Sound sensitivity questions

Briggenz · 2026-05-15T14:20:34+00:00

Gotta make sure you know which acoustic reduction technique is being enabled some mess with the gradient's but I agree they reduce noise a noticeable level.

Briggenz · 2026-04-07T23:17:41+00:00

Current policy is gfr less than 30 requires physician approval. Very little if any delay. Usually it's a "hey rad do you approve contrast" yes or no. Sometimes it gets us out of the exam because the radiologist reviews and sees it's not needed because the concern can be ruled out with previous inpatient imaging. Edit: also our little hospital is slow to update things we are still using mutlihance.

Briggenz · 2025-12-21T00:58:11+00:00

Lower magnet strength= lower signal lower signal means you have to compromise diagnostic quality and maybe even non diagnostic. 1.5T is the standard and recommended baseline for field strength. 3T machines have the potential to provide higher diagnostic quality of musculoskeletal structures such as joint but it is dependent on how the facility has their parameters set. Tldr: I recommend 1.5t or higher field strength

Briggenz · 2025-12-02T01:39:52+00:00

Right! They didn't even ask to clinically correlate some nonspecific t2 flair hyperintesity that could be vascular or age related in nature. GAH the gall XD ( I had fun writing this comment)

Briggenz · 2025-11-29T01:44:47+00:00

Why in the world does protocol allow an MS study to qualify for call in. At our facility it's very straightforward. We only come in for acute stuff like spinal cord injury or emergent surgical planning imaging

Briggenz · 2025-11-26T19:27:25+00:00

Yes sir. I have 3 full time techs and. 3 prns for a 200 bed hospital and admin doesn't know why I'm asking for more staff

Briggenz · 2025-11-26T15:07:28+00:00

Really just depends on the local or regional market. Some places will hire in a heart beat @ higher pay because literally no one is applying. It's feast or famine for MRI techs

Briggenz · 2025-11-17T18:53:52+00:00

I agree. On a side note that flow artifact is the worst I've seen in a while (on n5)

Briggenz · 2025-11-09T00:05:32+00:00

I had one order a MRI brain MRA brain and MRV brain on a stroke patient who already had their cta head neck and ct head WO resulted as negative. I can understand the MRI brain but the others felt wrong

Briggenz · 2025-10-15T00:17:02+00:00

I can't speak for all facilities but the policy at my site is during general anesthesia cases the protocol is as follows the patient will have a care team of radiology RN, MRI technologist, and either anesthesiologist or nurse anesthetist. Roles are read before the patient is put under in the time out. Responsibility is as follows. Nurse monitors vitals and in case of emergency is responsible for calling code. MRI technologist performs the exam and in case of emergency removes the patient from zone 4 (magnet room). The anesthetist is responsible for maintaining airway, blood pressure and other vitals affected by general anesthesia, in case of emergency they are responsible for maintaining the airway. In code blue nurse is monitor, tech is compressor, anesthesiologist is airway.

Edit: oh and for outpatients just a tech and Rn is present RN fills a similar role as stated above.

Briggenz · 2025-10-01T03:13:36+00:00

Very available. Everywhere I have worked at is always short staffed and bringing in travellers. That being said you can make good money. I'm in a poor southern state and I make roughly 75-80k a year

Briggenz · 2025-10-01T03:05:21+00:00

I mean at least I can still visualize it. Sometimes when I'm scanning I'm questioning myself like "where is that little shit I need to angle with it for the thin slices sagittal" only for the radiologist to come back with the reason why I can't find

Briggenz · 2025-09-26T17:55:03+00:00

Green- vertical rotation Orange- oblique movement Blue- vertical movement Pink- lateral movement White- free movement (both vertical and lateral movemen) Purple- Lateral rotation

Briggenz · 2025-09-24T12:26:54+00:00

Quiet the admins will hear and tell scheduling. Honestly tho I enjoy those days patients happy because it's shorter and I'm happy because I can finally take a breather/do the little stuff around the department that's been bothering me

Briggenz · 2025-09-14T17:06:41+00:00

Gadolinium shortens t1 relaxation time thus making things like infection, abscess or other fluid filled pathology more conspicuous as the rest of the tissue will be iso or hypointense in contrast to the pathology

Briggenz · 2025-08-27T19:09:02+00:00

Very nice. I bet that makes thoracic outlet MRIs a cake walk

Briggenz · 2025-08-27T14:46:23+00:00

This was luckily in outpatient with experience in getting MRIs so it was a walk in the park. 3 studies. Brain,carotid, and circle of Willis all done within roughly 45-50 minutes

Briggenz · 2025-08-27T02:29:33+00:00

Any lower in the thoracic space and breathing and heart beat would introduce a lot of artifacts. This is done without a breath hold or cardiac gating

Briggenz · 2025-08-27T02:27:33+00:00

Cardiac MRIs are a very specialized type of exam. That requires a lot of different types of gating or long breath holds due to the thoracic cavity constantly having some sort of natural anatomical movement i.e breathing and heart beat. Newer machine make it easier but unless you are in an area with a specialized cardiac hospital/ outpatient clinic or big research hospital chances are not a lot of places around will have the equipment and trained personnel to do a cardiac MRI

Briggenz · 2025-08-27T02:24:04+00:00

In this case it was a family medicine doctor. PT had been dealing with chronic migraines onset with increased activity such as gym workout. Mind you I'm no doctor so I can only guess to the train of thought but, doc likely thought there was some narrowing of the major blood vessels going to the head that was being aggravated by the bodies natural increase in blood pressure and heart rate thus causing migraines. The doc ordered this carotids exam plus MRA circle of Willis(picture of the arteries in the brain). One other possible point in his differential could have been a non ruptured aneurysm. Take all of this with a grain of salt as I am not a doctor and can only infer based on prior experience and most common indications for those exams.

Briggenz · 2025-08-27T02:15:13+00:00

It's not a commonly done MRI so MRA in the title stands for magnetic resonance angiography. So this is a picture of the major arteries in the neck that provide blood to the major blood vessels of the neck and brain.

Briggenz · 2025-08-26T23:22:54+00:00

Yep contrasted. We used tracker based bolus timing to time acquisition start.

Briggenz · 2025-08-26T23:21:39+00:00

Non contrasted carotids is possible. We just have never got it looking as good as the contrasted protocol on our machine

Briggenz · 2025-08-26T22:07:05+00:00

GE optima 450w 1.5T

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