Tuesday, June 12, 2012

Methicillin-Resistant Staphylococcus Aureus
(MRSA)
Methicillin-resistant Staphylococcus aureus,also called multidrug-resistant Staphylococcus aureus and oxacillin-resistant Staphylococcus aureus (ORSA)
Precuations:-
In Healthcare:-
1)Screening programs:patient screening upon hospital admission, with nasal cultures, prevents the cohabitation of MRSA carriers with non-carriers, and exposure to infected surfaces.       
2)Surface sanitizing:Alcohol has been proven to be an effective surface sanitizer against MRSA.   
3)Hand washing       
4)Use of surgical respirator   
5)Proper disposal of hospital gowns       
6)Isolation: if necessary  (of the infected person)  
7)Restricting antibiotic use:Glycopeptides, cephalosporins and in particular quinolones are associated with an increased risk of colonisation of MRSA. Reducing use of antibiotic classes that promote MRSA colonisation, especially fluoroquinolones, is recommended in current guidelines.      
8)Public health considerations:"search and destroy" strategy    
9)Decolonization                                     
Prevention in Community Settings:incarcerated populations, childcare center employees, and athletes. To prevent MRSA infection, individuals should regularly wash hands using soap and water or an alcohol-based sanitizer, keep wounds clean and covered, avoid contact with other people's wounds, avoid sharing personal items such as razors or towels, shower after exercising at athletic facilities (including gyms, weight rooms, and school facilities), shower before using swimming pools or whirlpools, and maintain a clean environment.


 
Ravi
MRI technologist
ravijaichand@gmail.com

Monday, December 28, 2009

coil types in MRI

COIL TYPES IN MRI

RESISTIVE COILS:
-air core
-either 1 coil pair (2 coils) (Helmholtz coil) or
2 pairs (4 coils)
-diameter of coils describe surface of a sphere
-magnetic field (either longitudinal or transverse
-iron core
-windings directly around poles of electromagnet
(either C or H configuration)
-transverse field

SUPERCONDUCTIVE COIL:
-winding solenoid (around gantry)
-made of NbTi filaments in a copper matrix
-longitudianl field

RF COILS:
-for transverse fields
(solenoidal configuration
(2 times more SNR than saddle shaped coils
-for longitudinal fields
(saddle shaped coils
-surface coil
(circular coils placed directly over ROI
(RF receiver

GRADIENT COILS:
-Maxwell pair
(current flow in opposite direction
(used in slice selection gradient- in direction of Bo
-Golay coil
(opposing parallel side coils
(curved over the cylindrical surface of the gantry bore
(2 sets – 90 degree to each other- used in x , y plane
gradients

SHIM COILS:
-small coils
-within gantry
-make Bo more uniform


Ravi
BS (RT)

maximize x ray tube life


HOW TO MAXIMIZE X-RAY TUBE LIFE ?
Good work practices can significantly prolong tube life.
Recommendations :
Minimize filament boost ("prep") time
Use lower tube current (mA)Follow rating charts and anode heating/cooling curves.Limit operation to 80% of maximum single exposure ratings
Do not exceed anode thermal capacity or dissipation rate of the target
Do not make high mA exposures on a cold targetAvoid long intervals between spot-filmsLimit rotor start/stop operations

pituitary gland

PITUITARY GLAND
-Imaging indications:
-endocrine disturbances
-visual failure
-pituitary fossa:
-above sphenoid
-cavernous sinuses on each side
-superiorly -suprasellar cistern (optic pathways and circle of Willis)
-varies in size
-normally ( thin rim of soft tissue at base of sella
(partially empty sella)
-in females of child bearing age(will fill sella with
with superior convex margin
-infundibulum:
-larger in females than in males but should not exceed diameter of the basilar artery
-pituitary (no more than 9mm in height
(should enhance both on CECT & CEMR
-anterior and posterior lobes can be identified on MRI
-sometimes posterior pituitary returns high signal on T1WI due to neurosecretory granules so this high signal can vary on sequential scans of same patient
-uniformly bright in neonates
Ectopic pituitary : may originate from -- posterior lobe of pituitary—rounded high signal soft tissue mass