T1 vs T2 weighted MRI images: How to tell the difference

I've created a radiology physics question bank. Check it out here 👉 www.radiologytuts.com/courses...
In this video I share with you a simple trick to tell the difference between T1 and T2 weighted MRI brain images. It can be confusing when telling T1 vs T2 MRI images apart. But it really shouldn't be.
After this video you will know how to tell the difference between T1 and T2 MRI weighted images.
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These images where posted on my instagram page @radiologytutorials . Check out my page for more radiology teaching - / radiologytutorials
This is the first of many tutorial on how to read MRI sequences.
I hope you have found this useful.
See you in the next video.
Dr Michael Nel
Like and subscribe for more!
Cases courtesy of Assoc Prof Frank Gaillard, Radiopaedia.org, rID: 42777

[@kulanchandrasekaran4462]

Your advise regarding seeing the gray and white matter first, rather than the CSF, is very important and valuable. Thanks for the time and effort you have spent in teaching us. The Q and A format is very valuable, and the only way to reinforce learnt material. It requires a lot of extra time and effort, additional thanks for that. Very valuable channel I discovered by serendipity on KZbin, subscribing now.

[@raveeshroy]

1:48 IF THE GRAY MATTER IS LIGHTER THAN THE WHITE MATTER THEN IT IS T2 WEIGHTED IMAGE 2:06 IF THE GRAY MATTER IS DARKER THAN THE WHITE MATTER THEN IT IS T1 WEIGHTED IMAGE 2:32 T2 FLAIR IMAGE 3:56 T1 WEIGHTED IMAGE 4:18 T1 WEIGHTED IMAGE 5:10 T2 WEIGHTED IMAGE 5:26 T2 WEIGHTED IMAGE (DIFFUSION WEIGHTED IMAGE)

[@legendlegend1621]

You helped a lot of confused med students, a HUGE thank you

[@treasurennaji4518]

Came as a confused med student and this video has helped a lot!!!!❤️

[@jooglebug7758]

Thank you for the simple and straightforward tip! The format of the video with questions and explanations is great. You've cleared up two years of studying MRI cleared up in 6 minutes! Please do more of these videos :D

[@naglaasalah9088]

ترجمته

[@nicoleyelton3867]

this was so incredibly helpful! thank you!

[@MrPRETTYBOY0101]

As an MRI tech studying for his boards, I greatly appreciate this tip!! Taking my Registry in a couple months and that tip helps tremendously

[@isabels5460]

Hey good luck with your final exam with the ARRT. So that means you are done with clinical and internship and the whole MRI program. Was it a two years program too? was it hard? what was the hardest part of the program? the hardest subject i mean ? thank you, any advices i will appreciate as a me too i will be starting my classes for MRI tech this October and i am super excited but also super nervous. Thanks again....and wishing you the best scores for your ARRT examination. (:

[@batman-sr2px]

what protocol is recommended for muscular atrophy and volume msk shoulder

[@beringin90]

Amazingly simple. Bravo. Your teaching is great 👍. God bless you.

[@CatherineLal-sc1kb]

very crisp and helpful presentation. thanks doc .

[@nazaninb8337]

Thank you! That simple tip actually helps a lot What nobody taught us in med school!

[@radiologytutorials]

I'm glad it helps Nazanin ☺️

[@AM-uy5ul]

Came to this video while i was reading Neurology with a lot of hyperintense T2 Signals and i had to know the basics and i could not find a better video. amazing job and thank you.

[@radiologytutorials]

Thank you! I really appreciate you watching and taking the time to comment. Hope the neurology is going well

[@alaasarieddine4227]

thank you!!! simple and very helpful

[@SG333_]

Super helpful! Thanks doc :D

[@helenkirton1354]

That really simplified something I had been wrestling with. Thank you!

[@chiya9480]

Suuuuper helpful!! I will dive into your other tutorials!! Thank you!

[@radiologytutorials]

Thank you Chiya. I'm glad you found it helpful!

[@yaraihab4243]

Thank u!! How amazing and simple !💕💕💕

[@Thelastwarrior666]

Brilliant work.....loved it❤❤

[@monbryant]

Great, simple explanation. Thank you!

[@radiologytutorials]

Yay, no need to complicate it! Glad it helped Monica 😊

[@javedahmad2234]

Excellent video. Very clear, please m are more similar basic videos

[@whoislily]

so helpful, thank you!!

[@rgrg21]

Very, very helpful. Thank you.

[@3three2two1one100]

Learning something new everyday

[@kunjparmar9062]

Thanks...it's very easy.❤

[@HA-xx5no]

Ahh this is absolutely brilliant!! Tysm!

[@Popdad]

Loved it, fantastic you explain it so simply.

[@radiologytutorials]

Thank you V P!

[@F91RPG]

Mind blowing! Thank you!

[@radiologytutorials]

My pleasure!

[@easycrafts473]

Great job 👍. Kindly share vedios on other MRI images, also of other regions of the body .

[@nadiah9104]

Simple and informative actually great❤, thanks Dr

[@radiologytutorials]

Appreciate the kind words Nadia ☺️

[@balajit65]

Good explanation, keep it up👍

[@danielalopez1262]

thank you !!! this made alot of sense!

[@ebereotaka3202]

It helps a lot. Thank you.

[@kalichaabdi8182]

Beautiful 👌🏾 thanks for the tutorial

[@radiologytutorials]

My pleasure 😊

[@dr.lokeshyadav7151]

Thank you sir. Crisp and consice.

[@murraycoetzee5141]

Your channel is amazing!! Would it be possible to add some videos on cardiac MRI imaging?😬 I am an aspiring cardiologist and am very grateful for your fantastic MRI physics series!

[@childspecialist-dr.akumtos4383]

Wow..... great explaination 👌

[@malkahimabindu8330]

It's soooo much helpful

[@muhammedburakdurmus3112]

Simple and logical explanation. Thank you.

[@radiologytutorials]

Glad it was helpful! Thank you 🙏🏻

[@drhamidaali386]

Thanks 👍.. great teacher

[@surendrabaru23]

Nice explanation ❤

[@arizkiabdi1735]

More mri content please!!

[@anaschaudhary8682]

Excellent description

[@radiologytutorials]

Thanks Anas 🙌🏻

[@kasiak4695]

excellent explanation, thank you from a confused med student!

[@radiologytutorials]

It's a pleasure Kasia. Glad it helped 😊

[@rajak76]

great video! can you do a similar one for cardiac images please .

[@ehabalaa6096]

The Most simple video Thank you ❤❤

[@radiologytutorials]

Glad you found it useful Ehab 🙂

[@zazahidah_hambaallah4376]

Very good tip for me!

[@alisonrothman6630]

You’re definitely a radiologist... effortlessly pointing to the “left and right” on the screen... no confusion whatsoever 😋

[@radiologytutorials]

How to become a radiologist Step 1: Know your left from you right You are now a radiologist

[@TheAnticsofTom]

Or he is dyslexic…😂

[@user-cb7qi2dm4c]

Amazing 🔥🔥⭐️

[@x0xNOVAx0x]

Awesome video

[@mahmoud_n]

THANK YOU so much for this

[@radiologytutorials]

You're so welcome! Thanks for your support 😊

[@wypy817]

Pls do more videos this so helpful 💕

[@radiologytutorials]

More to come Pithet 😀

[@fellforfall9802]

Thank you sm!!

[@neuroxplorein]

One of the best explainations for mastering recognizing these sequences! Could you please do a similar one for recognizing a GRE vs DWI image, and also address why does a T2 sometimes look really crisp with white CSF and other times the contrast looks duller with light gray CSF? QUESTION: I thought a DWI is a FLAIR without a scalp, but the image shown here was bright CSF. Is that really a DWI? Is that because of a lower b-value?

[@andra3672]

this is such a good video ngl

[@lina_luay]

Thanks a lot!

[@user-zd6xz1tv1k]

Very helpful thank you !

[@radiologytutorials]

You're welcome Maël 🙂

[@dr.bigfudge6497]

Very helpful!! Ty

[@radiologytutorials]

Glad it helped 🙌🏻

[@lal6996]

Jy's 'n yster Dr Nel! Dankie dit help (from a less confused anat path registrar)

[@lal6996]

Please do a tutorial on T2-FLAIR mismatch sign and assessment of IDH mutant astrocytoma

[@HAFSAMAHMOOD-oh9ny]

Besttt lectures ✨✨

[@radiologytutorials]

Thanks a lot Hafsa 😊

[@dentoradiology3212]

WOOOOW that was so amazing!!!. Never thought of that ! Thank you. I wish my channel will grow as yours😊

[@radiologytutorials]

Thank you Dr Farida. Your channel looks great. Keep posting - I know almost nothing about dental radiology and your videos are very helpful 🙌🏻

[@alwaysherejazy]

Thank uuuu can u talk about the benefits of (acd map) &why we use it with difusion????

[@zoewong5604]

thank you so much, looking forward to more tutorials!

[@radiologytutorials]

Thank you Zoe. I'm glad you enjoyed it. More to come when work settles down a bit :)

[@rhondaclark716]

@@radiologytutorials What does a T2 , hyper extensive. On a liver. What does it mean 😂😂😂. Is it fatty liver 😂🙀😹

[@rhondaclark716]

@@radiologytutorials One last question. Can a medium block in your gallbladder duck. Do anything to the liver , and , pancreas, , kidneys. Because they all hurt. And can you answer the other question and thanks 🙏. Because we don’t understand medical stuff and I have a never been sick before and we don’t like to go to the doctor we don’t like any kind of medicine either

[@batman-sr2px]

hi what sequences are best for muscular atrophy, volume and fiber changes?

[@samahalosta1527]

Thanks alot

[@zahraahussein5749]

Really great

[@palashbinayake6904]

very helpful

[@pavithrarc7325]

Thank you

[@taman449]

hydrogen protons in Fat are present in a congested area subah speed will be slow but keeping the TR short we get bright fat ? Why ? Please reply

[@user-wg5bk9dl4k]

Very nice 👍🏻

[@beatricecerenecarlos392]

thank you so much for this. love how you made that so easy to absorb. well done

[@vajirawitradman8980]

Thank you , From junior resident in Thailand !!

[@radiologytutorials]

Absolute pleasure. More to come soon!

[@no-de3lg]

Can you please help urgently with the planning since I don’t know why radiologist prefers planning with genu and splenium of corpus callosum or anterior posterior commissure please explain why in mri planning

[@MaximPospelov]

This is awesome!

[@radiologytutorials]

Thank you Maxim! Appreciate it 👍🏻

[@user-mt4lh3qb2r]

Woww!! Thank you doctor 🇮🇶

[@krishar1877]

Thank you somuch sir 🥺 I have my pratical exam tomorrow .. Sure this video hlp me alot.!

[@radiologytutorials]

How did your exam go? Hope all went well!

[@danialhaider901]

Kindly make video on T2W* and SWI

[@matttewaternaude3628]

Top quality!

[@radiologytutorials]

Thanks Matt, I appreciate it!

[@local4598]

hi, can you do a video on MRI physics?

[@ahmedrifat1099]

Thanks

[@sefiwamare3649]

cool one

[@ebereotaka3202]

Please discuss DID, ADC and T2 shine through

[@rubinachishti3569]

Thanks 🎉🎉🎉🎉 wowwww

[@asmaa7888]

awesome thank youu, please how tell the difference between gado and without gado is it vessels like CT ?? looking forward for your reply

[@radiologytutorials]

Thank you Asmaa. I have a video planned discussing contrast in MRI. It's quite different to CT - especially because you can have contrast MRIs (such as TOF MRI) that don't require contrast administration. Hopefully will be out in the not so distant future

[@fahadgill1360]

excellent

[@radiologytutorials]

Thank you Fahad 😊

[@Solotravel21775]

just great buddy

[@radiologytutorials]

Thank you Omer!

[@khanshah181]

RMI Lumbosacral spine Techniqure. Multiplanar and multiecho sequences have been acquired through lumbosacrad spine T1 & T2 weighted images. This is my problem, what is the solution? Reply me

[@juliagadelha3798]

Thanks a lot (from brazil : ) )

[@radiologytutorials]

Absolute pleasure 🙂 all the best from South Africa 🇿🇦

[@afnantalat9262]

Sir, can you please do more videos like this for junior doctors. We often have to read patient scans and its very overwhelming when there's no senior support etc. basic CT MRI scans of strokes and abscesses etc with some explanations like this?

[@radiologytutorials]

That's a great idea. I have been going back and forth about whether to make a junior doctor series. X-ray, CT, MRI and ultrasound. Will start to plan an outline and add it to my list of videos!

[@afnantalat9262]

@@radiologytutorials yes please!

[@Imnutrprobio]

Clean

[@gopinathv.m9212]

Kindly explain all MRI sequences in Brain sir

[@b3rlinop693]

Why do we use Mri Contrast, while there is T2 sequence. Plzz answer

[@DrHistoryV]

family medicine doctor here, makes sense, thank you

[@mattasowjanya9798]

Sir I have one in MRI brain how can I show you sir

[@-m7k0z7-9]

What is dark on T2? if it's within the gray matter on the surface of the brain. on frontal areas. can it be the result of a past bleed? and the darkening being iron deposits?

[@batman-sr2px]

can mri look at myofibril and myofibril damage?

[@margaretkyamulabi9852]

lovely

[@radiologytutorials]

Thank you Margaret

[@il10xm33jol]

What does it mean when mri says they found T2 hyperintensity?

[@NURATify]

Thank you for this insightful video. I wish to know how to calculate the "weight" of the MRI TI, T2, DWI, Flair or any other format. Is there a code or toolkit that can do this easily. Thank you as you respond positively.

[@radiologytutorials]

Hi Yinka. The "weighting" of an image refers to the actual sequence of electromagnetic forces we apply in the scan. It is not a specific value we can calculate. There are different types of sequences we use and varying two values (TE and TR) will determine the weighting. Hope that makes some sense. Watch my DWI vs ADC video. It may help understand a bit better. Thanks for watching the videos 🙏🏻

[@anniesshenanigans3815]

do you mean the normal range for these type of images? There are lots of variants on the images from TR, TE, TI, flip angles and also the strength of the magnet. For instance a T1 "image" needs short tr and short te, T2 image longer tr and te, but a proton density image has a long tr and short te. Most images that are sent to rads have some of the values projected on the image, depending on the manufacturer of the scanner, and those values are determined by either the Radiologist (prearranged), or the tech that did the scan or in most cases a collaboration of the lead Radiologist and the applications specialist. (that is what I do).

[@CAY313]

Two small non-expansile T1 and T2 hyperintense lesions seen in the right parietal bone. Largest measuring about 9mm- ?

[@skybuck2000]

why do mri scan not scan the bottom nerves s2 to s5 ?!

[@kas7078]

So despite the CSF appearing Dark, I still need to say it’s a T2 weighted image as long as the Grey Mayer is lighter than the white matter right?

[@radiologytutorials]

Exactly ☺️