I would have been lost in my first neuro rotation as a R1 without your search-pattern and "basic" videos. Unfortunately, some training programs take "you are an adult learner" too seriously and don't teach anything and it's up to the adult learners to search the inter web for amazing videos like this. They also preach "reading everyday", but reading everyday for the sake of reading equals very little positive reinforcement and minimal information retention (which I think you said in one of your videos reading studies >>>reading thick reference books). Thanks again, educators like you are amazing!
I'm glad you enjoy the videos and they helped you get started. It's really intimidating starting radiology because you don't know anything, and medical school doesn't teach people a lot of the stuff you need. I always try to keep that in mind when teaching people and I'm glad it help you!
Great series, I am reviewing your excellent series one by one. With so many excellent teachers in UA-cam, learning becomes much easier. Thumb it up. Actually, learning efficiency is higher than shadowing. All key points are summarized by teachers. Thank you for sharing it for free.
Hello. Thank you for letting your search pattern. I am wondering though, why navigate the axial thick slices at all if you will always repeat your search in the thin? Is there information that will be hidden in the thin slices?
Yes, most of the time the thicker slices is adequate to see major abnormalities, but particularly small fractures will be more visible on the thin images. I tend to spend more time on the thin images on trauma patients, while not looking at them for very long on patients with degenerative changes, surgical hardware, etc
@@LearnNeuroradiology Thanks for your response. My question translated poorly as it was originally written on phone, but is there any benefit to skipping the thicker sequence entirely in favor of just reading the thin?
Ah, I see. The thin slices have a lot of noise and it's harder to see the sof tissues such as the disc and the spinal cord. Plus the thins have many more slices, making it simply harder to look through. I spend most of my time on the thick slices and use the thins for troubleshooting. Each person can probably find their own balance over time.
Sorry, but because of restrictions about practicing medicine in other locations (I only have a license for my own state) and contractual limitations from my job (I'm not allowed to practice medicine outside of my university practice), I don't do interpretations on studies outside my regular job. I suggest you ask your doctor any questions you have, and if necessary you can ask to speak to a radiologist who interpreted your scan to answer any further questions.
To a certain extent you can see the discs if you window the study pretty starkly on a non-contrast soft tissue window. You can better image the discs if you inject intrathecal contrast via a lumbar puncture. This particular test is called a myelogram and highlights the spinal canal. Everywhere indented by the disc is then either disc or osteophyte. However, in the US anyway, almost everyone gets an MRI if the goal is to evaluate the discs. There are a few limitations (people with MRI incompatible implants or large amounts of spinal hardware which may obscure the disc), but we don't do that many myelograms these days. We did an RSNA exhibit this year on modern indications for myelograms. If you email me or DM me your email address on twitter I will email it to you.
I would have been lost in my first neuro rotation as a R1 without your search-pattern and "basic" videos. Unfortunately, some training programs take "you are an adult learner" too seriously and don't teach anything and it's up to the adult learners to search the inter web for amazing videos like this. They also preach "reading everyday", but reading everyday for the sake of reading equals very little positive reinforcement and minimal information retention (which I think you said in one of your videos reading studies >>>reading thick reference books). Thanks again, educators like you are amazing!
I'm glad you enjoy the videos and they helped you get started. It's really intimidating starting radiology because you don't know anything, and medical school doesn't teach people a lot of the stuff you need. I always try to keep that in mind when teaching people and I'm glad it help you!
Great series, I am reviewing your excellent series one by one. With so many excellent teachers in UA-cam, learning becomes much easier. Thumb it up. Actually, learning efficiency is higher than shadowing. All key points are summarized by teachers. Thank you for sharing it for free.
Please show a case with degeneratives changes and how you report it step by step . Thank you in advance .
Thank you
Welcome!
Very good as usual .
Hello. Thank you for letting your search pattern. I am wondering though, why navigate the axial thick slices at all if you will always repeat your search in the thin? Is there information that will be hidden in the thin slices?
Yes, most of the time the thicker slices is adequate to see major abnormalities, but particularly small fractures will be more visible on the thin images. I tend to spend more time on the thin images on trauma patients, while not looking at them for very long on patients with degenerative changes, surgical hardware, etc
@@LearnNeuroradiology Thanks for your response. My question translated poorly as it was originally written on phone, but is there any benefit to skipping the thicker sequence entirely in favor of just reading the thin?
Ah, I see. The thin slices have a lot of noise and it's harder to see the sof tissues such as the disc and the spinal cord. Plus the thins have many more slices, making it simply harder to look through. I spend most of my time on the thick slices and use the thins for troubleshooting. Each person can probably find their own balance over time.
@@LearnNeuroradiology I see. Thank you for explaining.
Can you take a look at my CT exam?
Sorry, but because of restrictions about practicing medicine in other locations (I only have a license for my own state) and contractual limitations from my job (I'm not allowed to practice medicine outside of my university practice), I don't do interpretations on studies outside my regular job.
I suggest you ask your doctor any questions you have, and if necessary you can ask to speak to a radiologist who interpreted your scan to answer any further questions.
How do you asses the discs ? do you inject iodine ? Thank you .
To a certain extent you can see the discs if you window the study pretty starkly on a non-contrast soft tissue window.
You can better image the discs if you inject intrathecal contrast via a lumbar puncture. This particular test is called a myelogram and highlights the spinal canal. Everywhere indented by the disc is then either disc or osteophyte.
However, in the US anyway, almost everyone gets an MRI if the goal is to evaluate the discs. There are a few limitations (people with MRI incompatible implants or large amounts of spinal hardware which may obscure the disc), but we don't do that many myelograms these days.
We did an RSNA exhibit this year on modern indications for myelograms. If you email me or DM me your email address on twitter I will email it to you.
@@LearnNeuroradiology Hi , thank you for your kindness , i would appreciate if you email me the exhibit at : immane75@yahoo.fr
How does iodine help with disc assessment !?
@@kc1274 because the contrast enhances the épidural veines and you can see better the discs
Top quality except the vocal fry is really irritating
Well, watch some of the later videos then, as you may like it better. I've tried to work on that over time.
This vocal fry is unbearable
The vocal fry of the speaker is off putting
Yeah yeah, I try to improve. The latter videos are better