Hola @SalinasAndres cómo estás? Te consulto, hace tiempo mis papeles están en orden para sacar un crédito por BNA. Ahora la inmobiliaria tiene que subir la propiedad a la página mashogares, pero hace más de una semana le tira error. Te reportaron algo similar? Gracias!
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1/Time is brain! But what time is it?
If you don’t know the time of stroke onset, are you able to deduce it from imaging?
Here’s a thread to help you date a stroke on MRI!
Tired of always speculating about MR spectroscopy?
If you've ever looked at an MR spectroscopy & thought: "I have no idea what I’m looking at!"--then this cheat sheet is for you!
Here are the 5 basic rules you need so you can understand the spectrum of basic spectroscopy!
(1) First you need to know the peaks.
—3 main peaks: Choline, Creatine, NAA
—Remember the order bc a spectrum looks like mountain peaks & it is cold in the mountains. And CHOld CREATures NAp or hibernate in the mountains
(2) Hunter’s angle:
—Most people know that the peaks of the spectrum should go up at you move lateral, called Hunter’s angle
—Most bad things reverse Hunter’s angle
—Ask yourself: Is my arrow pointed up to shoot into the air at the enemy (good) or is point to the ground where it will hit the dirt (bad)
(3) TE & spectrum length are inversely related
—Spectroscopy follows the rule: speak softly & carry a big stick.
—Short TE = long spectrum, lots of extra peaks for glutamate/glycine, myoinsitol
—Long TE = short spectrum, mainly the basic 3 peaks
(4) Each region has its own unique signature
—Each brain region has its own unique composition of compounds that might alter Hunter’s angle a bit, but not reverse it
—Need a control in contralateral normal brain so compare apples to apples
(5)Lactate peak goes like a sine wave
—Lactate peak represents anerobic metabolism—sign of cells in trouble
—It’s at 1.3ppm. Remember this bc 13 is an unlucky number & lactate is an unlucky sign!
—It’s like a sine wave: up at short TE (35), down at intermediate TE (144), and up again at long TE (244)
—You can use this flipping to better visualize the lactate peak
—You can remember it’s down in the middle TE bc when you’re caught in the middle, you’re down & out
Just remember these tricks & you will be spectacular at basic spectroscopy!
1/My hardest thread yet! Are you up for the challenge?
How stroke perfusion imaging works!
Ever wonder why it’s Tmax & not Tmin?
Do you not question & let RAPID read the perfusion for you? Not anymore!
1/Does trying to figure out cochlear anatomy cause your head to spiral?
Hungry for some help?
Here’s a thread to help you untwist cochlear CT anatomy w/food analogies!