1/Radiologist not answering the phone?Just want a quick read on that stat head CT? Here's a little help on how to do it yourself w/a #tweetorial on how to read a head CT! #medtwitter #FOAMed #FOAMrad #medstudenttwitter #medstudent #neurorad #radres @medtweetorials #neurosurgery

The 90s called & wants its carotid imaging back! It’s been 30 years--are you still on NASCET? Feeling vulnerable about plaque vulnerability? This month’s @theAJNR SCANtastic has what you need to know about carotid plaque: https://t.co/CZmIg85maJ Carotid disease not only

1/ Thoracic central vein obstruction (TCVO) is no longer a niche problem—it’s a growing IR frontier. This international @RadioGraphics review reframes TCVO as a progressive, reconstructable venous disease, not a complication. @RadG_Editor @cookyscan1 @teachplaygrub

The 90s called & wants its carotid imaging back! It’s been 30 years--are you still on NASCET? Feeling vulnerable about plaque vulnerability? This month’s @theAJNR SCANtastic has what you need to know about carotid plaque https://t.co/CZmIg84Olb Carotid disease not only harms

Crohn Disease Strictures: Multimodality Imaging to Identify Imaging Biomarkers A deep dive into how MRI, CT, and US can help us characterize fibrosis, inflammation, and stiffness in Crohn’s disease strictures. #RGphx @cookyscan1 @RadG_Editor @RadioGraphics @teachplaygrub

The 90s called & wants its carotid imaging back! It’s been 30 years--are you still on NASCET? Feeling vulnerable about plaque vulnerability? This month’s @theAJNR SCANtastic has what you need to know about carotid plaque https://t.co/CZmIg84Olb Carotid disease not only harms

1/The 90s called & wants its carotid imaging back! It’s been 30 years--are you still on NASCET? Feeling vulnerable about plaque vulnerability? This month’s @theAJNR SCANtastic has what you need to know about carotid plaque https://t.co/CZmIg85maJ

13/So go beyond NASCET! Hopefully, now you’ll never feel vulnerable about vulnerable carotid plaque! Follow @theAJNR and check it out for yourself: https://t.co/CZmIg85maJ

12/In this month’s @theAJNR, Saba et al. found that this scoring system was highly reproducible among intermediate & experienced readers. But like all things radiology—there was a learning curve for inexperienced readers.

11/You can also remember that type 4 is for plaque hemorrhage bc the number four has a hole in the middle—just like the hole blasted in a plaque by intraplaque hemorrhage

10/Type 4 = plaque hemorrhage or intraluminal thrombus You can remember this bc the pointy part of the number 4 looks like pointy thrombus pointing into the lumen

9/Type 3 = plaque thickness >3mm or ulceration Remember 3 is greater than 3! And the scooped out part of the number 3 looks like scooped out ulceration!

8/Type 2 = plaque thickness < 3mm & no signs of vulnerability (ulceration) You can remember this bc 2 is less than 3 & the curve of the number 2 mimics a smooth, non ulcerated plaque.

7/Type 1 = no plaque. This is easy to remember bc the number 1 looks like a smooth straight vessel with no plaque!

6/We can use carotid plaque-RADS, which has been adapted for CTA, bc that is the modality we are most often evaluating carotid plaques on!

5/So how can we tell which plaques are high risk for emboli stroke and which are stable? Well, we need to need to leave NASCET behind and look at the plaque itself for clues

4/Carotid disease not only harms by strangulation (stenosis), but also by serving as a source of emboli A gun isn’t less dangerous bc it shoots from a distance—similarly, a plaque without stenosis is still dangerous if it causes emboli, even if the harm is from a distance

3/Yes, carotid plaques resulting in high-grade stenosis are high risk But assuming that stenosis is the only mechanism by which a carotid plaque is high risk is like assuming that the only way to kill someone is by strangulation.

2/Everyone knows the NASCET criteria: If the patient is symptomatic & the greatest stenosis from the plaque is >70% of the diameter of normal distal lumen, patient will likely benefit from carotid endarterectomy But that doesn’t mean the remaining patients are just fine!

1/The 90s called & wants its carotid imaging back! It’s been 30 years--are you still on NASCET? Feeling vulnerable about plaque vulnerability? This month’s @theAJNR SCANtastic has what you need to know about carotid plaque https://t.co/CZmIg85maJ

Thank you!! I have been named a finalist for the Aunt Minnie most effective radiology educator! And make no mistake—I know it’s because of all of you! Thank you for helping my educational content to go far and wide. Your support is the reason I’m here and I try to make even