head and Neck Imaging Veterinary Head and Neck Imaging Peter V. Scrivani, DVM, DACVR Associate Professor Cornell University’s College of Veterinary Medicine Ithaca, New York, USA This edition first published 2022 © 2022 John Wiley & Sons Inc All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. The right of Peter V. Scrivani to be identified as the author of this work has been asserted in accordance with law. Registered Office John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA Editorial Office 111 River Street, Hoboken, NJ 07030, USA For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com. 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Identifiers: LCCN 2021027297 (print) | LCCN 2021027298 (ebook) | ISBN 9781119118596 (hardback) | ISBN 9781119118626 (adobe pdf) | ISBN 9781119118602 (epub) Subjects: MESH: Diagnostic Imaging–veterinary | Head–diagnostic imaging | Neck–diagnostic imaging | Animal Diseases–diagnostic imaging Classification: LCC SF757.8 (print) | LCC SF757.8 (ebook) | NLM SF 757.8 | DDC 636.089/60754–dc23 LC record available at https://lccn.loc.gov/2021027297 LC ebook record available at https://lccn.loc.gov/2021027298 Cover Design: Wiley Cover Image: Courtesy of Peter V. Scrivani Set in 9.5/12.5pt STIXTwoText by Straive, Pondicherry, India 10 9 8 7 6 5 4 3 2 1 Alexander deLahunta, DVM, PhD (1932–2021). Always on my mind and forever in my heart. vii Contents Preface xi Section 1 Introduction to Head and Neck Imaging in Animals 1 1 Some Basic Concepts About Head and Neck Anatomy 3 1.1 Terms of Location, Orientation, and Movement 4 1.2 External Features of the Head and Neck 11 1.3 Overview of Neuroanatomic Localization During Neuroimaging 13 1.3.1 Divisions of the Central Nervous System 15 1.3.2 Neuroaxis Localization 20 1.3.3 Clinical Descriptors for the Location of Intracranial Abnormalities 26 References 32 2 Some Basic Concepts about Medical Imaging 33 2.1 Introduction 33 2.1.1 What is an Image? 33 2.1.2 What is Medical Imaging? 34 2.2 Medical Imaging Devices 39 2.2.1 Imaging Technologies 39 2.2.2 Imaging Techniques, Applications, and Examinations 41 2.3 The Medical Image 47 2.3.1 Picture Elements and Volumetric Picture Elements 47 2.3.2 Representing Tissue Characteristics through the Grayscale 50 2.3.3 Resolution 52 2.4 Image Evaluation 56 2.4.1 Getting Started 56 2.4.2 Imaging Signs and Patterns 59 2.4.3 Image Evaluation 66 References 67 Section 2 Musculoskeletal Imaging 69 3 The Musculoskeletal System 71 3.1 Imaging Anatomy 71 3.1.1 Bone 71 3.1.2 Imaging Anatomy – Joints and Ligaments 90 3.1.3 Muscle and Tendons 96 3.1.3.1 Fascia and Fascial Compartments 111 viii Contents 3.2 Musculoskeletal Abnormalities 119 3.2.1 Developmental Malformations 120 3.2.1.1 Cranium, Face, and Craniocervical Junction 120 3.2.1.2 Vertebrae 126 3.2.2 Degenerative Diseases 131 3.2.2.1 Joints 132 3.2.2.2 Vertebrae 138 3.2.3 Inflammatory Diseases 138 3.2.3.1 Infectious 142 3.2.3.2 Noninfectious 146 3.2.4 Neoplasia 150 3.2.5 Nutritional, Metabolic, Toxic Diseases 162 3.2.6 Trauma 170 3.2.6.1 Soft- tissue Trauma 171 3.2.6.2 Fracture 173 3.2.6.3 Dislocation 183 References 190 4 Intervertebral Disks 198 4.1 Imaging Anatomy 198 4.2 Intervertebral Disk Abnormalities 200 4.2.1 Developmental Malformations 200 4.2.2 Infection/Inflammation 202 4.2.3 Trauma 204 4.2.4 Degeneration 208 4.2.5 Herniation 214 References 236 Section 3 Nervous System Imaging 241 5 Cerebrospinal Fluid 243 5.1 Imaging Anatomy 243 5.2 CSF Production, Absorption, and Flow 246 5.3 Cerebrospinal Fluid Abnormalities 250 5.3.1 Intra- Axial Fluid Accumulations 251 5.3.2 Extra- Axial Fluid Accumulations 268 5.3.3 Intramedullary Fluid Accumulations 272 5.3.4 Extramedullary Fluid Accumulations 275 References 285 6 The Central Nervous System 289 6.1 Imaging Anatomy 289 6.2 Brain and Spinal- Cord Abnormalities 297 6.2.1 Imaging Patterns of CNS Disease 297 6.2.1.1 Some Additional Imaging Signs 300 6.2.1.2 Contrast Enhancement 302 6.2.2 Secondary Intracranial Abnormalities 308 6.2.2.1 Intracranial Hypertension 308 6.2.2.2 Cerebral Edema 310 6.2.2.3 MRI Signs Induced by Seizures 313 6.2.2.4 Brain Herniation 314