MRI - HAND/WRIST - PATIENT POSITIONING

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  • Опубліковано 17 січ 2025

КОМЕНТАРІ • 51

  • @vladimirtt7553
    @vladimirtt7553 4 місяці тому +7

    I’m Siemens MRI application specialist and I show exactly the same positioning :) and btw I also recomend to use the large cushions (oficially used to replace the spine coil on the table) to lift the patient a little over the table surface and make this positioning more comfortalbe

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      @@vladimirtt7553 thanks for your input. ☺️👍

    • @nahlabelloula5535
      @nahlabelloula5535 4 місяці тому

      Hey what did you study at uni please?

    • @vladimirtt7553
      @vladimirtt7553 4 місяці тому

      @@nahlabelloula5535 me? Im a doctor (radiologist)

  • @yahiasalih5016
    @yahiasalih5016 5 днів тому +1

    ❤❤❤thank you so much

  • @rhrm1710
    @rhrm1710 4 місяці тому +1

    I thought i was the only person that used those head cushions. Great Video

  • @chipbrandstetter
    @chipbrandstetter 4 місяці тому +1

    I'm more experienced in neuro imaging and we've recently started doing many hands and wrists due to the formation of a new local provider group. This is helpful. Thanks fo the share.

    • @MusicYoutube-s5u
      @MusicYoutube-s5u Місяць тому

      Hi, may I ask why do doctors order MRI hand?
      Thank you

  • @phamtangkcglkt
    @phamtangkcglkt 3 місяці тому +1

    Hello Bắc. I am Tăng, an MRI tech in Vietnam. Last Saturday, I attended a conference organized by HART in Ho Chi Minh City. I had the opportunity to listen to your presentation on AI technology in MRI. I want to thank you for what you shared with us in Vietnam recently. I am a fan of yours, and I would love to meet you in the future if you have the opportunity to come back to Vietnam and participate in conferences for Radiographers. Wishing you good health, happiness, and success.
    Xin chào Bắc . Tôi là Tăng, tôi đang làm một MRI tech ở Việt Nam. Thứ bảy tuần trước, tôi đã tham dự hội nghị do HART tổ chức tại thành phố Hồ Chí Minh. Tôi đã được nghe bạn trình bày về công nghệ AI trong MRI. Tôi muốn nói lời cảm ơn đến bạn và những gì bạn đã chia sẻ cho chúng tôi tại Việt Nam những lần vừa rồi. Tôi là một fan của bạn, Và tôi rất muốn được gặp bạn trong tương lai nếu bạn có cơ hội về Việt Nam và tham gia các hội nghị cho Radiographers . Chúc bạn nhiều sức khỏe, nhiều hạnh phúc và thành công.

    • @Nguyen_MRI
      @Nguyen_MRI  3 місяці тому +1

      @@phamtangkcglkt hi. Thanks for kindly words. I hope in the future i get the chance to be there at the conference. Happy i can contribute this time. Looking forward to next time ☺️.
      Take care and stay safe. 👍☺️

    • @MusicYoutube-s5u
      @MusicYoutube-s5u Місяць тому

      Hi may I ask, why do doctors order a MRI?
      Thank you

  • @eslammahmoud6280
    @eslammahmoud6280 4 місяці тому +3

    best posit...... prone head first superman position

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому +1

      @@eslammahmoud6280 what if the patient can't lie as superman?

    • @jimt2316
      @jimt2316 4 місяці тому

      @@Nguyen_MRI In our Ortho practice, people of all ages will just dive onto the table when presented with superman. Most of the time we image them where they fall, adding lots of support in key areas. Scanned a 89yo with BMI of 48 a couple of weeks ago.

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому +1

      @@jimt2316 yeah totally see and of course first choice in my practice as well. But we do encounter patients who can't lie like superman but again depends on cases. Good to have a second choice as arm downwards for those needed ones.

    • @MusicYoutube-s5u
      @MusicYoutube-s5u Місяць тому

      ​@@jimt2316hi may I ask, why do doctors order hand MRI?
      Thank you

    • @nataliearciniega2103
      @nataliearciniega2103 Місяць тому

      I recently had a patient that could not do superman position due to really bad arthritis. He could not even lift his arm up at all. I had to turn him away because i wasnt creative enough as a brand new tech :( this video is so helpful in case i get that in the future! @@Nguyen_MRI

  • @Iamnotwhatiam79
    @Iamnotwhatiam79 4 місяці тому +1

    Thanks Bac, Can you please tell me how the head sponge pillow, assist the SAR issues

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      I've been told it does due to not blocking the airflow. Using a big pillow will block the airflow through the bore. I've been taught this, but i don't have any test or so for exactly this. Maybe in the future i will look further into this with test and facts.

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      To be honest i find a regular pillow much more comfortable and easier to position the patients. With this sponge the head needs to be exact in position or it feels wrong. With a pillow you have more room to do small adjustments.

    • @Iamnotwhatiam79
      @Iamnotwhatiam79 4 місяці тому +1

      @@Nguyen_MRIthanks Bac for taking time to reply

  • @jmergem
    @jmergem 3 місяці тому +1

    Thanks for information, do you have vlog for MRi liver quantification for siemens E11 version I hope you can help me.

    • @Nguyen_MRI
      @Nguyen_MRI  3 місяці тому

      no i dont have

    • @jmergem
      @jmergem 3 місяці тому

      @@Nguyen_MRI Can you teach me how to do or send video how to calculate or process for Liver iron quantification if it not to much for you thank you very btw very informative videos

    • @Nguyen_MRI
      @Nguyen_MRI  3 місяці тому

      @@jmergem do you use liver lab?

    • @jmergem
      @jmergem 3 місяці тому

      @@Nguyen_MRI that's my problem we didn't purchase the license for Liver Lab do you think is there another way without the Liver Lab?

    • @Nguyen_MRI
      @Nguyen_MRI  3 місяці тому

      @@jmergem you can always require the images, but need a software to do the rest.... i dont have experience with other software to do so. so im not sure

  • @chuihong5992
    @chuihong5992 4 місяці тому +1

    Great

  • @andreimasilang4488
    @andreimasilang4488 25 днів тому +1

    Hi @bac. We only have flex coils. Did you try it just putting it on top or better to make ot like Tacos.

    • @Nguyen_MRI
      @Nguyen_MRI  25 днів тому

      @@andreimasilang4488 i tried. Works surprisingly. But recommend tacos to be honest.

  • @Amrooooo-w1m
    @Amrooooo-w1m 4 місяці тому +1

    We do have the dedicated coil you are showing. We scan hand and wrist with same position also. But unfortunately scanning in supine, the signal is not uniform across the image, half of the image has higher SNR we notice it specially in axial plane .. Siemens support team say that issue because of off center scanning. So we lost the advantage of that coil being capable of supine scanning in comfortable position. Do you exhibit the same issue regarding non uniform SNR across the image when scanning in supine?

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      Thanks for comment and I do find myself in your situation on our old skyra with old software. Having our first skyra with VD software we encounter many issues. But after e software installed many problems solved. So I'm curious on what scanner you at and software?

    • @Amrooooo-w1m
      @Amrooooo-w1m 3 місяці тому

      @@Nguyen_MRI Magnetom Altea XA31

  • @jessetalkzone4157
    @jessetalkzone4157 4 місяці тому +2

    Hi Bac, It's great and so helpful in positioning of patient, but I want to ask pls. since the orientation (direction) of the hand is the same in superman position, what will be to input? feet first or head first still? in Pt. orientation. thank you.

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому +1

      @@jessetalkzone4157 thanks. Question of yours is important and never ending story. Most important is how do radiologists want to see the hand. Like I show we choose head first supine. Somehow it's wrong using that because in the dicom tag it says head first supine. So doing correctly you should use left lateral feet first / right lateral feet first then flip the images in PACs if radiologist wants so. As an anatomical position we know the hand points downwards, but my radilogists like this outcome as i show in the video. 👍

    • @jessetalkzone4157
      @jessetalkzone4157 4 місяці тому +1

      @@Nguyen_MRI Lovely, thank you so much for very helpful informative, more power to you and thanks again.

    • @boscoantony8088
      @boscoantony8088 4 місяці тому

      if you are scanning the Right wrist, as per the position mentioned in the video, means select Head first Left lateral and select scanning wrist as Right this will give you the outcome of scan in the right anatomical direction vice versa for the left wrist.

    • @Harith402
      @Harith402 3 місяці тому

      ​@@Nguyen_MRIhi,thank you and i appreciate your effort, I have a question pls,if superman position ,what i need to select the orientation?prone or supine?because hand is keeping in prone position?

  • @melk2382
    @melk2382 4 місяці тому

    Please do a head one 🙏🏾🙏🏾😭😭 thanks so much ur tips are really helpful!

  • @MusicYoutube-s5u
    @MusicYoutube-s5u Місяць тому

    Hi, may I ask why do doctor order hand MRI?
    Thank you

  • @LilCash217
    @LilCash217 4 місяці тому +1

    Why that head cushion n not a regular pillow?

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      It's says you get better airflow through the bore compared to a big pillow. Less snr issues.

  • @indiantiger4550
    @indiantiger4550 4 місяці тому +1

    Make a video for lower limb mra plz love ❤️ from india

  • @anniesshenanigans3815
    @anniesshenanigans3815 Місяць тому +1

    So I am going to share this video with my coworkers.. the pillow thing is a huge problem.. so many people want TWO pillows and this might be why we get so many SAR issues, maybe? I call it 'Cellphone' neck because their neck is not straight. And we do not put patients in this position hand/wrist/fingers. They move around too much.. Plus I have no idea how you prop up that coil like that!!

    • @Nguyen_MRI
      @Nguyen_MRI  Місяць тому

      Usually i use two pillows as patients find it more comfortable. Nonetheless, not much sar issues. Works great most of the times. What coil and how do you position your patients?

  • @dineshpanta8837
    @dineshpanta8837 4 місяці тому +1

    Bro
    I am always struggling with QA in Siemens machine.When I do it’s always error.
    Can you make a video on that please.
    Thank you

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      ua-cam.com/video/34SvjcLKD5Y/v-deo.htmlsi=hOWPkl4P2DqHmUo5

  • @abdullahel-masry9471
    @abdullahel-masry9471 4 місяці тому

    it's important to show us what is right orientation of the hand and wrist in the obtained coronal and Axial images and what is the right inputs should be provided to the MRI software to avoid reverting or mirroring. it's so confusing I highly recommend to end this argument in a seperate video

    • @Nguyen_MRI
      @Nguyen_MRI  4 місяці тому

      mrimaster.com/plan-wrist/
      What i show here is important key factors of patient positioning. For planning i attach a link above for further understanding 👍