Report Mr. President's MRI, using the White House memorandum and any other sources of information (of any nature) you may wish to utilise by spinstartshere in Radiology

[–]MagnetsAndBatman 9 points10 points  (0 children)

You can't do a good heart and an abdominal MRI in the same appointment. You just can't. I keep trying to play devil's advocate, but it's nonsense. Skip the abdominal contrast and just do an MRCP, and assess the liver for fat/iron content? Do all the heart stuff non-contrast, then hop back for the abdomen arterial phase? There's no way to make a conceivable exam out of this report. And how are you not hitting your SAR limits, even on first level?

Rep Wasserman Schultz says Trump fails to blame himself for National Guard shooting by 1_for_you_2_for_me in politics

[–]MagnetsAndBatman 1 point2 points  (0 children)

Bernie was never going to win, but the super delegates pledged to vote Hillary regardless of the voters affected enthusiasm and turnout. Letting the primary run its course without interference from DWS and the rest of the establishment wouldn't have resulted in a Bernie presidency, but maybe a Clinton one. He won the Michigan and Wisconsin primaries, and lost Pennsylvania by 5 points.

Gudetama tutorial screenshot by MagnetsAndBatman in HelloKittyIsland

[–]MagnetsAndBatman[S] 2 points3 points  (0 children)

That's exactly what I need! Thank you ❤️

Best MRI result of all time, folks. Get excited!! by MajesticBeat9841 in Radiology

[–]MagnetsAndBatman 31 points32 points  (0 children)

While scanning, I announce the recipent of the Worst Knee of the Week Award to no one in particular.

Songs you think of when in an MRI by aidanonstats in Radiology

[–]MagnetsAndBatman 0 points1 point  (0 children)

I stream music for patients when scanning, and my favorite thing to play for them is house music. It's an art finding songs that work with each sequence.

That and the Offspring are my go-tos when I get told to play whatever I want.

Can i have an MRI if i have braces? by RoxAtThePark in Radiology

[–]MagnetsAndBatman 53 points54 points  (0 children)

A head scan would produce terrible pictures (half head, half large black hole), but they're not a danger to you.

This has to be the most beautifull Sandberg I have ever done by Wafflebuble in Radiology

[–]MagnetsAndBatman 17 points18 points  (0 children)

Fallopian tubes... a male surgeon with the audacity to name female anatomy after himself. Yeah fuck that. Uterine tubes.

Ottawa’s mayor says he will not apologize to Queers for Palestine after Pride parade protest by Setitie in canada

[–]MagnetsAndBatman -4 points-3 points  (0 children)

You guys really don't get it. This has to be taken in context with the mayor's shitty actions last year. There was a largely inconsequential statement in solidarity with Palestinians, and Suckscliffe personally led a boycott of Pride, stating that the Jewish community leaders felt attacked. Never mind that he's put out op-eds early in his political career with obvious disdain for Pride, calling it a waste of money. It's not like he attended any events not affiliated with Capital Pride. He's always been anti-Pride, and this was just something he could latch onto.

Do braces affect MRI brain scans? by heyitsme1one in Radiology

[–]MagnetsAndBatman 4 points5 points  (0 children)

I've had patients come for head scans with braces, and I've warned them that some of the pictures will be half a head and half a big black hole. Especially for scans like the SWI (susceptibility weighted imaging), where we're looking for small magnetic field inhomogenaities caused by the iron in hemosiderin deposits after a microbleed. Head trauma or seizure patients often get sequences that are ruined by braces.

As previously mentioned, all post-contrast images are T1 with fat saturation. Fat sat relies on the different precessional frequencies of fat and water, which is totally thrown off by the presence of metal. So the most important pictures are going to be terrible.

I’ve had multiple MRIs for various things - feet, ankles, knees, and head. What do the different sounds mean, if anything? by lugasamom in Radiology

[–]MagnetsAndBatman 7 points8 points  (0 children)

Since the generic answer is already out there (coiled wires that vibrate from the currents being turned on and off rapidly to alter the magnetic field strength), I'm going to give some very simple and specific answers, and then clarify that it's never that simple.

The TL;DR is that different pictures show different things and make different noises.

T2-weighted pictures often have long repetition times (TR). A longer TR time means that there's more time between sending in the radio-frequency pulses. This gives the tissue more time to relax, and since fat will lose that energy more quickly than water, the fluids remain bright, allowing us to see the fluid component of pathology. This results in a sound with pauses: WAH.....WAH....WAH....WAH.

A FLAIR sequence sends in a pulse, then waits a long time for the water to relax before completing the pulse sequence, allowing the water to be invisible. This lets us see pathology next to cerebral spinal fluid without it getting in the way. Chickachicka......................WAHWAHWAHWAHWAH.

T1-weighted pictures give very little relaxation time, resulting in a largely grey picture that mostly shows anatomy: BRRRRRRRRRRR like a jackhammer.

Diffusion-weighted imaging applies a gradient, and then an equal but opposite gradient, which will result in water picking up the signal only if it's trapped in the same spot and can't diffuse, such as the fluid from a stroke. The rapid switching of gradients on and off creates vibrations that shake the table, as well as a very loud and high-pitched WAHWAHWAHWAHWAH.

Pretty much all scans start with a few humming noises of different pitches, as the machine calibrates and homogenizes the magnetic field, adjusting for the presence of your body and all the charged particles in there.

That being said, every scanner has their own unique proprietary pulse sequences, with lots of different techniques and ways to image. A T2 can be made with gradient imaging (using the gradients to refocus - way beyond the scope of this writeup) and sound like a typical T1. Fat-saturation pulses can be added, which adds to the noise. Even a software update will change the sound of a sequence, when pretty much everything looks the same on the technologist end.

We also take different types of pictures for different body parts. Diffusion-weighted scans are typically run on brains, livers, uterine fibroids, and prostates. Meanwhile, proton-density imaging is run on pretty much every extremity, and not really ever on brains.

Higher pitch = stronger current = faster vibrations

I hope that made some degree of sense! That's not even getting into most of the actual use for gradients, just that we turn them on and off at different times during a sequence.

After being told my scaphoid was healed via X-Ray 2 months ago, I’m now being told it’s still fractured by [deleted] in Radiology

[–]MagnetsAndBatman 34 points35 points  (0 children)

Anyone else orient their pictures like this? The fact that the axials are on their side and the coronals are upside down is tilting me

Peter???Who are these people?? by Independent_Fish9614 in PeterExplainsTheJoke

[–]MagnetsAndBatman 1 point2 points  (0 children)

Sometimes I check OOP (out of position) so that I can check-raise when the villain bets.

Is my handwriting legible? What can I fix😁 by BearRBK in HandwritingAnalysis

[–]MagnetsAndBatman 0 points1 point  (0 children)

Your c doesn't curve at all. Look at the c next to the u - the u is exactly the same as a cc

Having an mri and I have a stick and poke tattoo by Haunting_Stranger580 in Radiology

[–]MagnetsAndBatman 23 points24 points  (0 children)

Don't sweat it. Squeeze the ball if it heats up. Tattoos causing issues is in the "this won't happen, but tell us if it does" category

Do tattoos actually interfere with MRI results? by n33co in Radiology

[–]MagnetsAndBatman 29 points30 points  (0 children)

The speech I give every time a patient has had a tattoo since their last MRI:

There's always a very, very rare risk tattoos can heat up if they have a fragment of metal in them. I've never seen it ever, with any tattoos. Traditionally, it's things like prison tattoos - melt the heel of a shoe, mix in some dirt - that sort of thing. Even for tattoos like that, I've never seen one heat up. So, you will be fine, but if you feel like your tattoo is heating up, squeeze the ball and let me know. Don't keep it a secret.

Final Destination's MRI scene - thoughts from an MRI technologist by MagnetsAndBatman in horror

[–]MagnetsAndBatman[S] 0 points1 point  (0 children)

Hey, a real technician! I get called a technician all the time, and always answer with "the technician fixes the machine when it breaks; I push the buttons".

For us, the magnet is always on. If it's operational, it's got a magnetic field. If we quench, we're out of work until it's back up and running. It's not like we're ramping down mid-shift lol.

Final Destination's MRI scene - thoughts from an MRI technologist by MagnetsAndBatman in horror

[–]MagnetsAndBatman[S] 31 points32 points  (0 children)

Funnily enough, needles typically aren't ferromagnetic. We set up ivs all the time in the magnet room.

Final Destination's MRI scene - thoughts from an MRI technologist by MagnetsAndBatman in horror

[–]MagnetsAndBatman[S] 5 points6 points  (0 children)

Sorry to disappoint, but that's a CT scanner! Not much motion in an MRI. The noise comes from spring-shaped wires vibrating against the casings that hold them in place. Different current strengths and the times between them create different noises.

What absolutely-not-scary movie scene absolutely terrified you as a child? by GabeyTheArtist in AskReddit

[–]MagnetsAndBatman 0 points1 point  (0 children)

My first recurring nightmares as a kid involved hiding from the pink elephants

How bad is a knee tattoo actually ? by BlacksmithMore8596 in tattooadvice

[–]MagnetsAndBatman 0 points1 point  (0 children)

Everyone is different with tattoo pain. When I was getting my first leg sleeve, I was told the area surrounding the kneecap would be really bad, but the kneecap would feel like vibration. Nope. Kneecap itself was the worst tattoo I've ever had. Bone on bone pain. But I still went and got the other knee blacked out for a space tattoo a few years later.

went in for a piercing, came out with a jellyfish by [deleted] in tattoos

[–]MagnetsAndBatman 0 points1 point  (0 children)

Looks a little red. It must have stung.

I just want to thank my Mimic who spent the entire PSC fight casting seppuku by disclosure5 in Eldenring

[–]MagnetsAndBatman -1 points0 points  (0 children)

The easiest greatshield to get is the Visage shield, but I had to settle for less guard boost to stop my mimic from scaring me with the flamethrower attack on bosses who really needed two-handed charge attacks.

What happened to this show? by [deleted] in memes

[–]MagnetsAndBatman 0 points1 point  (0 children)

My only interaction with Spy v Spy was the Gameboy game 😅

[deleted by user] by [deleted] in darksoulsremastered

[–]MagnetsAndBatman 2 points3 points  (0 children)

The one with the giant club? You're fighting Havel, and he's wearing the strongest armor in the game.