Well in this week of clinicals I learned how to MIP images. We seemed to have a majority of MRA's of the brain and neck or carotids. We also had a soft tissue neck which I had not seen before. I have comped out on an MRA of the head but not the carotids. However the tech I was with let me MIP the carotids after she was done with the exam. It will probably be a while before I get to do an MRA of the neck since it involves a perfect timing issue to get the contrast just perfect with the arterial flow, and if you mess it up, you can't go back and redo it. I did see one that got messed up and we had to send everything including the venous flow due to it not being timed right with the contrast. I feel like it was a good thing that I saw that because now I realize how important it is, to get the timing just right.
I feel pretty comfortable with the MRA of the head exam, and I like the mipping part of both the exams. I really think it is fasinateing how you get it to rotate around and head of heels. The detail is wonderful, it reminds me of when I first started x-ray and saw the techs utilize this tool in IR. Back then I really was amazed but had no clue what they were doing or what I was even looking at. It seems amazing how far I have come on this journey and how much I have learned since I started school. I can't help but to wonder what the technology will be like ten years from now in MR and all the other imaging modalities. I am really worried now about the job market and getting all my exams required to be able to sit for the boards, but I am still glad I picked this profession.
Hope everything is going well with everyone, and I will post more later.
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