MedicalMRIreportsMRI診斷報告TeachingContentII.NotesI.WordsandExpressionsIV.ExerciseIII.QuestionsTeachingObjectivesKnowledge:Ability:Morality:toacquirethewords,sentencesanddiscourse

aboutmedicalMRIreports;tounderstandthereportsbyusingdifferentreadingskills(skimming，scanning，detailedreading)anddevelopthecriticalthinkingability;tostimulatethestudentstobecarefulandearnestwhiletakingmedicalMRIexams.I.WordsandexpressionsNewWords1.gadolinium[?ɡ?d??l?ni?m]n.釓gá2.cisterns[?s?st?n]n.蓄水池；腦池3.ventricular[ven?tr?kj?l?(r)]n.室性，心室的4.cortical[?k??t?kl]adj.皮質(zhì)的；[生物]皮層的；外皮的5.sulci[?s?lsa?]n.溝，槽，裂縫6.mastoid[?m?st??d]n.乳突；乳般突起;adj.乳頭狀的7.paranasal[p?r??ne?z?l]adj.鼻旁的；鼻側(cè)的8.sinuses[?sa?n?:s?s]n.鼻竇；鼻竇炎9.pituitary[p??tju??t?ri]n.（腦）垂體adj.腦垂體的；垂體分泌失調(diào)引起的10.cerebellar[?ser??bel?(r)]adj.小腦的NewWords11.tonsils[?tɑ?nslz]n.[解剖]扁桃體12.anatomic[??n??t?m?k]

adj.組織的；解剖學(xué)上的；結(jié)構(gòu)上的13.ischemic[?s?kim?k]

adj.缺血性的；局部缺血的14.microvascular[?ma?kr???v?skj?l?]

adj.微脈管的15.demyelinate[di??ma??l?ne?t]n.脫髓鞘16.correlation[?k?r??le??(?)n]n.相互關(guān)系，關(guān)聯(lián)；相關(guān)量17.sagittal[?s?d??t(?)l]adj.矢狀的，（位于）矢形面的；箭樣的18.parenchyma[p??re?k?m?]n.[組織]實質(zhì)；軟細(xì)胞組織19.intracranial[??ntr??kre?n??l]adj.顱內(nèi)的20.cerebellopontine

[sei?'bel?p?nta?n]

小腦腦橋的NewWords21.vestibular[ve?st?bj?l?(r)]adj.前庭的；門廳的，門口走廊的22.Schwannoma[,?wɑ:n'?um?]n.[腫瘤]神經(jīng)鞘瘤；許旺氏細(xì)胞瘤23.trigeminal[tra??d?em?nl]n.[解]三叉神經(jīng)|adj.三叉神經(jīng)的24.caliber[?k?l?b?(r)]n.口徑；才干；水準(zhǔn)；（同calibre）[醫(yī)藥科學(xué)]管徑25.artery[?ɑ?t?ri]n.動脈；干線，干道，干流26.parenchyma[p??re?k?m?]n.[組織]實質(zhì)；軟細(xì)胞組織27.edema[??di?m?]n.[病理]水腫（等于oedema）；瘤腺體28.chondromalacia[k?ndr??m??le???]n.[外科]軟骨軟化29.patella.[p??tel?]n.[解剖]膝蓋骨30.contusion[k?n?tju??n]n.挫傷；撞傷；青腫NewWords31.infraspinatus[i?nfr?sp??ne?t?s][解剖]岡下肌32.teres[?teri?z]n.[解剖]圓肌adj.圓柱狀的33.tendons[?tend?nz]n.肌腱，[解剖]腱；蹄筋（tendon的復(fù)數(shù)）34.supraspinatus[s?prɑ:sp?'ne?t?s]n.[解剖]岡上肌；棘上肌35.subscapularis[s?b?sk?pj??le?r?s]n.肩胛下肌36.arthrosis[ɑ??θr??s?s]n.[解剖]關(guān)節(jié)；[外科]關(guān)節(jié)病37.coracoacromial[k?:r?'k??kr?m??l]adj.喙肩關(guān)節(jié)的,與喙突和肩峰骨有關(guān)的38.ligament[?l?ɡ?m?nt]n.韌帶；紐帶，系帶39.effusion[??fju??(?)n]n.滲出；瀉出；滲漏物40.

atrophy[??tr?fi]n.萎縮，萎縮癥；發(fā)育停止vi.萎縮；虛脫II.NotesBrevityisthesoulofwit.（言以簡為貴）

1.MRIwasperformedofthebrainpriortoandfollowingtheadministrationofIVgadoliniumutilizingstandardprotocol.采用標(biāo)準(zhǔn)方案在靜脈注射釓前后對腦部進(jìn)行MRI檢查protocol[?pr??t?k?l]n.禮儀；協(xié)議；醫(yī)療方案；v.以協(xié)議形式發(fā)布；擬定

thedetoxification

protocol戒毒方案theprotocolofdiplomaticvisits外交訪問的禮儀minorbreachesof

protocol小小的失禮

Report1Brevityisthesoulofwit.（言以簡為貴）Eg.Hehasbecomesomethingofasticklerforthefinerobservancesofroyal

protocol.他已經(jīng)變得非常刻板，哪怕是最細(xì)微的皇室禮儀也會遵循。Itissetoutinalegallybindingprotocolwhichformspartofthetreaty.這在有法律約束力的、構(gòu)成條約之一部分的附件中有說明。Aspiringcontestantswerealreadyfrustratedbecauseofunclear

protocol.由于規(guī)則模糊不清，信心滿懷的參賽選手已經(jīng)開始感到沮喪。Report1Brevityisthesoulofwit.（言以簡為貴）2.Nopriorstudyisavailableforcomparison.available/??ve?l?bl/adj.avail有利,有用+-able可...的A.(ofthings)thatyoucanget,buyorfind

(東西)可獲得的；可購得的；可找到的Ticketsareavailablefreeofchargefromtheschool.學(xué)校有免費票。Whenwilltheinformationbemadeavailable?何時才可以了解到情況？Furtherinformationisavailableonrequest.詳情備索。We'llsendyouacopyassoonasitbecomesavailable.Everyavailabledoctorwascalledtothescene.Report1Brevityisthesoulofwit.（言以簡為貴）B.(ofaperson)freetoseeortalktopeople(人)有空的Willshebeavailablethisafternoon?今天下午她有空嗎？Thedirectorwasnotavailableforcomment.主管沒有時間發(fā)表意見.WhileIamwillingtohelp,Idonothavemuchtimeavailable.盡管我愿意幫忙，但是沒有多少時間.Someonewhoisavailableisnotbusyandisthereforefreetotalktoyouortodoaparticulartask.MrLeachisonholidayandwasnotavailableforcomment.Report1Brevityisthesoulofwit.（言以簡為貴）3.Therighttemporalhornisslightlyprominentandasymmetric.asymmetric[?e?s??metr?k]adj.不對稱;不對等的symmetric[s?'metr?k]adj.對稱的否定前綴a/an-（無，非）:“離開，除去”:abacterial（無菌的）anemia（貧血）asynergy（不協(xié)調(diào)）；aberrant（迷走的）anaerobe（厭氧菌）anesthesia（無感覺，麻醉）Report2Brevityisthesoulofwit.（言以簡為貴）ab-（去，離開）:abnormal（不正常的），abnerval（來自神經(jīng)的）anti-（對抗，取消，抑制，解除）:antitoxin（抗毒素），antibody（抗體）。de-（向下，減少，除去，否定，離開，解除，脫去）deactivation（滅活性），deamination（脫氨作用）dis-（否定，分開，相反）:disability（喪失勞動力），disacidity（去酸），disassimilation（異化作用）disequilibrium（不平衡）Report2否定前綴Brevityisthesoulofwit.（言以簡為貴）il-，im-，in-，ir-（非，無，不）:inacidity（無酸），inaction（無作用）impermeability（非滲透性），imbalance（不平衡）illusion（幻覺），ill-nourished（營養(yǎng)不良的）irrespirable（不能呼吸的），irrhythmia（心律不齊）non-（非，無，不）:nonacid（非酸性的），nonimmune（非免疫性的），noncongestive（非充血性的）,noncontrast（非對比的)un-（不，非，無）:unconsciousness（無意識），uncomplemented（未給補體的）Report2否定前綴Brevityisthesoulofwit.（言以簡為貴）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[??pri??ie?t]v.ap-朝,向+preci價格,價值+-ate做,造成A.(notusedintheprogressivetenses)torecognizethegoodqualitiesofsb/sth(不用于進(jìn)行時)欣賞；賞識；重視

Youcan'treallyappreciateforeignliteratureintranslation.看翻譯作品不能真正欣賞到外國文學(xué)原著的美妙之處。Histalentsarenotfullyappreciatedinthatcompany.他的才干在那家公司未受到充分賞識。Herfamilydoesn'tappreciateher.她的家人不重視她。Report2Brevityisthesoulofwit.（言以簡為貴）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[??pri??ie?t]v.ap-朝,向+preci價格,價值+-ate做,造成B.(notusedintheprogressivetenses)tobegratefulforsththatsbhasdone;towelcomesth(通常不用于進(jìn)行時)感激；感謝；歡迎I'dappreciatesomehelp.如果有人幫忙我將非常感激。Yoursupportisgreatlyappreciated.十分感謝你的支持。Iwouldappreciateitifyoupaidincash.Idon'tappreciate

beingtreatedlikeasecond-classcitizen.Wewouldappreciate

youlettingusknowofanyproblems.Report2Brevityisthesoulofwit.（言以簡為貴）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[??pri??ie?t]v.ap-朝,向+preci價格,價值+-ate做,造成C.(notusedintheprogressivetenses)tounderstandthatsthistrue

(通常不用于進(jìn)行時)理解；意識到；領(lǐng)會WhatIfailedtoappreciatewasthedistancebetweenthetwocities.我沒有意識到這兩座城市間的距離。Idon'tthinkyouappreciatehowexpensiveitwillbe.我想你不了解它會有多昂貴。Wedidn'tfullyappreciatethathewasseriouslyill.我們沒有充分認(rèn)識到他的病情很嚴(yán)重。Report2Brevityisthesoulofwit.（言以簡為貴）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[??pri??ie?t]v.ap-朝,向+preci價格,價值+-ate做,造成D.toincreaseinvalueoveraperiodoftime增值；升值Ifsomethingthatyouownappreciatesoveraperiodoftime,itsvalueincreases.增值Theirinvestmentshaveappreciatedovertheyears.他們的投資這些年來已經(jīng)增值。Theydon'thaveanyconfidencethathouseswillappreciateinvalue.他們完全不相信房子會升值。Report2Brevityisthesoulofwit.（言以簡為貴）4.Flowvoidsareappreciatedinthemajorintracranialvessels.appreciate[??pri??ie?t]v.欣賞;感謝;理解;歡迎;重視;賞識ap-朝,向+preci價格,價值+-ate做,造成Youcan'treallyappreciateforeignliteratureintranslation.看翻譯作品不能真正欣賞到外國文學(xué)原著的美妙之處。Histalentsarenotfullyappreciatedinthatcompany.他的才干在那家公司未受到充分賞識。Herfamilydoesn'tappreciateher.她的家人不重視她。I'dappreciatesomehelp.如果有人幫忙我將非常感激。Report2Brevityisthesoulofwit.（言以簡為貴）5.Thereisafairlylargebroadband

ofedemainthemedialtibialplateauextendingtothemedialaspectofthelateraltibialplateau

compatiblewithanareaofedema,orcontusion....extendingtothemedialaspectofthelateraltibialplateau

....=whichisextendingtothemedialaspectofthelateraltibialplateau

...

分詞短語作后置定語，在意義上相當(dāng)于一個定語從句，doing表示“主動”，done表示被動。Report4Brevityisthesoulofwit.（言以簡為貴）Wemetalotofkidsreturningfromschool.

=Wemetalotofkidswhoreturnedfromschool.

Thereare

noabnormalareasofcontrastenhancementidentifiedwithinthebrain.在大腦內(nèi)沒有發(fā)現(xiàn)異常的對比增強區(qū)域。=...whichisidentifiedwithinthebrain.Youwillseethisproductadvertisedwhereveryougo.=whichisadvertisedwhereveryougo.Report4doing表示“主動”done表示被動Brevityisthesoulofwit.（言以簡為貴）6.extendtoThe

talks

will

extend

to

the

church,

human

rights

groups

and

other

social

organizations

.會談將涉及教會、人權(quán)團(tuán)體和其他社會組織。The

best

time

for

surgery

was

6~

12

years

old

and

it

may

extend

to

3~

15

years

old.

病兒手術(shù)修復(fù)最佳時機為6～12歲，可擴展至3～15歲。I'd

like

to

extend

to

you

a

hearty

welcome

on

behalf

of

all

our

teachers

and

students.

我謹(jǐn)代表所有師生表達(dá)對您的熱烈歡迎。Report4Brevityisthesoulofwit.（言以簡為貴）7.MRIexaminationofthelumbarspineisperformedusingthefollowingprotocol:T1weightedandT2weightedaxialandsagittalsequences.腰椎MRI檢查采用以下方案:T1加權(quán)和T2加權(quán)軸位和矢狀位序列。perform

per-完全,貫穿+form形成A.

todosth,suchasapieceofwork,taskorduty做；履行；執(zhí)行

performanexperiment/amiracle/aceremony做實驗；創(chuàng)奇跡；舉行儀式Sheperformsanimportantroleinourorganization.發(fā)揮著重要的作用Thisoperationhasneverbeenperformedinthiscountry.做過這種手術(shù)Report5

carryoutBrevityisthesoulofwit.（言以簡為貴）perform

per-完全,貫穿+form形成B.

toentertainanaudiencebyplayingapieceofmusic,actinginaplay,etc.演出；表演

toperformsomersaults/magictricks表演空翻/魔術(shù)Theplaywasfirstperformedin1987.這個劇于1987年首次上演。I'dliketohearitperformedlive.我希望聽現(xiàn)場演出。

toperformontheflute吹奏長笛I'mlookingforwardtoseeingyouperform.我期待著看你演出。Report5Brevityisthesoulofwit.（言以簡為貴）perform

per-完全,貫穿+form形成C.

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

Theengineseemstobeperformingwell.發(fā)動機似乎運轉(zhuǎn)正常。Thecompanyhasbeenperformingpoorlyoverthepastyear.

這家公司過去一年業(yè)績欠佳.work/performmiracles創(chuàng)造奇跡；有奇效Herexerciseprogrammehasworked/performedmiraclesforher.她的健身計劃對她很有效。Report5Brevityisthesoulofwit.（言以簡為貴）Report58.performance

n.A.theactofperformingaplay,concertorsomeotherformofentertainment

表演；演出

oneoftheband'srareliveperformances那個樂隊少見的一次現(xiàn)場演出.B.thewayapersonperformsinaplay,concert藝術(shù)上的表現(xiàn)；演技Shegavethegreatestperformanceofhercareer.她做了演藝生涯中最精彩的表演。8.performance

n.C.

howwellorbadlyyoudosth;howwellorbadlysthworks表現(xiàn)；性能；業(yè)績；工作情況thecountry'seconomicperformance國家經(jīng)濟(jì)狀況Hecriticizedtherecentpoorperformanceofthecompany.業(yè)績不佳。high-performance(=verypowerful)cars高性能汽車performance-relatedpay績效工資Thenewmanagementtechniquesaimtoimproveperformance.新的管理技術(shù)旨在提高效率。Report58.performance

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

做；執(zhí)行；履行Shehasshownenthusiasmintheperformanceofherduties.她在工作中表現(xiàn)出對工作的熱忱。Hedidnotwantarepeatperformanceofthehumiliatingdefeathehadsuffered.他不想讓失敗的恥辱重演。Report59.Thesemaycontributetoclinicalimpingement.contributevt&viA.(為…)做貢獻(xiàn)

Ifyoucontributetosomething,yousayordothingstohelptomakeitsuccessful.Weshouldcontributetoourcountrywithheartandsoul.Ibelievethateachofuscancontributetothefutureoftheworld我相信我們每一個人都能夠?qū)κ澜绲奈磥碛兴暙I(xiàn)。ImmigrantshavecontributedtoBritishcultureinmanyways.Report6contribute

B.~(sth)(to/towardssth)togivesth,especiallymoneyorgoods,tohelpsb/sth捐獻(xiàn)，捐贈（尤指款或物）；捐助

contribute(money)totheRedCross向紅十字會捐錢Itwasgenerousofhertocontributesuchalargesumofmoney.她很大方，捐了這么一大筆錢。Report6contribute

C.tohelptomakesthhappen:leadto造成/促使(某事發(fā)生)Friends

can

contribute

tomy

personalgrowth

and

self-discovery.朋友可以對我的個人成長和自我發(fā)現(xiàn)產(chǎn)生積極影響。Lonelinessisaserioussocialproblemthatcancontributetodepressionandevencrimes.孤獨是一個嚴(yán)重的社會問題,它會導(dǎo)致抑郁甚至犯罪。Stressisacontributingfactorinmanyillnesses.壓力是諸多疾病的致病因素。Report6contribute

D.vt&vi投(稿);撰(稿):Ifyoucontributetoamagazine,newspaper,orbook,youwritethingsthatarepublishedinit.Iwasaskedtocontributetoanewspaperarticlemakingpredictionsforthenewyear.我受邀為報紙撰寫一篇文章，對新的一年進(jìn)行預(yù)測。Shecontributedanumberofarticlestothemagazine.她給這家雜志撰寫了許多文章。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.軟骨下囊腫b.股骨髁c.椎管狹窄d.腰椎e.退行性骨關(guān)節(jié)病f.腦溝h.顱內(nèi)血管i.胼胝體j.前庭神經(jīng)鞘瘤k.十字韌帶1.(Report1)TheⅦ-Ⅷnervecomplexeshaveasymmetricandunremarkableappearancewithoutevidenceofabnormalcontrastenhancement.Ⅶ-Ⅷ神經(jīng)復(fù)合物呈對稱且無異常對比增強征象。complex[?k?mpleks]adj.復(fù)雜的,復(fù)合的;n.復(fù)合體symmetric[s?'metr?k]adj.對稱的；勻稱的unremarkable[??nr??mɑ?k?bl]adj.平凡的；不顯著的abnormal[?b?n??m(?)l]