Radiology Pearls

From Seth's Wiki
Revision as of 23:30, 23 September 2024 by Aesetholephews (talk | contribs)
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

Resources

CT

  • Houndsfield units of -1000 = air, +1000 = bone

MRI

  • Nomenclature: use "intensity".
  • CSF is the easiest way to distinguish between T1 and T2. It is black in T1 and white in T2. Remember that 1 precedes 2 numerically in the same way that black naturally "precedes" white linguisticly (i.e. no one says "white and black" when referring to gray scale images)
  • Good overview article of MRI principles.
  • Nasal turbinates bright = MRI w/ contrast (per NSICU attending Vagnerova)

Sequences

  • T1: pancreas (due to Mn2+ deposition in the pancreas), fat, protein, hemorrhage, melanin, and gadolinium.
  • T2: fluid (excluding blood)
  • DWI: bright areas are suspicious for infarcts, but can also be T2 shine-through. Dating the chronicity of infarcts can be done with T1 and T2.
  • ADC: dark areas on ADC are infarcts, and should correlate with bright areas on DWI.
  • GRE: In phase/Out of phase. Most sensitive for assessing iron deposits, steatosis.
  • T2-star:
  • FLAIR: heavily T2-weighted image which suppresses CSF