Real Time Tele-Epilepsy Consultants - RTTC’s Post

Ophthopedia Update:Horizontal Smoke Stack Leak in Multifocal Central Serous Chorioretinopathy: The figure depicts imaging characteristics of a case with central serous chorioretinopathy. Fluorescein angiography revealed multifocal hyperfluorescent spots in the early phase (A). The juxtafoveal spot (arrowhead) exhibited a horizontal smokestack pattern of leak (white box) (B, C), unlike the classical vertical spread. The subretinal space was predominantly filled with fibrin except for a horizontal hyporeflective space (arrows, yellow box) detected on cross sectional and enface OCT (D), which corresponded to the horizontal path of leak. #Ophthalmology #Retina #Ophthotwitter

Does MRI impact fracture classification and decision-making for thoracic spine fractures? In my opinion, thoracic spine fractures are the most challenging to evaluate for PLC injuries for a number of reasons. Our new paper in the European Spine Journal was just published online today!! Thanks Khulood AlRaddadi for your contributionas a first author.

• 65-year-old man presents with pain and discomfort in the left posterior thigh region • MRI reveals an arteriovenous malformation (AVM) • DSA confirms the presence of AVM, with fast arterial flow through hypertrophied arterioles • 2.4 Fr superselective microcath and direct glue embolization, NBCA diluted with Lipiodol (1:4 ratio) • Final Conebeam CT demonstrates a glue cast, replicating the AVM structure with Francesco Giurazza

Enhance SPECTRALIS® OCT image acquisition in highly myopic eyes by adjusting the scan direction or length. Discover effective techniques in our tutorial from Heidelberg Academy titled "Retina and Glaucoma – Tips and Tricks for Myopic Eyes." https://lnkd.in/ecnJMzBt #HeidelbergEngineeringUS #HeidelbergEngineering #SPECTRALIS #OCT #myopia #retina #glaucoma

A 17 year female patient comes for CEMRI scan she has a teeth braces which can't be removed. So I have applied MARS Technique WHAT IS MARS ? Metal Artifact Reduction Sequence (MARS) is an advanced imaging technique in magnetic resonance imaging (MRI) designed to minimize the distortions and artifacts caused by metal implants. MARS employs a combination of innovative acquisition strategies, including using multiple radiofrequency pulses and adjusting gradient strengths, to mitigate the impact of metal-induced artifacts. By selectively exciting and acquiring data from areas around the metal, MARS minimizes signal loss and distortion, resulting in more accurate and clearer images of the tissues near the metal implant.

The histopathological grading of DAI, proposed by Adams and associates into grades 1–3 is based on the presence of axonal injury in the cerebral hemispheres with a predilection for the grey-white interface (grade 1), the corpus callosum (grade 2), and the dorsolateral, rostral brainstem (grade 3).The most common MRI finding of DAI, as seen in the image below, is the presence of multifocal areas of abnormal signal (bright on T2-weighted images) at the white matter in the temporal or parietal corticomedullary junction or in the splenium of the corpus callosum

Ophthopedia Update:Morning Glory Disc Anomaly Associated Transsphenoidal Encephalocele: A 20-year-old woman was evaluated for long-standing decreased vision in the left eye. She had a history of amenorrhea. Visual acuity was 20/20 in the right eye and hand motion in the left eye. The right optic disc was normal (A, left panel). The left optic disc was elevated centrally, with peripapillary excavation and pigmentary changes; the blood vessels arising from the periphery of the disc ran a straight course (A, right panel). Magnetic resonance imaging demonstrated a transsphenoidal encephalocele (B, arrows). #Ophthalmology #ophthotwitter #eyecare

The SAINT Protocol TMS system uses functional MRI to map out an individual’s brain connectivity to identify the optimal anatomic region for the condensed course of magnetic stimulation. https://lnkd.in/grSX3RFn

Are we using the correct anatomical landmarks for cannula positioning during lumbar medial branch radiofrequency neurotomy? This anatomical study questions standard approaches. See the manuscript by Dr. Tran et al: https://buff.ly/3VX3aXc

An excellent upper limb non-contrast MR angiogram image done at uMR 3T with FINE (Flow Independent, Non-Contrast Enhanced) technology would exhibit high resolution and clear visualization of the arteries in the upper limb without the use of contrast agents. The image would showcase detailed arterial anatomy, including the brachial, radial, ulnar, and interosseous arteries, with precise delineation of their branching patterns and any potential abnormalities such as stenosis or aneurysms. The FINE technology would ensure robust arterial signal and minimal background noise, resulting in superior image quality for accurate diagnosis and treatment planning. #UIH #uMR #Passionforchange #MRI #angio #noncontrast. United Imaging Healthcare