MRCP BILE DUCTS PLANNING. "HOW I DO IT"

Today we are going for MRCP planning, “how I do” it video where I’m breaking every steps into details. This video only shows how to plan the bile ducts, not pancreatic duct. In the future I will make another video for that.
Thanks for watching and following, hope you find this video interesting and valuable
#S_MAGNETIC_VLOG #MRI #SIEMENSHEALTHINEERS #MRCP

[@t.m.ayyarin8388]

Thanks for this. MRCPs is one of those procedures I struggle to get my head around. Not sure why. It just doesn't compute in my head. But your explanation and demonstration made it so much easier to follow and understand. Thank you!

[@msuspicious-tj4ny]

Bac, you are brilliant and so informative! Thank you for your easy going style while still educating us! You are the Man!

[@zonlolita2421]

You are the best genius in MRI ever

[@CARL-dx4mi]

Thank you so much, sir. This is very helpful for me especially I'm just starting my career in MRI.

[@mudassirma8097]

Informative video..👍

[@ralucahantar6502]

Thank you! Can't wait my next MRCP 😁

[@blackswun]

Thank you so much! This is really a big help!!!!!!!

[@bobbywong2287]

nice to see breath hold mrcp

[@72DIMOS]

Lovely, just lovely

[@Nguyen_MRI]

Thanks for watching and kindly words. 🥰

[@dallasfisher1694]

Thank you too much! Very helpful. Please keep making more videos.

[@Nguyen_MRI]

Thanks for kindly words

[@beatricesammons2723]

This is very helpful and you explain this procedure very well and very thoroughly. Thank you. Hope you will do more in the future. Vascular MRA would be interesting.

[@douglasg1780]

Exellent..

[@mohmadshakeeltantray2084]

Great

[@Donaldian2]

Thank you so much! This is really a big help! 😀

[@Nguyen_MRI]

Thanks for kindly words.

[@tonyeze7233]

Great job! I work with GE scanner and sometimes i think Siemens is better on mrcps. I guess i just don't like the free breathing technique no matter how good u position ur navigator

[@davideghiselli1751]

Very useful, thanks from Italy mate

[@richardperez9476]

Excelente video y una manera diferente de como se hace la planeación.😁👌

[@Nguyen_MRI]

Thanks for your words. 🥰

[@dieptuandung2035]

Thank you bro for your instructing video. Could you plz distinguish principles between liver dome scout and phase scout?

[@dharampalvaidhya5523]

Thanks Bro👍👍

[@SC-gh6gd]

Muy bueno brah 👍

[@santhanakraishnan4448]

Thanks Sir🙏🏻🙏🏻🙏🏻

[@TAHA-TOUABA-RADIOGRAPHER]

Thank you so much pro

[@ashokkumarsharma1021]

super

[@charmainebondoc7735]

Hello! Can you make a elbow when planning and positioning and techniques? Thank yyou

[@user-cq4ez9zz2q]

thank you so much pro

[@Fregra]

Topp innhold Bac! Bare å fortsette å lage videoer :)

[@Nguyen_MRI]

🥰

[@xmaslove1361]

thanx a lot

[@abdomohammeddarwish]

Thank you

[@luigiperico3331]

You are the best

[@Nguyen_MRI]

Thanks for kindly words. There are many great techs out there ☺️

[@zakihafez4378]

thanks

[@ngcindy9578]

Could you make a video about brain perfusion technique and post processing?

[@badrlinux6786]

first, i will thank u for the well done video and the explain, Good Exam and Technique. please keep it up and more video for breast with whshing/washout te :chnique or a perfusion in brain with siemens software analysis. hop u are well and keep it safe #corona. Thank u bro👌

[@Nguyen_MRI]

Thanks for your kindly words. Yes more to come. 🥰

[@mustafa0titi]

Great man , thank you 👍👍👍

[@fakenamefakesurname5005]

Wow, holy shiet, i'm working with siemens and never understood what was the purpose of the haste cor thick because it always turned out bad and now i know why! I was doining it all wrong!😭

[@Nguyen_MRI]

Awesome now you know ☺️👍

[@tonyeze7233]

Hello Bac, Do u work with GE as well? If so, can you highlight more on how to use and adjust a Navigator better on GE's? What could make a navigated pre- dynamic sequence on abdomen look good, but not on the post contrast since its the same sequence ? just wondering..

[@Nguyen_MRI]

Hi Tony. Unfortunately, I don’t work with Ge scanners. This sounds strange your problem mention here. Should work as the same pre post navigator though.

[@Michael_Logan]

Hi Bac, great channel! Is there any chance you could upload a pdf with the parameters for your triggered MRCP and the bh MRCP? I saw that your triggered had a base time of around 3 min, ours has almost 6min, would be great to try out yours.

[@Nguyen_MRI]

Please provide me your email or contact me on this one: [e-mail]. I can provide you then.

[@ashishbhandari8673]

could you please send it to me also

[@islamabdelgowad3175]

Hellow Please can you make Spectro & csf flowmetry Planning and processing Thank you very much

[@Nguyen_MRI]

kzbin.info/www/bejne/r5ish6p3bpyLe8U

[@Nguyen_MRI]

kzbin.info/www/bejne/poWvfJqAq9eDf9E

[@gracefulonthetrail2244]

Can you please tell me the software version you are using here? I'm in clinicals and the hospital I'm at uses this with their 1.5T Aera and I'm not familiar with the icons and their meaning. The tech there doesn't know what version of Seimens software it is. I was hoping to find info online with no luck. Thank you for doing these awesome videos! It helps me a lot!

[@Nguyen_MRI]

It's Siemens E11e software. You probably have similar E11 also.

[@sitirohanidin8638]

Hai..hello..can u teach how to do mra thorasic aorta..tq

[@basemalshraideh2893]

Can you do mediastinum MRI plz

[@bam1411able]

thank you for good explain but can i ask u how long take 3D MRCP trig and can you please show us the parameter also how you do it BH 3D MRCP

[@Nguyen_MRI]

Resp trig takes everything from 2-5 min. Depends on patients breathing pattern. Bh is used with caipirinha.

[@monalisachakraborty4433]

How to plan 3d urogram space sequence res trgg..

[@gyges182]

Can You please tell me for BH space Turbo Factor, Base, Phase and Slice resolution. Caipirinha Acc factor 3D is 3 with 24 ref lines? Amazing images 👍

[@Nguyen_MRI]

Etl 240, base 256, phase 80%, slice 50%, caipi 3 24 lines. My goal with this Bh is not having it isotropic. Just sharp in one plane

[@Donaldian2]

do you have any tips for GE scanners? Thank you!

[@Nguyen_MRI]

I don’t have much experience with GE scanners unfortunately. But will help as far as I can.

[@user-ub2wu8tl5x]

Hi Bac. Thank you for share your knowladge to us . I have a question. I work on siemense 3 T in liver transpalate center . I have problem in 3D space . Becuase my patients have asitise . If i change TE to 400 in 3tesla is it work? My protocol take 4.30 s in 3 Tesla i dont have a short TR

[@Nguyen_MRI]

There are many key factors for having a good mrcp. Firstly is the patient patient. Secondly is the technical part along with coils and patient positioning. I use te around 400ms.

[@bcampbellism]

Great explanation! Did you make a video planning pancreatic duct?

[@Nguyen_MRI]

No I haven’t yet. In my future plans. Thanks.

[@bluepheonix8868]

thanks bac! could you share wih us care bolus in breast imaging? TIA

[@Nguyen_MRI]

Thanks. Unfortunately we don’t perform mri breast imaging. So I don’t have much experience in that topic.

[@franciscomorales15]

The in-out phase gre, is a 3d volume?

[@Nguyen_MRI]

Yes it is.

[@tranthanhha9358]

thank u a lot for the video but u can tell me about respiratory trigger technique.

[@Nguyen_MRI]

Thanks. This approach I used was liver dome. Most standard one been for many years and on older software. Then you have what is call phase scout which is the more newer version of navigator.

[@tranthanhha9358]

@@Nguyen_MRI thanks.

[@haminh1714]

Anh ơi, sao có những lúc em chụp MRCP lại chỉ tăng tín hiệu của đường mật, còn túi mật lại không có tín hiệu ạ. Trong khi ở xung T2 tra lại thấy rõ túi mật căng. Em cảm ơn ạ

[@Nguyen_MRI]

Try to do it transversal plane also. Easier to cover.

[@mdasifiqbalrakib7410]

There is a lot of learning from your video by the way if you don't mind if you could write down what you say On the other side to your video it would be very helpful.plz plz plz plz

[@Nguyen_MRI]

Is it possible to turn on subtiles?

[@mdasifiqbalrakib7410]

@@Nguyen_MRI I'm not sure??????

[@mdasifiqbalrakib7410]

@@Nguyen_MRI tse tra mean

[@mdasifiqbalrakib7410]

@@Nguyen_MRI Yes That's what I wanted you to understand subtitle

[@Nguyen_MRI]

@@mdasifiqbalrakib7410 there is automatically in KZbin. Just turn it on

[@alisonpinfold125]

Hi Bac. Would you change the parameters at all @ 3T? (TR/TE) Thanks

[@Nguyen_MRI]

Good question. In general the physics behind 1.5T and 3T are different. So yes I do that.

[@tengteng4579]

Bac . I have been trying to set a protocol for a breath hold MRCP. I tried to copy the protocol you had but I always end up with a 1 min and 32 sec. time breath hold. I adjusted all the parameters but I can't make it to a 15 sec. BH. Please help. Siemens Espree.

[@Nguyen_MRI]

It can be difficult without possibility to use caipirinha.

[@AHMEDElsayed-ie9is]

Plase How to perform an MRI of the kidney veins

[@farmanahmad-bu2xf]

There is any video's abouts t2 star map for knee cartilage

[@Nguyen_MRI]

No not from my channel yet.

[@julesannieton]

Could you also demo the pancreatic duct scan ?

[@Nguyen_MRI]

Yes have that in mind also in the future

[@antoniocognato5023]

How can I get an mrcp on myself? I need to get a referral. Anyway online to get a dr referral? You gotta be your own advocate on your health. Please let me know.

[@Nguyen_MRI]

I guess visit your doctor first then he can get an appointment with a MRI site.

[@SanalksSanalshaji]

Hi boss,pl let me know the 3 d mrcp trigger sequence planning and how to reduce the acquisition time,because whenever I am doing the time will more than 20 min. I am using skyra... Image will coming very bad.if there any solution for this,pls let me know.thanks

[@Nguyen_MRI]

Have you tried the original one from the siemens tree? Shouldn’t take that long.

[@SanalksSanalshaji]

Any respiratory tricks is there?

[@Nguyen_MRI]

@@SanalksSanalshaji just as I show in the video. Proper position and patient information. Do they breath proper during scanning?

[@gasmiadnen2676]

Hi! Can you tell me how to work as a radiologic technologist in Danemark??

[@Nguyen_MRI]

I don’t live in Denmark. So I don’t know the rules there.

[@gasmiadnen2676]

Sorry I mean Norway because you work in oslo 😅

[@Nguyen_MRI]

@@gasmiadnen2676 well i guess you need a bachelor degreed in radiography. also norwegian language as well. besides that im not sure if you need anything more

[@tuthy9587]

Bac, I notice on your t2haste and 3dspace you drop you TR, I believe the original TR on siemens default is 1400 on haste and 2600 on 3Dspace. When I scan I don't bother adjusting those TR, will there be a significant changes if i drop those TR beside Time acquisition?

[@Nguyen_MRI]

Good notice. 1. Haste is a “hard sar” sequence. So having a high tr will cope with this. However I don’t want to have two breath hold in one sequence. I drop the tr and drop the flip angle so I’m able to do this a one breath hold without any jumping in between those two breath hold. Not a single person will be able to do the exact breath hold position of the anatomy if you ask them to do it twice. That’s why images often jumps on haste because you do it twice in one sequence. 2. For mrcp 3D space. This sequence is very complex whenever optimising. By that I mean you can not only change tr alone or te or etc etl.Many parameters must fit with each other for being able to highly optimise this sequence. There are many holes of pitfalls you can end up with if optimising this wrongly. I drop tr to save time but other parameters are adjusted accordingly to that.

[@tuthy9587]

1. From 1400 TR to 500, will there be huge impact on my T2 contrast? I always wanted to do single breathold on my haste, When my patient barely follow breath hold instruction I end up resp trigger haste. 2. good thing I know I can drop my TR on these, trial and error I guess + review on the basics. Even with a good respiratory gatting, I have mediocre quality of 3Dspace full of breathing artifacts, probably because Scan time takes 5min+. Thanks a lot, will try to improve my mrcp protocol.

[@Nguyen_MRI]

Regarding haste. No. It’s a single shot type of sequence. All good by doing that. Nevertheless, haste is also a good sequence for practising the breath hold.

[@tuthy9587]

Bac, follow-up questions 😅 Did you raise your turbofactor on Breathold MRCP? Can't barely achieve 15sec scantime without touching turbofactor.

[@Nguyen_MRI]

@@tuthy9587 it’s at 200 etl. And high Caipi factor due to time

[@Help.for.Radiology.Tech8367]

Sir I have 1.5 T Siemens MRI.I am really distressed MRCP thin slices respiratory trigger artifacts kindly rectify issue (like zipper artifact)

[@Help.for.Radiology.Tech8367]

How can I send you pictures of artifacts 😢

[@Help.for.Radiology.Tech8367]

I need your help 🙏

[@rockers9608]

I m also CT and MRI radiographer but I have to do job in abroad can u pls tell me about that ..

[@Nguyen_MRI]

I wish I could. I guess just apply like everyone else and check out the rules for that specific country.

[@rockers9608]

@@Nguyen_MRI ok thks...

[@antoniocognato5023]

Question , are you a doctor? I had an mrcp done, came back negative but want a second opinion. They did it with contrast and with out.

[@Nguyen_MRI]

hi, no im not a doctor. im the one who acquire these images for the doctor to do the reports.

[@antoniocognato5023]

@Bac Nguyen ohhh, ok. But you read these clearly right. How accurate are mrcp images ? Like I said, I had one done, with iv contrast, and without. They found nothing. Just looking for second opinion. I had a CT scan with contrast back in the summer and a full mri body scan in November. All negative.

[@Nguyen_MRI]

@@antoniocognato5023 I don’t read these. But I can see if the quality meet its need. Different modality such as mr, X-ray and Ct have its pro and cons. For bile/ pancreatic duct mr is good. Highlight the biliary pancreatic duct nicely.

[@chengxinwan7881]

Hello, may I reprint your video on social media in China?

[@Nguyen_MRI]

Yes sure. Thank you for asking.

[@aymanmuhammad1610]

I'd be thankful (mri Siemens sempa 1.5t software learning to operator plz) عرض النص المقتبس I'd be thankful (mri Siemens sempa 1.5t software learning to operator plz) عرض النص المقتبس

[@Demetriy-nt8mf]

I think its way over complex we have much easier breath hold radial that covers all ducts biliary and pancreatic

[@Nguyen_MRI]

Many ways to the same goal 👍

[@drdebocherry]

U r darling!

[@srinu5008]

foetal mri scan send me bro

[@mdnurnabi8336]

thanks