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Training Collections
Library Memberships
Black Friday Save 30%On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Black Friday Save 30%Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Black Friday Save 40%Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
BLACK FRIDAY SAVE 30%Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
1 topic, 3 min.
4 topics, 17 min.
5 topics, 14 min.
10 topics, 33 min.
Vascular Imaging in Stroke - CTA vs MRA
2 m.Carotid and Vertebral Vasculopathies Overview & Examples of Atherosclerotic Disease
3 m.Case - Atheromatous Disease with Severe ICA Stenosis
4 m.Carotid & Vertebral Artery Dissection Overview & Examples
3 m.Case - Embolic Stroke with ICA Dissection
5 m.Collagen Vascular Diseases Overview - Examples of FMD, Carotid Web
2 m.Case - Fibromuscular Dysplasia (FMD)
5 m.Case - Ehlers Danlos
7 m.Inflammatory Conditions with Stroke Symptoms - Examples of Takayasu's, TIPIC
4 m.Case - Takayasu’s Arteritis
4 m.9 topics, 37 min.
CTA Head in Acute Stroke - Source Images, MIPS, Collaterals
4 m.Case - MCA Stem Embolus with Good Collaterals
5 m.Case - MCA Stem Embolus with Poor Collaterals
4 m.Case - Basilar Tip Thrombus
6 m.Circle of Willis Stenoses: Differential Diagnoses
2 m.Case - Moya Moya disease
6 m.Case - Reversible Cerebral Vasoconstrictive Syndrome (RCVS)
5 m.Case - Primary Angiitis of the CNS (PACNS)
7 m.Infectious Causes of Multifocal Circle of Willis Stenosis
2 m.3 topics, 15 min.
3 topics, 14 min.
6 topics, 18 min.
6 topics, 26 min.
6 topics, 16 min.
7 topics, 18 min.
Stroke Mimics - Other Causes of Restricted Diffusion
2 m.Case - Seizure (Stroke Mimic)
4 m.Case - MELAS (Stroke Mimic)
3 m.Case - Hypoglycemia (Stroke Mimic)
3 m.Case - Herpes Virus Encephalitis (Stroke Mimic)
4 m.Case - Osmotic Demyelination Syndrome (Stroke Mimic)
3 m.Case - Brain Metastases (Stroke Mimic)
4 m.8 topics, 17 min.
MR Perfusion - Data, Maps and Uses
4 m.Case - MR Perfusion Target Mismatch (Good Collaterals)
2 m.Case - MR Perfusion Target Mismatch (Poor Collaterals)
3 m.Case - Ischemia Detected Only on MR Perfusion (Case 1)
2 m.Case - Ischemia Detected Only on MR Perfusion (Case 2)
3 m.Arterial Spin Labelling Perfusion - Usage Examples
3 m.Case - ASL Matched Defect
2 m.Case - ASL Showing Tissue at Risk
2 m.5 topics, 13 min.
0:00
This is an example of carbon monoxide poisoning.
0:03
These are images of a 49-year-old male who is
0:06
found in his camper, minimally responsive
0:08
next to a charcoal grill.
0:10
So, the concern was carbon monoxide poisoning.
0:13
These are the diffusion-weighted images and ADC Maps.
0:16
The cerebellum looks normal,
0:19
temporal lobes, frontal lobes look normal,
0:21
but as we get to the basal ganglia,
0:22
you can see restricted diffusion characterized
0:25
by hyperintensity on the diffusion-weighted
0:27
images and hypo-intensity on the ADC maps
0:30
in the bilateral Globus pallidus.
0:34
Rest of the brain looks normal,
0:36
except there are tiny foci of restricted
0:38
diffusion peripherally,
0:39
but given that he was exposed to carbon monoxide,
0:42
which again replaces oxygen
0:46
on the hemoglobin molecule so that you get hypoxic.
0:49
These findings are consistent with
0:51
early carbon monoxide poisoning.
0:52
When it gets more severe, it will involve the
0:54
rest of the deep gray nuclei and cortex.
0:56
We can also see these findings on the FLAIR
1:00
and T2-weighted images,
1:01
where they are characterized by hyperintensity
1:03
in the bilateral Globus Pallidus.
Interactive Transcript
0:00
This is an example of carbon monoxide poisoning.
0:03
These are images of a 49-year-old male who is
0:06
found in his camper, minimally responsive
0:08
next to a charcoal grill.
0:10
So, the concern was carbon monoxide poisoning.
0:13
These are the diffusion-weighted images and ADC Maps.
0:16
The cerebellum looks normal,
0:19
temporal lobes, frontal lobes look normal,
0:21
but as we get to the basal ganglia,
0:22
you can see restricted diffusion characterized
0:25
by hyperintensity on the diffusion-weighted
0:27
images and hypo-intensity on the ADC maps
0:30
in the bilateral Globus pallidus.
0:34
Rest of the brain looks normal,
0:36
except there are tiny foci of restricted
0:38
diffusion peripherally,
0:39
but given that he was exposed to carbon monoxide,
0:42
which again replaces oxygen
0:46
on the hemoglobin molecule so that you get hypoxic.
0:49
These findings are consistent with
0:51
early carbon monoxide poisoning.
0:52
When it gets more severe, it will involve the
0:54
rest of the deep gray nuclei and cortex.
0:56
We can also see these findings on the FLAIR
1:00
and T2-weighted images,
1:01
where they are characterized by hyperintensity
1:03
in the bilateral Globus Pallidus.
Report
Faculty
Pamela W Schaefer, MD, FACR
Professor of Radiology, Vice Chair of Education
Massachusetts General Hospital
Tags
Vascular Imaging
Perfusion
Neuroradiology
Neuro
MRP
MRI
MRA
Head and Neck
CTP
CTA
CT
Brain
Angiography
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