Cervical spine CT (computed tomography) radiology search pattern

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For those aspiring radiologists out there, has anyone ever explained to you what you should do when you sit down at the PACS station to look at a cervical spine CT? What are the common indications to get a cervical spine CT?
For those non-radiologists out there, have you ever wondered what exactly is going through a radiologists mind as they look through the images? How do you even begin to look at all of the imaging findings?
This video attempts to demystify a lot of that by showing exactly how you might sit down and look at a cervical spine CT on your own. It starts with the reformatted images (those in sagittal and coronal planes) to get an overview of the alignment and anatomy before reviewing the axial images. This video doesn't include everything you should look at, but is a guide for how you might begin.
The level of this video is appropriate for medical students, junior residents, and trainees in other specialties who have an interest in neuroradiology. It may also be of interest to those with an interest in radiology who are simply curious to learn more about radiology.
Check out this video and additional content on www.learnneuroradiology.com

Опубликовано:

25 июл 2024

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Комментарии : 20

@queenpower9514 2 года назад

I would have been lost in my first neuro rotation as a R1 without your search-pattern and "basic" videos. Unfortunately, some training programs take "you are an adult learner" too seriously and don't teach anything and it's up to the adult learners to search the inter web for amazing videos like this. They also preach "reading everyday", but reading everyday for the sake of reading equals very little positive reinforcement and minimal information retention (which I think you said in one of your videos reading studies >>>reading thick reference books). Thanks again, educators like you are amazing!

@LearnNeuroradiology 2 года назад

I'm glad you enjoy the videos and they helped you get started. It's really intimidating starting radiology because you don't know anything, and medical school doesn't teach people a lot of the stuff you need. I always try to keep that in mind when teaching people and I'm glad it help you!

@caiyu538 2 года назад

Great series, I am reviewing your excellent series one by one. With so many excellent teachers in RU-vid, learning becomes much easier. Thumb it up. Actually, learning efficiency is higher than shadowing. All key points are summarized by teachers. Thank you for sharing it for free.

@immane75 6 лет назад

Very good as usual .

@immane75 6 лет назад

Please show a case with degeneratives changes and how you report it step by step . Thank you in advance .

@mrzau8849 2 года назад

Thank you

@LearnNeuroradiology 2 года назад

Welcome!

@VirallyInformed 3 года назад

Hello. Thank you for letting your search pattern. I am wondering though, why navigate the axial thick slices at all if you will always repeat your search in the thin? Is there information that will be hidden in the thin slices?

@LearnNeuroradiology 3 года назад

Yes, most of the time the thicker slices is adequate to see major abnormalities, but particularly small fractures will be more visible on the thin images. I tend to spend more time on the thin images on trauma patients, while not looking at them for very long on patients with degenerative changes, surgical hardware, etc

@VirallyInformed 3 года назад

@@LearnNeuroradiology Thanks for your response. My question translated poorly as it was originally written on phone, but is there any benefit to skipping the thicker sequence entirely in favor of just reading the thin?

@LearnNeuroradiology 3 года назад

Ah, I see. The thin slices have a lot of noise and it's harder to see the sof tissues such as the disc and the spinal cord. Plus the thins have many more slices, making it simply harder to look through. I spend most of my time on the thick slices and use the thins for troubleshooting. Each person can probably find their own balance over time.

@VirallyInformed 3 года назад

@@LearnNeuroradiology I see. Thank you for explaining.

@immane75 5 лет назад

How do you asses the discs ? do you inject iodine ? Thank you .

@LearnNeuroradiology 5 лет назад

To a certain extent you can see the discs if you window the study pretty starkly on a non-contrast soft tissue window. You can better image the discs if you inject intrathecal contrast via a lumbar puncture. This particular test is called a myelogram and highlights the spinal canal. Everywhere indented by the disc is then either disc or osteophyte. However, in the US anyway, almost everyone gets an MRI if the goal is to evaluate the discs. There are a few limitations (people with MRI incompatible implants or large amounts of spinal hardware which may obscure the disc), but we don't do that many myelograms these days. We did an RSNA exhibit this year on modern indications for myelograms. If you email me or DM me your email address on twitter I will email it to you.

@immane75 5 лет назад

@@LearnNeuroradiology Hi , thank you for your kindness , i would appreciate if you email me the exhibit at : immane75@yahoo.fr

@kc1274 3 года назад

How does iodine help with disc assessment !?

@immane75 3 года назад

@@kc1274 because the contrast enhances the épidural veines and you can see better the discs

@faltr0n 3 года назад

Can you take a look at my CT exam?

@LearnNeuroradiology 3 года назад

Sorry, but because of restrictions about practicing medicine in other locations (I only have a license for my own state) and contractual limitations from my job (I'm not allowed to practice medicine outside of my university practice), I don't do interpretations on studies outside my regular job. I suggest you ask your doctor any questions you have, and if necessary you can ask to speak to a radiologist who interpreted your scan to answer any further questions.