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Barton Branstetter (ENT Imaging Lectures)
Приєднався 7 вер 2017
This channel was originally intended for the flipped classroom lectures that I give to the Radiology Residents at the University of Pittsburgh. But it has taken on a life of its own, especially internationally. I try to keep up a regular supply of short topics interspersed with full lectures. Longer lectures are split into segments. If you like the videos, I'd be happy to visit your institution and give some lectures in person!
Preoperative CT Assessment of a Thyroid Mass
Ultrasound may be the go-to modality for a thyroid mass, but there are important pre-operative features that a CT can help with.
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Відео
Journal Club: Stafne Bone Cavity
Переглядів 31221 день тому
Stafne Bone Cavity is benign and unusual, so it only gets a brief mention in lectures about the jaw. But this time, we can dive into detail about this "leave it alone" lesion. This was my very first publication in the ENT literature.
The Tegmen
Переглядів 497Місяць тому
For such a thin piece of bone, it carries the weight of the world. Or at least, the weight of the posterior temporal lobe. What does a normal tegmen look like, and how do we assess it radiologically when it's not normal?
Quick Case: New Sclerotic Vertebral Mass
Переглядів 474Місяць тому
How does a lymphoma patient get a new sclerotic bone mass in just three months? Are there other clues on the image?
Restricted diffusion in a gyriform pattern
Переглядів 5322 місяці тому
There is a short but important differential diagnosis to consider when confronted with restricted diffusion that only affects the peripheral grey matter. The answer is usually in the clinical history but you have to know what questions to ask!
Journal Club: Thyroglossal Duct Carcinoma
Переглядів 2962 місяці тому
TDCa is a rare disease, so it usually gets only a brief mention in lectures about neck masses. This mini-lecture covers the myriad forms of thyroglossal remnants, as well as the radiologic findings that suggest carcinomatous degeneration. Lots of examples.
HPV-associated Oropharyngeal Squamous Cell Carcinoma
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In the early 2000's, a new group of head and neck squamous cell carcinoma patients emerged with different risk factors and different prognostic profiles. Human papilloma virus fundamentally changed the way we view oropharyngeal SCC.
Quick Case: Rollover Injury
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The word "rollover" can be used in different ways. This isn't a trauma case (and least not in the usual sense).
What's in Virchow's Node?
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This is a series of examples of the tumors that can affect Virchow's node from a distance. The specific cancers don't matter, but the concept of Virchow's node is super important.
Journal Club: Sagittal Angle in Trigeminal Neuralgia
Переглядів 4524 місяці тому
In this Journal Club, we talk about an important imaging biomarker in patients with classical trigeminal neuralgia that strongly predicts the likelihood of surgical success from MVD.
Unknown Primary Tumors of the Head and Neck
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You might think that the phrase "Tumor of Unknown Primary" is self-explanatory. But it's actually a complex topic with special rules for tumor staging. Also, radiologists play an essential role in finding the primary tumor.
Head to Head: A Puffy Forehead
Переглядів 4145 місяців тому
In the Head to Head series, I show you two different patients with two different diseases, and you try to figure out the two diagnoses. Today's topic is forehead masses.
Larynx Anatomy for Staging Squamous Cell Carcinoma, Part 2
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A review of laryngeal anatomy, under the guise of SCC staging. Be sure to watch Part 1 first.
Head to Head: Parapharyngeal Infection
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Two different patients with two different diseases, but they both cause inflammation in the suprahyoid neck. In one of these patients, an incorrect diagnosis will leave him with a life-long chronic problem.
Larynx Anatomy for Staging Squamous Cell Carcinoma, Part 1
Переглядів 2,4 тис.7 місяців тому
It's easier to learn radiologic anatomy if it is tied to clinically-relevant topic, like primary laryngeal squamous cell carcinoma. This lecture assumes a basic knowledge of laryngeal anatomy.
CT of the Temporal Bone Prior to Cochlear Implantation
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CT of the Temporal Bone Prior to Cochlear Implantation
Head to Head: Central Skull Base Mass
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Head to Head: Central Skull Base Mass
Quick Case: Anterior Midline Neck Mass
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Quick Case: Anterior Midline Neck Mass
Great great great
Great lecture ever
amazing lecture !!!!
👍
Thank you. A new information for me 🌹🌹🌹
Great. Great. Great
Great. Great. Great
🌿🌻
Thank you, Doctor.
Thanks
Thank you
always excellent. Key to point and Concise
Outstanding lecture! Thanks so much!
Such a concise and reliable video to come back to for a quick refresh!! Thank you sir
Dr B. I just ran into an identical case today. Just wanted to thank you for a great lecture and for the time and effort you spend to educate us !
Do we know why cholesteatoma is bright on DWI?
I don't think we have a definitive answer. My understanding is that keratin (the major component of cholesteatoma) forms water-tight layers (just as it does in the skin), so water has difficulty diffusing perpendicular to those layers.
I’ve been having a very hard time getting help for the last 3 years with proper MRI reads to figure out what in my throat is pressing on my brain and spine. Is there any way I can pay you to read my MRI’s. I have two young daughters and this is becoming unbearable and terrifying.
I only interpret examinations within the context of my hospital system. Your best bet is to ask your otolaryngologist (or neurosurgeon) to go over your scans with a head and neck radiologist that they trust.
Really interesting case. Thank you for sharing
Great. Great. Great
many thanks for your excellent lectures
Each one of those would be such a serious bummer. ☹️
It's interesting.... most of the examples that appear in my lectures are things that would be a serious bummer. But most of my workday interactions consist of talking surgeons off the ledge and reassuring them that whatever caught their eye is NOT a serious bummer.
Keep on learning from Dr. Branstetter great lectures.
Excellent as usual .
Would like to have this scan done through ENT. Horrible symptoms for a year. What is this scan called?????
There are several different scans that might be useful to you, including contrast-enhanced CT of the neck, contrast-enhanced MRI of neck soft tissues, and MRI of the skull base. Your otolaryngologist, in consultation with an ENT Radiologist, will be able to choose the correct test for your situation.
Great case and presentation as always!! Thanx so much!!
Great great great.
Just wow
I wish I could have you as a mentor. Youre truly amazing
Excellent lecture as always!!
Great teacher. Excellent lectures.
Amazing lectures, thank u
In case 1: I see T2 signal abnormality in the PLL , then , may also be sprain of the PLL? Thank you, Dr. Branstetter.
Or even rupture of the ligament! Unfortunately, this patient is going to need to be fused to maintain stability.
Other causes for Septum erosions: anterior=TB; posterior= Syphilis (Saddle Nose)
Fantastic. I have to admit, we just don't see those infections in the US anymore. Thanks for expanding the differential!
Great. Great. Great.
Great lecture, thank you so much!!
excellent as always
Outstanding lecture!!! Thanx so much!!
Many thanks Would you please make a lecture about facial cosmetic imaging?
Maybe a couple of quick cases -- I don't think there's enough content for a full lecture.
Dr.Barton, It's more than Brilliant. Thank you, Sir!.
thanks
great teacher, great lectures.
Outstanding lecture! Thank so much!!
Many thanks for the great lectures. I've found this resourse so useful and am really grateful. One question in this video: Unless I'm missing something, I assume you mean to say sigmoid sinus rather than jugular bulb in the lateralised sigmoid sinus section? (5:50 min - 7:00min)
The correct phrase is "lateralized sigmoid sinus". Good catch.
One of the best lecture I came across by fortune.It was very difficult to understand the cross sections before but the very illustrative, demonstrative and to the point explanations had made my understanding much easier of this complex anatomical stucture of head and neck made more complex by pathology .Thanks for the excellent lectures .We want more of anatomy ( radiological ) and PATHOLOGY ON MRI SEQUENCES with regard to oral cavity, tongue muscles, submandibular glands , nodes etc on MRI including THE PTERYGOID MUSCLES , PTERYGOID PLATES, PTERYGOPALATINE FISSURE ,THE MOST COMPLEX AREA IN THE SKULL ON MRI .PLEASE DO SOME VIDEOS ON IT, AS YOUR LECTURES ARE VERY HELPFUL
I'm glad that you are enjoying the lectures. Thank you for the recommendations. I do get a lot of requests for more anatomy content! The pterygopalatine fossa is covered briefly in the Sinuses lecture (ua-cam.com/video/EysUSVDfE7E/v-deo.html), but it's probably not the depth of material that you are hoping for. I will have to produce a series of lectures on Skull Base Anatomy and include the infratemporal fossa!
NOW ONLY I AM HAVING AN UNDERSTANDING OF THE SPACES WHICH WAS SHOWN WITH CLARITY.
great, great, great
Thank you! The Great lecture, as usual!
any resources for conventinonal XRAY techniques for TMJ ?
In the US at least (I can't speak for other countries), conventional radiographs are used only as a screening tool, so I don't think that an entire lecture would be worth the effort. The key to interpretation is *finding* the joint on obliqued views in open and closed mouth position.
do you know how to read a ct scan of a sinus scanner? can i have your gmail address?
It would be best to find a local radiologist who works with the physician who ordered the study. If they have a phone conversation about your images, they can make sure that the area of greatest clinical interest gets extra attention.
@@ENT_Imaging I have an image, a ct scanner, but I don't have a doctor who knows his job, I want to send you a ct image, so that you can find the problem, and mark the problem, so that I can put pressure on the doctors to do their job.
i am a victim of these disease and its ruining my looks,is there a cure for it
The treatment depends on the location of the involved bones and the extent of involvement, as well as the effect on surrounding structures. I suggest that you see a physician in person so that they can provide you with more specific guidance.