I'm a neurologist and watched this from start to finish! Will be definitely recommending to my residents and I myself am also aiming to watch your other videos to refresh and add on to my neurorad knowledge!
Excellent as always! Just one question: we always do a coronal Flair in our department. Is it ok to do the assessment of GCA on that one or does it have to be an axial image?
Technically speaking the GCA-scale was developped based on axial images, but once you learned how to use it, I believe you could provide a reliable estimation on coronal FLAIR images as well. I would personally feel more comfortable using axial images, and if the intent is to do an evaluation becaus of suspected dementia, I would not find it sufficent. For a general examination, I believe it would suffice. In the end, the GCA-scale is just a subjective and reader-dependent tool to give a rough estimate on the severity of cerebral atrophy. It's no rocket science, but a tool that allows us as radiologist to give an idea on the severity of atrophy. It's also very subjective. The thing I always tell my residents that it's not the goal "to get it right", becaus a "severe GCA 1" for one radiologist will be a "mild GCA 2" for the other. The idea is that we can give a rough idea to our reffering physician. If reader 1 says: it's GCA 0 and reader 2 says it's GCA 3 --> then one of them must be wrong. If reader A says it's GCA 1 and reader 2 it's GCA 2 --> no point in arguing about.
Hey Sven, Wil je voor ons een presentatie geven betreft ‘imaging of the optic pathway?’ Van de orbita tot aan fissura calcarina, misschien Ook interessant voor ons presentatie over orbita beeldvorming? Alvast bedankt!
No, no personal preference, or well, maybe a very slight one for FS FLAIR. FS FLAIR can be useful for somewhat better depiction of skull lesions, but in daily practice most patients don't have skull lesions.
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Please never stop doing videos. Your such a perfect educator!!
I'm a neurologist and watched this from start to finish! Will be definitely recommending to my residents and I myself am also aiming to watch your other videos to refresh and add on to my neurorad knowledge!
Perfect as always! A complete radiologist with a enormous knowledge and experience!
VERY WELL EXPLAINED! Thank you!!!
I wish I had a teacher like you when I started working. Thank u
Im a Radiology Resident, and your video gives a head start! Thank You!
Thank you for such an amazing and concise lecture. Much appreciated
Thank you so much. I did not watch better videos on this topic!
thanks, much appreciated!
This is some GOLD content.please make such content frequently🙏🏻
I'll try :)
Useful for senior radiologist too! Thank you 🤗
Thank you for this perfect overview.👍
Thank you!
Thanks for sharing! Great lecture as always
Thank you for good lecture
Please do one on ct brain
Thank you so much for your videos, they are an amazing resource for learning!
Very perfect sir ! the approch is very nice. Request more such informative videos
Thank you sir
you are much, much appreciated!
Excellent!! ❤❤❤ Thank you!
Mil gracias, excelente clase maestra.
Awesome! Keep up the good job.
Super!!! 👏
Much appreciated.
Thank you so much!
Это круто, спасибо ❤❤❤❤❤
Excellent as always! Just one question: we always do a coronal Flair in our department. Is it ok to do the assessment of GCA on that one or does it have to be an axial image?
Technically speaking the GCA-scale was developped based on axial images, but once you learned how to use it, I believe you could provide a reliable estimation on coronal FLAIR images as well. I would personally feel more comfortable using axial images, and if the intent is to do an evaluation becaus of suspected dementia, I would not find it sufficent. For a general examination, I believe it would suffice. In the end, the GCA-scale is just a subjective and reader-dependent tool to give a rough estimate on the severity of cerebral atrophy. It's no rocket science, but a tool that allows us as radiologist to give an idea on the severity of atrophy. It's also very subjective. The thing I always tell my residents that it's not the goal "to get it right", becaus a "severe GCA 1" for one radiologist will be a "mild GCA 2" for the other. The idea is that we can give a rough idea to our reffering physician. If reader 1 says: it's GCA 0 and reader 2 says it's GCA 3 --> then one of them must be wrong. If reader A says it's GCA 1 and reader 2 it's GCA 2 --> no point in arguing about.
Hey Sven,
Wil je voor ons een presentatie geven betreft ‘imaging of the optic pathway?’ Van de orbita tot aan fissura calcarina, misschien
Ook interessant voor ons presentatie over orbita beeldvorming?
Alvast bedankt!
Sure, got one in the making :)
Is there need to scan the entire spine to ? Lesions in the cord?
Thanks so much! Do you have a preference regarding fat-saturation on FLAIR images? I noticed both FS and non-FS in your examples
No, no personal preference, or well, maybe a very slight one for FS FLAIR. FS FLAIR can be useful for somewhat better depiction of skull lesions, but in daily practice most patients don't have skull lesions.
@@theneuroradiologist Thank you!
Hi can you point me to the neuroradiology mri sequences video please?
@@shastriramroop4815 sure, here is the link: ruclips.net/video/bAl3ht-kpVk/видео.htmlsi=jw4CFfDqunMZT0XR
@@theneuroradiologist thank you