MRI CARDIAC PLANNING, HOW I DO IT

Welcome back to another video from me. Today we going to talk about MRI cardiac planning without the help of DOT ENGINE. I will break every step into details with explanation when it comes to the basic of planning the CINE function of the cardiac. By having the basic cardiac planes ready, you can easily copy the positions if going further with for example t1 mapping, late enhancement gadolinium, perfusion etc.
Thanks for watching and following, hope you find this video interesting and helpful
#S_MAGNETIC_VLOG #MRI #SIEMENSHEALTHINEERS #CARDIAC #COVID19 #CORONAVIRUS
References
Cardiac planning in pdf from: u.pcloud.link/publink/show?co...

[@jesuscalderon2812]

Thanks for sharing!! Excellent video!

[@phillog7246]

A video about coronary arteries would be awesome. Thank you, Bac.

[@jamrich456]

Thank you! Having to learn cardiac on my own isn't easy but your video and PDF helped a lot

[@Nguyen_MRI]

Thanks for kindly words.

[@blackswun]

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

[@user-qu4mw3te4x]

Thank you for sharing your experience and knowledge.👏🙏

[@user-hx5zv7xe9h]

you are the best !

[@gangadharappagowda7844]

Thank very much, It is wonderful presentation for Beginners.

[@glob3242]

This was a very well done presentation! Thank you

[@akhan07]

Thank you very much. That was very helpful.

[@ashishpremjumde8975]

Very helpful video

[@carlathomas2191]

THANK YOU FOR ALLLL YOU DO FOR THE MRI COMMUNITY

[@josepc4232]

Great my friend!!!!

[@mariusradu2010]

Keep it up man, your are the best 👏🎉❤️

[@badrlinux6786]

great job like always bro, keep up more video for how to work with mri siemens console software and syngovia :)

[@abecalle]

Great video thanks for the content 👍

[@mariacaridad66]

EXCELLENT

[@mahmoudsalah3038]

Very helpful 👏🏼👏🏼

[@shahnavajtamboli9166]

Thank you so much sir.... Very helpful... Please make a video on post processing also..

[@franklaske9075]

Great video! Thanks Bac.

[@Nguyen_MRI]

Thanks for using your time to watch it. 🥰

[@Astropolitica660]

It’s pretty good!

[@paulascatena609]

Thank you so much!!!

[@shahnavajtamboli9166]

Very helpful sir.. Please make video on cardiac post processing also please sir

[@mohamedebrahimmohamed8667]

thank you so much , thank you for help you are agreat

[@farmanahmad4339]

Please Make a video for cardiac flow quantification and post processing

[@dieptuandung2035]

Million thanks for your tutoring video. Basically, we usually transfer the "raw" data, I mean the localizers, to the MPR to reconstruct the 2CH, 4CH and 3CH in advance any latter steps. But it's quite hard for me to do that due to the poor resolution of the localizing images. I found your instructing video very useful to me cuz it's very easy to follow your steps. Appreciate and highly support

[@SO-bl2et]

how do you do that ?

[@nassimad5930]

U are the best. thanks

[@Nguyen_MRI]

Thanks for kindly words. Keep learning and never give up. ☺️

[@jobinveloor5792]

Please do more videos on t2* mapping liver and cartilagography

[@eslamahmed-hw6yt]

Greet bro 😙

[@abe61388]

Nice edits and vid, very educational. Keep it up!

[@Nguyen_MRI]

Thanks for kindly words. Very much appreciated. ☺️

[@user-hc1ys2bs6p]

GOD bless you

[@mdumar1296]

Thank you so much

[@hopsie9983]

Hi Bac, this cardiac planning was great, thanks. I would be so grateful if you could show us how to plan the 3d whole heart sequence. I'm half way there, I know how to plan the sequence but get lost at which boxes to tick eg scout mode and how to select the appropriate acceptance number. Thanks.

[@Nguyen_MRI]

Thanks. Please check my video 3D truedisp. All explains there how to optimise the cardiac cycle which can be tricky.

[@Nguyen_MRI]

This one kzbin.info/www/bejne/gZjNpYV-bbuqepY

[@farshidkhalafi]

Great video Bac! Is it possible to make a tutorial video for SIEMENS platform as well? For example, in this video you jump between the menus and options very fast and it’s hard to catch up with the steps. Thanks a lot!

[@Nguyen_MRI]

Yes thanks. 👍

[@silenthillrequiem]

Thank you

[@drbharat76]

Plz do videos on perfusion TI scout LGE and post processing

[@ramulubakkathatla18]

Thank you brothe

[@jobinveloor5792]

Please also do post processing

[@SC-gh6gd]

Thanks Back for the PDF! Great channel!

[@Nguyen_MRI]

You’re welcome ☺️

[@dejavufaster3224]

I cant find the pdf! Where is it?

[@Nguyen_MRI]

@@dejavufaster3224 it’s in the description of this video. At the bottom a link there.

[@dejavufaster3224]

@@Nguyen_MRI ok thanks i found it! U r a genius bro 👏🏼👏🏼👏🏼

[@Nguyen_MRI]

Thanks for kindly words and happy you found it 👍

[@tondewilbert5076]

Thanks Bac 😊

[@Nguyen_MRI]

Mostly welcome. 👍

[@teresita1107]

Thank you so much for these video's, can you do cardiac mri artifacts?

[@Nguyen_MRI]

Yes. Will keep that in mind for the future. Thanks. 🥰

[@alisuleiman3069]

Thank you bac But can I ask you how can I use respiratory trigger in dynamic liver In siemens Sempra 1.5 T Cause I can't activate it

[@Nguyen_MRI]

Good question but it’s not possible for dynamic liver. There is however grasp vibe which is free breathing non triggered dynamic liver.

[@SanalksSanalshaji]

Can u tell me ,how to get a good quality brachial plexus 3 d stir sequence in Siemens Skyra 3 t

[@Nguyen_MRI]

Please check this paper for further understanding. www.ncbi.nlm.nih.gov/pmc/articles/PMC4202880/

[@jobinveloor5792]

👍

[@revitupto9k]

Sup bro! I'm a nuclear medicine technologist. I've done CT in the past and hate it and never tried to get certified in it. I really like MRI and Cardiac MR since I work in cardiology. What's a good way to crosstrain into MR or do you need to have an xray/ct background first to be eligible for that board?

[@Nguyen_MRI]

Hi I can talk from my experience. No need of Ct or X-ray to get into MRI. Need to understand the basic physics of MRI and of course anatomy.

[@Keyboardwarrior6977]

Please answer as i have a private referal in two days! What is the difference between using contrast and not? Does contrast make the image come up more coloured or what? Should I get contrast or not because I've been having chest pain but no signs of hdl ect? Are there advantages of contrast or non contrast?

[@Nguyen_MRI]

mriquestions.com/so-many-gd-agents.html Advantage or disadvantages depends on the clinical case.

[@wanabeloved3844]

Can you please do a video on planning venc flow mapping (QP, QS, 3 chamber in plane, 3 ch through plane, and 3 ch below aorta 🙏)

[@Nguyen_MRI]

Yes will do in the future. 👍

[@michelvandijk2745]

Good video. I was wondering how you deal with patients with a cardiac arrhythmia. I see that many times within my patient population, and the outcome in image quality of those scans is mostly bad. Is there a way to solve this issue. For example, do you use arrhythmia detection (in the Siemens software)? Would be awesome if you could explain it in an upcoming video.

[@Nguyen_MRI]

Thanks. Sometimes arrhythmia detection works great. But also sometimes it doesn’t work. So then I try to use compressed sensing if possible. It’s always difficult whenever they are having cardiac arrhythmia.

[@ananuno8672]

When a pt has cardiac arrhythmias it is helpful to use prospective rather than retrospective EKG gating. I also run a free breathing of the 4ch & 2ch so my cardiologist can have a visual ejection fraction.

[@badrlinux6786]

thank you Mr Bac for the video, please if u have a link to video of how to position the ECG on the patient body 👍👍

[@Nguyen_MRI]

Where can I contact you. I can send some photos.

[@Nguyen_MRI]

Please check this link. afni.nimh.nih.gov/sscc/staff/rwcox/ISMRM_2006/Syllabus%202006%20-%203340/files/D_10.pdf

[@badrlinux6786]

​@@Nguyen_MRI thank you Man U help me always Bro, I contact u in facebook please check 😃😃

[@sandrakohler8594]

Why my 2CH comes out as a coronal? Usually comes out looking like a Sagittal. We just started to learn Cardiac MRI. Thanks and Happy new year!

[@Nguyen_MRI]

Please download the attached file in the description. Shows how to position cardiac planning. There is no coronal, sagittal or transversal plane in cardiac imaging. There are cardiac planes which in terms you need to check out those different names of planning.

[@denicegabriel5555]

Hi sir May I ask, for LGE how do choose the best TI when you do your TI scout. Thanks in advance

[@Nguyen_MRI]

With the ti scout you see the TI time in the left corner. TT. scroll and look till your myocardium is dark. That’s when you know how to choose the right ti time with your scout. Remember that the ti time will increases over time, by that you also need to change your ti over time.

[@kennynguyen43]

Hi Bac, Thanks the awesome videos. I have a question. When I do the Cardiac , most of my noncon Cine SA, 2 Ch, and 4 Ch are fine, but the post contrasts Cine had a lot of artifacts. I did do the post con scout to get the best TI. Please help. Thanks

[@Nguyen_MRI]

Hi thanks. Ok you mean cine truefisp post or late gadolinium enhancement?

[@kennynguyen43]

@@Nguyen_MRI it is late post con. After inject contrast, we do scout for TI at 4 minutes, then used Optimal TI for Cine SA at 6 minutes, 2 and 4 chambers at 8 and 10mins. Usually Ti at 275 for SA at 30 for 2 chambers. We use 3T Siemens. Thanks

[@Nguyen_MRI]

@@kennynguyen43 ok, im not sure what you mean here. because TI scout is used for late gadolinium enhancenemt to null out the myocardium. not the function cine sequence.

[@kennynguyen43]

@@Nguyen_MRI , sorry it is the delay enhancement sequences. Thanks for reply. Some how they got artifacts. I did open FOV , thanks

[@Nguyen_MRI]

@@kennynguyen43 ok. Talking about artifices I need to see those images for being able to give some answers. PleAse contact me through my email.

[@cisnikko]

Hi bac, what are your thoughts on doing trufisp no gap axial then do 3D recon of 2c,4c,mid SA, and LVOT? Then copy image postn for the cine. TIA

[@Nguyen_MRI]

Very interesting you mean this truefisp no gap 2d acts like a scout?

[@cisnikko]

@@Nguyen_MRI yes, it's what we do and it only takes a minute including the 3D recon. We can acquire cine images of 2c, 4c, SA immediately because of the scouts. A lot of videos like yours always do the step by step single cine imaging, I thought there were 2 variations and it might hold an advantage over the trufisp no gap axial recon we are doing. I dont think we are allowed to video tape, I would love to show you how we do our scouts

[@Nguyen_MRI]

Yes correct. I know what you mean here now. Exactly what MRI is so interesting. Because so many ways to the same goal. Thanks for sharing your thoughts and experience.

[@Nguyen_MRI]

You mean like this? cdn0.scrvt.com/39b415fb07de4d9656c7b516d8e2d907/1800000006074385/673b3b60b6d1/siemens-healthineers_magnetom-flash-72_3d-localization-for-cardiac-views-saving-time-while-increasing-accuracy_gan_1800000006074385.pdf

[@cisnikko]

@@Nguyen_MRI yes, this one! Didn't know they had this one in writing, really glad they have a guide because where I practice we are taught on the spot. Thank you for this, I'll look into this to further optimize my cardiac planning. Off topic. I really love all your videos, thank you for taking the time in teaching; sharing your knowledge with the rest of the Radiographer community. More power to you and stay safe!

[@susanharris3698]

Any tips on good coronaries?? What seq have you found works the best? By in advance

[@Nguyen_MRI]

Check this video where I explain the setup of optimising truefisp. Also this sequence can be used for coronaries without contrast agent. If giving contrast, then a flash ir can be used. kzbin.info/www/bejne/gZjNpYV-bbuqepY

[@hopsie9983]

Hi Bac, for phase contrast do you first run a scout with a range of venc, if so what venc range do you start off with?

[@Nguyen_MRI]

Yes. For cardiac aorta I just run approx 150-200-250-300-350. Depends if having pathology of course. For pulmonary if needed 100-150-200-250-300.

[@hopsie9983]

@@Nguyen_MRI ok cool, after the scout is done and say there was aliasing at 100venc but not at 150venc on the pa flow thr plane scout, do you then do a 130venc or not because clinically you are satisfied there is no further aliasing at 150v?

[@Nguyen_MRI]

True on that. Kind of feels like how the intensity looks. I mean if you see ALOT of aliasing inside the vessels. Then 130 or so. But if I see only a few dots. Then approx 110-120 or so. Also most important bright white intensity and then black without dots inside. Then it’s perfect.

[@hopsie9983]

@@Nguyen_MRI thanks bac, makes sense. Lastly, do we really need to be that precise can't we just say do a 150v and conclude the flow is between 100-149v. Or is clinically important to be more precise hence do one at 120 or 130 as you mentioned.

[@Nguyen_MRI]

@@hopsie9983 from what I understand more precise venc more correctly. But I don’t think affect that much the final results. As long as not too low with aliasing inside.

[@catiasofiaalves4029]

I have to do a cmri to see if i have any scar or miocarditis, can i do it without the contrast? I panic to think about injecting something after my cvd shot, i have problems already

[@Nguyen_MRI]

i can only speak from my own experience and workplace. our radiologists wants contrast agent for such cases unfortunately.

[@catiasofiaalves4029]

@@Nguyen_MRI thank you

[@3Captainjack]

Thanks Bac........i learned a lot, what is RPH and other abbreviations in the final images

[@Nguyen_MRI]

hi thanks for your comment. RPH? I'm not sure what you mean here? at what time spot in the video can you see this?

[@3Captainjack]

@@Nguyen_MRI check 12:45 "final results" all the 8 cine has tiny abbreviations at the top and at the left side.......let me know what they stand for

[@Nguyen_MRI]

Now I get you. It’s just abbreviations for cardiac planes. Whenever doing mri cardiac we don’t talk about coronal Sagittal or transversal. Cardiac itself has own names and planes. I will try to get an abbreviations overview for you which makes it easier for understanding.

[@3Captainjack]

@@Nguyen_MRI OK would be expecting thanks so much

[@Nguyen_MRI]

jcmr-online.biomedcentral.com/submission-guidelines/preparing-your-manuscript/abbreviations here is crazy many which covers everything within cardiac.

[@Astropolitica660]

Hey Bac what software are you using to make your presentation?

[@Nguyen_MRI]

I’m using filmora. Sometimes premier pro.

[@Astropolitica660]

@@Nguyen_MRI thanks!! I do pediatric cardiac MRI and your video is a good learning resource ! 🙏

[@Nguyen_MRI]

@caramba6546 thanks.

[@shikuriable]

Thank you !!!

[@Nguyen_MRI]

You're welcome

[@RafaelAlmeida838]

Faz um video em portugues!

[@Maan-hb8ge]

Ik krijg in Nov een MRI scan,hart en kleppen zijn oke.Maar mijn hartspier krijgt te weinig zuurstof,ik heb totaal geen klachten.Krijg een nieuwe knie,dan maken ze eerst een hartfilmpje daarop zagen ze iets dat niet goed is.Vind het best eng,nooit hartklachten of zo,ben benieuwd wat er uit komt met die MRI

[@Nguyen_MRI]

Thanks for the comment. And I wish you the best of health. What I show in this video is how we radiographers can do an exam of the cardiac.

[@riyazahmed9159]

Can I get the Pdf Which you mentioned in the above Video

[@Nguyen_MRI]

Sure. It's in the description. But no worries. link here: u.pcloud.link/publink/show?code=XZGqs9kZxNI0PcMaF1JdaWHOusL8Ibjlr8lV

[@abdoucasa503]

How printing the exam

[@shubhampatel2269]

Why was there no need for Brethold and Frequency Scout?

[@Nguyen_MRI]

There is bh sequences there. Just not showing that on the video. Frequency scout is not “necessary” on 1.5T. More 3T related due to cine truefisp sequence itself on 3T

[@hxlw4581]

Hi I’m abt to learn cardiac Mr. Where can I find the pdf ?😢

[@Nguyen_MRI]

u.pcloud.link/publink/show?code=XZGqs9kZxNI0PcMaF1JdaWHOusL8Ibjlr8lV

[@yousefsaheli5067]

Can I get pdf file??

[@radiologytechnologist8190]

Another make video please mrcp on siemens machine

[@Nguyen_MRI]

kzbin.info/www/bejne/hZnbqadvmc6qY9U

[@radiologytechnologist8190]

@@Nguyen_MRI you r radiographer

[@Nguyen_MRI]

Yes

[@kimberlytippen4436]

Can you detect Myocardial Bridge with this cardiac MRI ?

[@Nguyen_MRI]

www.intechopen.com/books/coronary-angiography-advances-in-noninvasive-imaging-approach-for-evaluation-of-coronary-artery-disease/detection-myocardial-bridging-using-non-invasive-technique Scroll to point 10 of this article.

[@kimberlytippen4436]

@@Nguyen_MRI I have made a MRI scan yesterday i am waiting the result i asked the radiologist about MB he said it's not possible to find with MRI or CT i told him yes u can find by CT Scan but i didn't knew it that it is a possible with MRI too ( he said it's not possible that i might have it Myocardial Bridge ) so it is a possible me to send you my scan i will upload it and you can download it and see it yourself if you found something because in my country they are not good radiologist so yes i will pay any price you ask just to check my scan please because i have severe symptoms. ( sorry for my english i am trying all my best )

[@Nguyen_MRI]

Unfortunately I can’t help you very much here. I am not a radiologist or have the knowledge for this case of yours. I wish you the best.

[@emmanuelethiraj]

Hi where are from?

[@Nguyen_MRI]

Norway.

[@Keyboardwarrior6977]

Are these images of people using contrast?

[@Nguyen_MRI]

For cardiac images in this video are non contrast.

[@Keyboardwarrior6977]

@@Nguyen_MRI Does contrast improve image quality? Like whats its use? What disadvantages do you see to using contrast? Sorry for all the questions its just really expensive and I wanna make sure I have more knowledge just in case I've booked a non contrast test and its not whats best

[@Nguyen_MRI]

www.osc-ortho.com/services/open-mri/mri-frequently-asked-questions/what-is-an-mri-with-contrast-why-do-i-need-contrast-is-it-safe/

[@Keyboardwarrior6977]

@@Nguyen_MRI Thanks a ton dude, didn't have to reply but you did and means a lot!

[@Nguyen_MRI]

@@Keyboardwarrior6977 I treat every comments with fully respect. So helping as much as I can. Good luck.

[@shubhampatel2269]

Sir please give me my reply