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Kipling’s honest serving men ,[object Object],[object Object]
MRI: What, Why and When? Dr Keshav Kulkarni Consultant Radiologist
“ Without history human is demoted to lower animals” ,[object Object],[object Object]
We are so close to the man behind MRI ,[object Object],[object Object]
MRI: What is it? ,[object Object],[object Object],[object Object],[object Object]
WE ARE MAGNETS! Really?
We all are made up of elements ,[object Object],[object Object],[object Object],[object Object],[object Object]
Why hydrogen? ,[object Object],[object Object],[object Object],[object Object],[object Object]
But why we can’t act like magnets? ,[object Object],[object Object]
We need a big magnet from outside! ,[object Object],[object Object],[object Object]
Proton alignment ,[object Object],[object Object],[object Object],[object Object]
Now, its time to listen to radio in RESONANCE. ,[object Object],[object Object]
What is Radio Frequency pulse? ,[object Object],[object Object],[object Object],[object Object]
Turn off the radio ,[object Object],[object Object],[object Object]
Now, we re-transmit the energy for image processing ,[object Object],[object Object],[object Object],[object Object]
What kind of images? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Copyright ©Radiological Society of North America, 2005 Pooley, R. A. Radiographics 2005;25:1087-1099 T1-weighted contrast
Copyright ©Radiological Society of North America, 2005 Pooley, R. A. Radiographics 2005;25:1087-1099 T2-weighted contrast
Tissue Appearance WT FAT H2O MUSC LIG BONE T1 B D I D D Proton  Density I I I D D T2 I B I D D
 
A bit of sequence exercise
Which sequence is it? T2
Which sequence is it? T1
Which sequence is it? FLAIR
Which sequence is it? DWI
Which sequence is it? ADC
Which sequence is it? GE
Which sequence is it? PostGd
Which sequence is it? MRV
Which sequence is it?, 3D MRV
Which sequence is it? MRA
Which sequence is it? T2
Which sequence is it? T1
Which sequence is it? STIR
Which sequence is it? MR arthrogram
I hope I was able to confuse you!
How MR is done?
In a Tunnel, of course!
Before entering tunnel, there is  a checklist! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Further checklist! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is entering the tunnel safe?  ,[object Object],[object Object],[object Object],[object Object]
What happens in MRI? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Aspects of MRI
When to MRI? ,[object Object],[object Object]
Advantages of MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Disadvantages of MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nothing is perfect in this world ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
We presumed MR contrast is safe  ,[object Object],[object Object],[object Object],[object Object]
Necrotising Systemic Fibrosis ,[object Object],[object Object],[object Object],[object Object]
We need to get used to artefacts, and sometimes are major limitations
How to get the best from MRI? ,[object Object],[object Object],[object Object]
MR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],CT
Neuroimaging = MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications (almost everything) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tools in neuroimaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stroke imaging ,[object Object],[object Object],[object Object],[object Object]
Acute infarct best shown on DWI
When to skip CT? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Herpes encephalitis
Glioma
Spine imaging ,[object Object],[object Object],[object Object],[object Object]
Disc lesion and MRI ,[object Object],[object Object],[object Object]
Metastasis
Head and Neck imaging ,[object Object],[object Object],[object Object],[object Object],[object Object]
Second branchial cleft cyst
Tongue base carcinoma
Musculoskeletal imaging ,[object Object],[object Object],[object Object],[object Object]
Tools in MSK imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fracture
Avascular necrosis
Rotator cuff tear
Bankart and Hillsachs lesions
Abdominal MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
MRCP
Rectal ca
Vascular MRI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac MRI ,[object Object],[object Object],[object Object]
Breast MRI ,[object Object],[object Object],[object Object],[object Object]
Foetal MRI ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
meningioma
glioma

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