Pros and Cons of Field Strengths: 1.5T vs 3T vs 7T

Watch Episode at Pros and Cons of Field Strengths: 1.5T vs 3T vs 7T  https://youtu.be/whvW8CZU7Ss

Dive into the nuances of MRI field strengths as we discuss the pros and cons of 1.5T, 3T, and 7T with our special guest, Jesse Bashford. Learn about protocol optimization, the importance of equipment, and the ideal scenarios for each field strength.

Also Check out New and Improved Padding - https://mrpadwell.com/

What is Zone 3 Podcast?

Zone 3 is a podcast that discusses everything MRI. Tune in to hear about the latest advances, optimization techniques, and more! Hosted by Robert and Reggie who are both MRI Technologists. They have an entertaining rapport as they tackle topics like MR safety, imaging protocols, upcoming technology, and so much more.

You can tune into Zone 3 Podcast on YouTube or listen to it on your Podcast RSS Feed! Thanks for Stopping by Zone 3.

"Speaker Name","Start Time","End Time","Text"

"Robert","00:00:26:18","00:00:28:18","Zone 3 Podcasts. I am Robert."

"Reggie","00:00:28:20","00:00:30:04","And I am Reggie"

"Robert","00:00:30:06","00:00:37:20","Reunited and it feels so good. We've got Jesse Bashford. He is the original, the O.G., if you will. You are actually our very first guest ever, right?"

"Jesse","00:00:38:00","00:00:38:22","Yeah."

"Robert","00:00:39:00","00:00:42:05","What was that topic? Remind me. It was like protocol optimization."

"Jesse","00:00:42:07","00:00:43:04","Yeah."

"Robert","00:00:43:06","00:00:54:08","We actually Fun fact, we recorded in my dining room and then we eventually got a studio and then we rerecorded it. But it's actually, I think the only one that we actually rerecorded right."

"Reggie","00:00:54:10","00:00:55:06","Appreciate that."

"Speaker 4","00:00:55:07","00:00:56:19","Was happy to be there."

"Robert","00:00:56:21","00:01:08:17","The O.G. So we've known Jesse for years now, right? So we worked with him at different locations. But Jesse, if you will, just kind of introduce yourself to the audience, remind them who you are, cause it has been a few years."

"Speaker 4","00:01:08:18","00:01:16:23","Well, I'm a fellow MarTech, and also I'm the I'm an educator, right? Know where we work. So."

"Robert","00:01:17:01","00:01:21:09","But you're more than just that. Tell about who you are as an individual."

"Speaker 4","00:01:21:11","00:01:35:19","Yeah. I mean, I have experienced protocol building. I did that about ten years. I have a passion for, you know, creative art. And that's how I always looked at it, honestly, like it is art to me. So the painting was never done."

"Robert","00:01:35:21","00:01:45:06","And I think passion is a good word because you're a very passionate person just in general, but also as a tech as well. So I think, yeah, we're lucky to have you on today. Thank you for coming in."

"Reggie","00:01:45:08","00:01:49:19","Has that guy within like the new project?"

"Jesse","00:01:49:21","00:01:50:17","Yeah."

"Reggie","00:01:50:19","00:01:51:09","That's our guy."

"Jesse","00:01:51:10","00:01:52:14","I love that."

"Robert","00:01:52:16","00:02:11:23","And fun fact. So we were just first introduced, what, eight years ago when I was learning to is and you're the one that taught me to use so I'll forever be grateful. Thank you for that. And. And then you eventually became you know, you don't you wore many different hats, but you were the protocol tech where you built a lot of the protocols at different facilities."

"Robert","00:02:12:01","00:02:20:06","But our current facility, we work together at MSC is kind of your bread and butter. But you do more than just that, right?"

"Speaker 4","00:02:20:08","00:02:42:15","You know, back in the day, I spent about five years optimizing everything. So. Right. Neuro MSC, great experience. I wouldn't ever trade a thing, you know, wouldn't give it back, that's for sure. And then, yeah, got to move jobs with the MSC protocols and really honed in MSC. But it's amazing if you have good you know it's amazing what you can do."

"Reggie","00:02:42:20","00:02:43:20","Right that's what it."

"Speaker 4","00:02:44:01","00:02:47:18","Yeah yeah Good coils, good scanners, good software."

"Robert","00:02:47:20","00:02:48:20","And good techs."

"Jesse","00:02:48:22","00:02:54:00","Good test is really easy."

"Robert","00:02:54:02","00:03:07:04","Yeah. Awesome. Well, let's get into it. So you are here today to discuss 1.5 T versus three t pros and cons. So where would we start on that? As far as like, Reggie, you wanted to ask a question?"

"Reggie","00:03:07:06","00:03:23:17","Well, I just it's one of those things where I think it's like one of the most important jobs as a technologist because the field is just advancing. So so we're constantly getting updates, new equipment and new scanners. And you know, we want to do what's best for you know, what's best for the reality is to get the best reading for them."

"Reggie","00:03:23:17","00:03:30:23","So if I had to have 1.5 degrees to three TS, not always the best or is it always that's the question. We kind of do."

"Speaker 4","00:03:31:00","00:04:00:03","What's really good for. You have that high signal, obviously a double section of one back here, signal to noise ratio, but it also introduces a lot more traffic. So when it comes to cardiac, one five is still the gold standard for option. Nobody imaging you get the artifact as well. So body could go either way, I think is where it really shines because you can increase resolution, take advantage of that extra signal."

"Robert","00:04:00:05","00:04:07:06","But don't you always want high resolution and all imaging, no matter what it is? So why is MSK so specific to 3ti?"

"Speaker 4","00:04:07:09","00:04:30:13","You know, because honestly, I would say because you can use those high coils, the high density coils you have already the double of the segments, the noise ratio of three G, So it's kind of a trifecta, a double effect. You can take advantage of the high resolution because you have that signal and then you could signal start it a little more than you would at one five protocol."

"Speaker 4","00:04:30:15","00:04:33:18","So it not only is higher resolution, but becomes faster."

"Jesse","00:04:33:20","00:04:35:04","Okay."

"Robert","00:04:35:06","00:04:45:03","And where we currently work, we have a15a3 team. We're about to get a 70. Right. And so how do those as far as signal and I think you've got to we're going."

"Reggie","00:04:45:03","00:04:53:14","To Yeah I know we jump right into it. I guess there might be a portion of audience that might not even be familiar what we're talking about when it comes to you. One."

"Robert","00:04:53:16","00:04:55:02","Let's define it. Yeah."

"Reggie","00:04:55:06","00:04:56:06","Yeah, exactly."

"Speaker 4","00:04:56:08","00:05:06:18","So that's the strength of the magnet, right? The magnetic strength. So Tesla is a unit of measurement. 1.5 G is actually equal to about 30,000 times of Earth's gravity."

"Reggie","00:05:06:20","00:05:07:06","Wow."

"Speaker 4","00:05:07:06","00:05:23:01","You think about that way. Or the big magnet. So it's an MRI machine. When you scale up to three G at 60,000 times respectively. So W when you got to 70 and it is proportional. So now we're looking at 140,000."

"Robert","00:05:23:03","00:05:30:20","And just to compare that, because as far as the reference goes, we all have magnets on our refrigerators at home. How would it compare?"

"Speaker 4","00:05:30:22","00:05:32:20","I don't know. It's you can't compare."

"Robert","00:05:32:22","00:05:41:23","I've been told that a magnet on the refrigerator is about 50 gauss. And what we're dealing with with a 1.5 is 15,003 T being 30,000."

"Speaker 4","00:05:42:01","00:05:49:07","I don't have the formula for this one. Yeah, but, uh, yeah, you know, it sticks to the fridge, so it has some."

"Robert","00:05:49:09","00:06:05:13","Well, one of my famous quotes that I had from my previous coworker, Donna, was her name was she said one time to me and I loved it. Yeah. Donna was. So she said, well you know, like the magnets you stick to your refrigerator at home. They're about 50 gauss. Well, these magnets you can stick a refrigerator to."

"Jesse","00:06:05:14","00:06:06:02","Yeah."

"Robert","00:06:06:04","00:06:07:06","And I love that."

"Reggie","00:06:07:08","00:06:08:08","Wow."

"Jesse","00:06:08:10","00:06:10:17","So is."

"Reggie","00:06:10:19","00:06:12:15","The refrigerator."

"Speaker 4","00:06:12:17","00:06:14:00","Volkswagen Beetle?"

"Robert","00:06:14:02","00:06:16:12","Yeah, absolutely."

"Jesse","00:06:16:14","00:06:20:11","Yeah. Please, dear."

"Robert","00:06:20:13","00:06:23:05","All right, well, okay, cool, because that kind of helps illustrate it."

"Jesse","00:06:23:07","00:06:24:03","Right? Yeah."

"Speaker 4","00:06:24:03","00:06:38:17","So, you know, you can imagine new projectile considerations come into play and scale up the magnetic strength. There's some things we'll talk about later, but physiological effects of eating sour, all that stuff goes up with magnets."

"Jesse","00:06:38:18","00:06:39:09","Mm hmm."

"Reggie","00:06:39:11","00:06:48:03","Now, projectile. That would be the reason why I wouldn't be much having anymore change for the MRI or. And just why we're associated costs, right? Yeah."

"Speaker 4","00:06:48:05","00:07:02:22","I mean, yeah, really, from what they wear to what's playing in the lobby. Right. So things that you don't see and all that stuff, that magnetic force is higher. Obviously, it extends out farther from the magnet as well."

"Robert","00:07:03:00","00:07:05:17","And that's called the fringe feel."

"Speaker 4","00:07:05:18","00:07:09:00","Okay sometimes French feel. Yeah."

"Reggie","00:07:09:02","00:07:18:12","Would you say that if it's a 1.5, it might be okay not to change versus or you know what I mean? 30 is okay. Yeah, sure."

"Speaker 4","00:07:18:14","00:07:40:20","I think it depends on the practice, honestly, and how much liability and risk that would take. Some practices out there don't have their patients change when a cotton that's okay right but you don't know what's underneath that you know so if it comes from the outside you can't really control it right. So the safest way is to provide the clothes and ask for the patients."

"Jesse","00:07:40:22","00:07:41:12","And."

"Robert","00:07:41:13","00:07:46:00","And give us an example of what could go wrong if a patient were to stay in their street clothes."

"Speaker 4","00:07:46:01","00:08:09:15","Well, so let's just say the patient came from another appointment like a cardiac something monitor attached. Right. And then they change back clothes and they left one of those non compatible cardiac leads on them. So that would heat up if it's directly in the field leading to potential burns, leading to who knows what after that. Right."

"Robert","00:08:09:17","00:08:15:10","So and and it seems like nowadays every girl wears lululemon and."

"Jesse","00:08:15:12","00:08:17:12","If."

"Robert","00:08:17:13","00:08:23:03","You wear Loulou, you're willing to admit that. All right well, if you would."

"Jesse","00:08:23:05","00:08:25:01","Put."

"Robert","00:08:25:03","00:08:31:17","Put a link on MRI safety and Lululemon because we do have patients historically who have gotten burns from."

"Reggie","00:08:31:17","00:08:47:08","The watching. This is very important in our, you know, field procedure to kind of evaluate what you're wearing. And if they don't change you, you know, make sure that you're wearing something 100% cotton. But I believe they do change you. It is never going for say."

"Robert","00:08:47:10","00:08:49:02","Yeah, everything we do is for a reason."

"Speaker 4","00:08:49:02","00:09:01:13","So on that Lululemon, you know, no bad grade because this is public knowledge, right? But yeah, they did have metallic fibers woven into their elastic right. Which is heating up and leading to a burn."

"Robert","00:09:01:14","00:09:10:12","It's a lot of sweat wicking stuff. And so it actually like a consumer, just a regular person off the street would know that have no reason to do."

"Speaker 4","00:09:10:14","00:09:13:05","They're not thinking of MRI scans when they're through."

"Reggie","00:09:13:09","00:09:20:12","Yeah yeah it doesn't have to go through the FDA for market is exactly."

"Speaker 4","00:09:20:14","00:09:43:05","So but yeah so let's just compare 70 to 80 real quick on that. Oh yeah. If you look at the 10 to 99, no test will mean that's magnetic strength extending out from the machine at 3 to 8. It's about two meters. At 70 it was all the way up to five meters. So that's a lot to consider."

"Reggie","00:09:43:07","00:09:55:00","That's interesting. So pretty much if you're in trouble zone three, a little close to the square, you know that if I have magnetized like scissors and stuff, they're like."

"Speaker 4","00:09:55:02","00:10:04:09","It's very possible. Yeah. You know, for that very reason they put up those signs. Basically, patients with pacemakers can be walking close to the magnetic wall or the wall, but on for it."

"Reggie","00:10:04:14","00:10:05:14","Right."

"Speaker 4","00:10:05:16","00:10:10:17","And for that very reason, it extends out past. So you know, it's hard to contain."

"Robert","00:10:10:19","00:10:13:07","Does it affect the equipment in zone three?"

"Speaker 4","00:10:13:09","00:10:15:16","I would say at this point it would, yeah."

"Robert","00:10:15:18","00:10:20:22","What do they strategically plan the size of the room around that."

"Jesse","00:10:21:00","00:10:21:18","I would I."

"Robert","00:10:21:20","00:10:23:23","Like the bigger the magnet, the bigger the room."

"Jesse","00:10:24:01","00:10:24:08","They haven't."

"Speaker 4","00:10:24:08","00:10:25:03","Been involved at that."

"Jesse","00:10:25:03","00:10:26:06","Level."

"Reggie","00:10:26:08","00:10:27:00","Of shielding too."

"Jesse","00:10:27:02","00:10:28:02","I know."

"Robert","00:10:28:04","00:10:30:08","Good question for Toby. Right."

"Speaker 4","00:10:30:10","00:10:41:18","The it goes up and that Yeah. I mean I don't know what I what I would want in a 17 is a huge room. I want that thing sitting in the center of a Wal-Mart."

"Reggie","00:10:41:18","00:10:42:10","I know Right."

"Speaker 4","00:10:42:15","00:10:43:15","That would make me feel good."

"Reggie","00:10:43:15","00:10:47:18","About it is an echo If there's an echo is big enough."

"Robert","00:10:47:20","00:11:06:13","A Well, at a recent staff meeting, actually, you kind of went over an illustrations of the difference in force physics, safety concerns and other reasons to why you would choose a153 and how it compares and even 70 as well kind of get into that for me if you were because I thought that was a great presentation."

"Jesse","00:11:06:15","00:11:07:15","I think."

"Speaker 4","00:11:07:17","00:11:32:01","You know, so one example T one relaxation. Mm hmm. So it takes longer as the magnetic strength increases. So when you're talking about neuro, especially t one, if you want, you know, gray white matter, separation and differentiation, contrast between those, you might consider one five, you might consider flare if reaching. And we can take a look at some of those pictures."

"Robert","00:11:32:03","00:11:38:06","Yeah, I know. Because you have a some slides there. What number shall we put up on the screen with this screen on screen here."

"Speaker 4","00:11:38:08","00:12:05:04","So to speak. So here you can see that's actually wants flare white matter. Right. So you can identify one of the ways in but you can see how those are the gray white matter separation is is very obvious gray matter being on the outside and white matter inside. So what matters most is mater, myelin or fat. This is what's inside those lung nerve fibers."

"Speaker 4","00:12:05:06","00:12:32:21","All right. So for that very reason, you would want to use that suppression. You're looking at that imagination message. That's fine. If you use that suppression, not set those back out those again. So another side to look at here is number seven. And so that's kind of a zoomed up image on the on the very left is pretty much been echo."

"Speaker 4","00:12:32:21","00:12:55:13","So if you kind of look at way we white matter separation or differentiation, it's pretty almost gray homogeneous it's hard to really tell you can't see it felt good if you look at the image on the far right that's at1 flare. And so you can really see the contrast increase in the middle. There is the 1.5 was back off."

"Speaker 4","00:12:55:14","00:13:10:18","It looks better than 15 times. It's closer to the flat. So so that's just one example of why 153 just varies. T one relaxation time takes longer."

"Reggie","00:13:10:19","00:13:30:06","Is very noticeable when you're looking at like the spine and you do an echo t one and only three T you kind of it gets a little bit more washed out actually. First is the 1.5 when it comes to how dark the tissue is. Absolutely. And mostly I kind of know at first that is because you know that the R range that we were kind of using."

"Reggie","00:13:30:06","00:13:32:08","But it is little more than that, right?"

"Speaker 4","00:13:32:08","00:13:44:19","Oh, yeah. Yeah, it's definitely more than that. So also we can look at like your to look at CSF and everything has t1t2 properties."

"Robert","00:13:44:21","00:13:45:10","And."

"Speaker 4","00:13:45:12","00:13:48:09","Right. It is more than and we'll get into that. And just a little bit."

"Robert","00:13:48:11","00:13:57:08","I'm wondering because I've worked with, you know obviously we all have different neuro radiologists and I and most actually per one for one prefer 154 neuro."

"Speaker 4","00:13:57:10","00:14:00:09","Right. Yeah. And that makes sense. I think it's this among other things."

"Robert","00:14:00:12","00:14:02:21","Okay. I think we're on slide eight."

"Speaker 4","00:14:02:21","00:14:13:22","Katie Spines just look good, right? You have again like if you take it back to the signal to noise ratio, a lot of your spines have a lot of view."

"Robert","00:14:14:00","00:14:19:10","So I always thought that was more of a susceptibility thing. But you're saying it's more of like a relaxation type of thing."

"Speaker 4","00:14:19:12","00:14:21:13","When it comes to this. Do you want contrast? Yes."

"Robert","00:14:21:16","00:14:22:02","Okay."

"Speaker 4","00:14:22:08","00:14:26:03","The ability also gets worse. Oh."

"Jesse","00:14:26:05","00:14:27:03","Okay."

"Speaker 4","00:14:27:05","00:14:57:15","Yeah. But so if we're looking at slide eight here, you look at these sagittal slides, this is just trying to prove that flat one is superior image on the far left, you see, Is it 1.5? If you look at this? Yes. It's pretty dark image in the middle there. It was backwards, pretty view. Yes, it was a core see the CSF signal for the cortex, But it's kind of all the same contrast to yourself, right?"

"Speaker 4","00:14:57:15","00:15:19:01","It does. It looks. Yeah. And I know this is one of the parameter, but you know, you can mitigate that a little bit at three by making sure those two camps maybe increasing it. So it's really not the best way to go. If you want to look at the image on the right, that's flat. So see CSF is completely."

"Reggie","00:15:19:03","00:15:20:00","Right."

"Speaker 4","00:15:20:02","00:15:25:23","Because that's what players do and the cord looks really nice. You have the contrast that."

"Reggie","00:15:26:01","00:15:33:04","So if there's a tech out there and the radiologist like, Hey, I need the cord darker I needed or darker, you recommend just go ahead or."

"Speaker 4","00:15:33:06","00:15:41:15","I would have three T Okay. Yep, yep. That that's really no competition. I mean, you can tweak this terrible spin, echo."

"Reggie","00:15:41:18","00:15:42:20","My to keep repeating it."

"Speaker 4","00:15:42:20","00:16:14:01","I mean, probably die within pretty good. I don't, I don't think it's worth the time right. Just go to plan some post contrast player okay have it has some good good bad. Oh yeah Well I was at a seminar how remember which tumor it was is at t one square post yet doesn't show us. So I'm always kept that in my in my everything I search but I I'd have to resort to Google client that."

"Robert","00:16:14:03","00:16:16:12","Would just show like masked lesions."

"Speaker 4","00:16:16:14","00:16:42:12","Yeah yeah. So t to square is great for right right. And that's basically I hope that's red button up t to flare in the brain is very might look white in contrast to that dark white matter so on t to flat we talked that at1 white matter is bright right I don't see two white bands dark I know."

"Reggie","00:16:42:14","00:16:52:02","In comparison to higher strength air which is a triple inverse recovery secret or double. That's what it."

"Robert","00:16:52:04","00:16:55:09","Is that the."

"Speaker 4","00:16:55:11","00:16:56:02","Yeah."

"Reggie","00:16:56:04","00:17:07:06","Right but I know that that's because is because of the emergent it's a little heavy on signal when it comes to how much even you have to get harder to get signal."

"Speaker 4","00:17:07:09","00:17:07:21","It's true."

"Reggie","00:17:08:00","00:17:11:00","Yeah. So hyperspace plays a big part in that."

"Speaker 4","00:17:11:00","00:17:25:14","Absolutely. Especially three. You know we're doing 3va lot now, Right. So 20 volume scans have had most signals begin with, right. Just take advantage That's another reason why is right take advantage of that double signal. Yeah."

"Reggie","00:17:25:16","00:17:27:11","Or else you have a really All."

"Speaker 4","00:17:27:13","00:17:36:03","Right right right. And then so but over a couple of hours we're running a term based on that, right? Yeah. Yeah."

"Reggie","00:17:36:03","00:17:38:14","Okay."

"Speaker 4","00:17:38:16","00:17:54:07","So so talked about signal to noise magnet strength. You can use this, you know as you go up in magnet strength, you can obviously increase your resolution or reduce the scan time. That's another big thing. We really haven't talked much about."

"Reggie","00:17:54:11","00:17:54:23","Rate point."

"Speaker 4","00:17:54:23","00:17:58:12","Where you can you can just fly through scans."

"Robert","00:17:58:14","00:18:01:02","The stronger the field strength. Right. We gave."

"Speaker 4","00:18:01:02","00:18:01:17","You magnet."

"Reggie","00:18:01:23","00:18:17:18","Yeah right. You got to bring a three to game the rest like All right let me get this whatever orbits protocol you have this choice, right? You did pretty much kind of do what you've been doing on whatever, 1.5 or you get kind of validated it speed it up."

"Speaker 4","00:18:17:21","00:18:42:09","Yeah, Yeah, absolutely. And I think that's good. You need a reference point, right? And so most of us out there have started with one time and then 3G came later. So but, so I would use that one by protocol as my baseline app. Take it to three. Some things have to change, right? That's just physics. Right? The position of frequency protons increases as Magnus, Right."

"Speaker 4","00:18:42:11","00:18:53:09","So your bandwidth, so also the separation of proton in that field changes you need to prevent chemical shift."

"Reggie","00:18:53:11","00:18:54:05","Right."

"Robert","00:18:54:07","00:19:12:08","And if we could just touch up on something because you mentioned the higher the field strength, the the shorter the scan time, Right. Yeah. And then in the advantage of that would be a couple of things. Right. So you got patients who have a lot of anxiety and so if we could reduce their scan time, it would they would be, you know, appreciative of that."

"Robert","00:19:12:10","00:19:19:07","Also like throughput as far as facility perspective goes, you can get more scan, more scans done."

"Speaker 4","00:19:19:09","00:19:22:00","If you are artifacts, patients have less chance to move."

"Robert","00:19:22:01","00:19:23:03","Right? Yeah, true. Yeah."

"Speaker 4","00:19:23:07","00:19:44:13","And this is a common misconception, but scanning faster in certain ways, you know, for example, using fewer bands of case, it's actually going to reduce the patient even more. So it's a win win win all across you to have your patients. Yeah mitigate risk all that right more times copy."

"Reggie","00:19:44:16","00:19:52:19","I think this is as well. I think you are one of like, you know, validating or super fast monitors. You may when you're doing like high resolution imaging."

"Speaker 4","00:19:52:19","00:20:16:06","Yeah. Yeah. No, absolutely. And I just think it's good to create a balance. Right. Right. So it's always tradeoffs You can so if you took the one what I would do go into three T and we could just say it's a lumbar spine sagittal teacher I would instantly program like 50%, 15% higher. Again, that bandwidth has to change."

"Speaker 4","00:20:16:06","00:20:38:05","So if we just talk about bandwidth, not about number of parts per person as the fat one hour shift, I would keep it in that probably 0.8 hertz pixel range at 30, which is going to be a higher bandwidth program. I trying to take advantage some of that signal, right, with a lower bandwidth, but that's kind of my range is 1.52.8."

"Speaker 4","00:20:38:07","00:21:13:15","If your bandwidth hertz per patient goes above 2.0, that's when you start having issues. So keep an eye on that stuff. But and so, okay, so you take that higher bandwidth that you have to because of it. All right. And one five of three, you're going to lose signal. So, yes, doubles. But then you give some back. So, for example, like 150 bandwidth at one five might come out to something like 250 to 60 4 to 70 something in that range of three to be equivalent person."

"Speaker 4","00:21:13:17","00:21:37:06","Okay. All right. But then I would also dropping it so long. Right. You know, because you have that extra signal that the average you get the time savings probably, what, 30% depending on how many you had. But we're talking three up to it. Never know unless you're doing a finger on a15. That's all that you really don't need for average."

"Reggie","00:21:37:08","00:21:40:02","Right?"

"Speaker 4","00:21:40:04","00:21:46:08","Right. Okay. So that's how I would obviously run a scan, see what it looks like, and then."

"Reggie","00:21:46:10","00:21:52:22","Touch up you pain, right? That's right. It was my eyes."

"Jesse","00:21:53:00","00:21:53:17","All right."

"Robert","00:21:53:19","00:22:11:07","How is deep learning all these new algorithms and smarts? How is that kind of played like a factor with facilities considered choosing between what they're going to purchase, whether it be a153 tier because that helps with reduces care time as well?"

"Speaker 4","00:22:11:09","00:22:34:06","Yes, you know, it is extra cost, extra features like. Right. But that's a great topic, deep learning because I hope that the world out there watches this and decides to buy it. Right. Because just a little bit about how deep learning works. So at image reconstruction, no, there's like a sensitivity map that samples noise, essentially an image reconstruction."

"Speaker 4","00:22:34:06","00:22:56:06","It removes that noise from the image and applies this database of how many millions of images. Basically it refills in pixels, essentially noise pixels. It's like taking. So you can imagine that in my hand, right? It's a no film. That noise has been removed. And then I lay it over a really crisp picture."

"Reggie","00:22:56:08","00:22:56:15","Right?"

"Speaker 4","00:22:56:20","00:23:23:02","And then you have something that's just magnificent noise. It's and so, yeah, people should do these things. I think it's going to become mainstream. Essentially, you can signal, starve your images down to bare bones, one average. You know, if you use imaging two or three saturation factor four depending on your field, if view, I guess, but it's not really signal based anymore at this point."

"Speaker 4","00:23:23:02","00:23:28:20","And so it's taking away that art, which is okay, progress is good."

"Jesse","00:23:28:22","00:23:30:03","This isn't."

"Speaker 4","00:23:30:05","00:23:36:23","But you can scan any a new protocol with type sequences in like 8 minutes. Yeah, 8 minutes now."

"Reggie","00:23:37:01","00:23:51:21","Wow. It does take one of the biggest support I remember is accounting for. All right, so taking that extra noise out of the equation, jokes saying, yeah, definitely makes it that way."

"Speaker 4","00:23:51:23","00:23:56:13","It does. It does. It does. The textures get so good, Right? And I'm all for it."

"Reggie","00:23:56:15","00:23:58:10","And I'm like, look, no."

"Speaker 4","00:23:58:10","00:24:00:07","Call you, right?"

"Jesse","00:24:00:09","00:24:02:08","Wow."

"Speaker 4","00:24:02:10","00:24:03:01","Tech."

"Reggie","00:24:03:03","00:24:04:16","Right."

"Speaker 4","00:24:04:18","00:24:20:01","But no. And there is still some things you have to have finesse. There's no doubt about that. But AI is the way is the way that future for those patients, for faster scans, for the throughput productivity, patient outreach."

"Robert","00:24:20:03","00:24:24:05","Do you think with that you can get 3D quality images on a15?"

"Jesse","00:24:24:08","00:24:25:10","I do."

"Speaker 4","00:24:25:12","00:24:32:12","I think so. I wouldn't say you can get this. So if you have a3g with AI and one the I don't think they're quite comparable."

"Jesse","00:24:32:12","00:24:33:08","Yeah."

"Speaker 4","00:24:33:10","00:24:44:12","But if you're comparing one five with A.I. two like older speech, without it I would say yes. Image quality should be about the same, right? If everything started right."

"Reggie","00:24:44:13","00:25:07:20","And I feel like A.I. has created this tug of war with, you know, trying to do an ultra low kill and ADL and, you know, or high field versus just kind of going hyper. There's so many safety precautions you have to look out for the higher we go up. So it's one of those tug of war. But at 70, is it really worth the effort?"

"Reggie","00:25:07:23","00:25:09:07","You know, we're really getting that signal."

"Speaker 4","00:25:09:09","00:25:21:04","I think 17 may be over overseeing it right now. All right. But, you know, I'm still in the research phase, so there is no wish to get into RF transmission."

"Reggie","00:25:21:05","00:25:23:06","All that's. Oh, yeah, yeah."

"Robert","00:25:23:08","00:25:27:05","Yeah. It's a good size on that for sure. We should."

"Speaker 4","00:25:27:07","00:25:33:09","But yeah, I would say 70 is fun and fancy expensive but and I'm glad that."

"Reggie","00:25:33:09","00:25:34:11","I guess versus three."

"Speaker 4","00:25:34:13","00:25:39:01","Right. Yeah I guess can purchase it. That's awesome."

"Robert","00:25:39:03","00:25:47:16","And I'm and I'm glad you brought up cost because I recently heard something that it basically when it comes to cost it's an average of 1 million for Tesla."

"Speaker 4","00:25:47:18","00:25:51:15","Yeah I think some it is seventies are like 10 million."

"Jesse","00:25:51:17","00:25:53:22","Yeah yeah."

"Robert","00:25:54:00","00:25:58:02","So even higher when it comes to that but like I'm hearing that these three T's about 3 million."

"Jesse","00:25:58:04","00:25:58:20","Yeah."

"Speaker 4","00:25:58:22","00:26:03:02","Sounds about right. The probably 1.9. Yeah. Something like that. Yeah."

"Reggie","00:26:03:04","00:26:04:01","Wow."

"Jesse","00:26:04:03","00:26:07:10","Interesting deal, right? Yeah."

"Reggie","00:26:07:12","00:26:20:03","Gotten a few. Well there's a few of these out there, but they still have varied. They're very limited in what you can use. So when it comes to like the cost versus like what is actually going to be used when it fact."

"Speaker 4","00:26:20:05","00:26:29:07","It's hard for that. Right. Exactly. But I do think. Okay. Yeah, stuff is going to be huge. All right. Because now they're finding things."

"Robert","00:26:29:09","00:26:30:20","Like MRAs and stuff."

"Speaker 4","00:26:31:01","00:26:53:07","MRA. So you make smart stuff, resolutions with signal. You can take advantage of really high resolution and you probably can turn the lights on to things that that maybe I just hadn't even been paying attention to. Right. You know, so if you go back to like the old one five to Amazon or, you know, it's obvious, right? I see that, too."

"Speaker 4","00:26:53:09","00:27:04:10","It enhances. And I think they could probably see earlier self formation, not on a microscopic level, but it's just got get that much better. Wow catch things earlier."

"Reggie","00:27:04:12","00:27:05:20","Nanometer."

"Speaker 4","00:27:05:22","00:27:07:16","Maybe. Okay. I know."

"Jesse","00:27:07:18","00:27:09:17","This isn't."

"Speaker 4","00:27:09:19","00:27:11:04","About a centimeter."

"Reggie","00:27:11:05","00:27:14:03","I go after pad I can't I can't go far enough on."

"Speaker 4","00:27:14:05","00:27:17:16","Those interchangeable."

"Speaker 4","00:27:17:18","00:27:19:01","Okay I think they are."

"Reggie","00:27:19:01","00:27:32:02","But so how much thing are we getting, I guess a comparison when you jump up to 1.5, we've got to test out a little bit, right? I guess is it like three times more?"

"Speaker 4","00:27:32:02","00:27:56:13","Pretty much, yeah. So from three to 70 to 2.3, three times, right? Yeah. And then it doubles from one 5 to 3 T but then again you give some of that back with the bandwidth. I would say after the bandwidth change on your average protocol, I'd remember it's a signal to noise ratio like relative. So that's okay with program as much as you use."

"Speaker 4","00:27:56:15","00:28:03:11","All right. But I think from 5 to 3, I mean getting like 141 was something that was."

"Reggie","00:28:03:12","00:28:04:05","Relatively."

"Speaker 4","00:28:04:05","00:28:08:08","Right. Mm hmm. Yeah. Right after."

"Robert","00:28:08:10","00:28:13:07","The very specific 141."

"Jesse","00:28:13:09","00:28:16:11","I looked at up."

"Reggie","00:28:16:13","00:28:25:17","Now 78 hours physiologically right now we have to make up for. So it's not like we need this element and it's kind of saying that doing a3d instantaneous."

"Speaker 4","00:28:25:17","00:28:40:07","Exactly. So, you know, like the magnetic flux induced vertigo, people get dizzy. You got to approach slowly, things like that. So people who have stimuli issues and you want to see them at 70, but they might be contraindicated depending on the severity of the situation."

"Robert","00:28:40:09","00:28:44:14","What would be some contraindications that might be surprising to people for a 70?"

"Speaker 4","00:28:44:16","00:28:58:18","Even so, we're very quick to scan like metal rods of femur, any of that stuff I heard out there at 70 patients. And so that's definitely going to and."

"Reggie","00:28:58:22","00:29:02:08","I just have out feeling everybody with feeling."

"Speaker 4","00:29:02:08","00:29:06:20","That's good. I mean, obviously we have to be careful. Right, with 70 lot of the."

"Reggie","00:29:06:20","00:29:09:03","Population, right? Yeah."

"Speaker 4","00:29:09:05","00:29:19:23","So the screening is huge. Huge. And also just our safety practices in general. How many of this complexity of."

"Robert","00:29:20:01","00:29:26:03","One thing that you said in your recent presentation, the surprise me is that it can actually affect blood pressure."

"Speaker 4","00:29:26:05","00:29:35:02","Yeah. So I read just doing research on this that your systolic blood pressure in that environment, the patient probably in that scan for a systolic blood."

"Reggie","00:29:35:02","00:29:37:18","Pressure goes up. Right."

"Robert","00:29:37:20","00:29:44:07","And then if somebody is like on a vaso constrictor or something like that, that, that or dilator, that could actually be a contraindication."

"Speaker 4","00:29:44:09","00:29:57:15","And so, yeah, getting into that stuff is all about like the RF energy. So patients who are on certain medications can't just heat well. So if you have quick hold heat, they can't get rid of it."

"Reggie","00:29:57:17","00:30:04:12","Because they have to. When you get a high dose, they have to increase the output that they are putting out before the homogeneity."

"Speaker 4","00:30:04:12","00:30:06:07","That's exactly right. That's exactly right."

"Jesse","00:30:06:07","00:30:08:14","So get to."

"Robert","00:30:08:16","00:30:29:12","And I only know this because that list is up today. But earlier this week, I mean, but actually, apparently a 39 centimeter centimeter. So Celsius is it's a hard stop for a contraindication for an MRI patient. And because that's been something that's been on my radar for years now, it's like if a patient has a severe fever, that's a reason not to do an MRI, especially on a three tier."

"Robert","00:30:29:17","00:30:34:09","You know how I feel. And that comes as a surprise to a lot of Texas."

"Jesse","00:30:34:11","00:30:35:06","Yeah."

"Speaker 4","00:30:35:08","00:30:53:13","Diabetes. That's a list. All right. Baseball, diamond, dialysis constrictors, beta blockers. So on this topic, what really causes primarily I mean, I'm not talking about thermal injury, right? That's separate. But what is keeping this patient up? So, like, I need to take this blanket up."

"Robert","00:30:53:13","00:30:56:20","I'm sweat to radio frequencies. Right."

"Speaker 4","00:30:56:22","00:31:28:02","And so with that comes hotspots. All right. So because that and I'll get to that slide here. Slide number 19. And this is just a thermal image after shoulder MMR. So you know receive only coils are receiving only the signal that they're not transmitting. Right. So most other players out there are this way. And so you can see that the patient had a right shoulder on thermal map, but also the left side is hot."

"Speaker 4","00:31:28:04","00:31:31:14","F is warm down by the elbow on the right side."

"Robert","00:31:31:16","00:31:41:01","And can we assume that this was a patient that had their right shoulder scans or is is sometimes the opposite because the gradient on the other side is trying to compensate for the distance?"

"Speaker 4","00:31:41:03","00:31:47:11","Could be that although this because I pulled all these images from online of my right shoulder."

"Robert","00:31:47:17","00:31:49:11","Okay."

"Speaker 4","00:31:49:13","00:31:56:14","But you can see that it's hot even right at the shoulder as much as it is on the patient's side, right. So that."

"Jesse","00:31:56:16","00:31:58:10","Mhm."

"Speaker 4","00:31:58:12","00:32:19:06","So yeah, this is a good segway into RF Energy and the differences between the different Tesla strengths here. So if we take it all the way back to the beginning, right, Slide 20, here is the random movement of protons that's what you look like, you re water. No problem of this table."

"Reggie","00:32:19:08","00:32:21:07","This just a club."

"Jesse","00:32:21:09","00:32:21:16","Almost."

"Robert","00:32:21:16","00:32:23:01","Like a Fortnite dance."

"Jesse","00:32:23:03","00:32:26:06","The you know."

"Speaker 4","00:32:26:08","00:32:29:08","In lying right. It's going to come to align that in a."

"Reggie","00:32:29:08","00:32:30:20","Minute but."

"Speaker 4","00:32:30:22","00:32:31:07","Only."

"Jesse","00:32:31:09","00:32:32:19","One."

"Speaker 4","00:32:32:21","00:32:42:19","With the patient into this as we talked about the MRI machine a huge mack right right. It's slide 22 will show you what these protons do now it's aligned it."

"Reggie","00:32:42:21","00:32:43:16","Yeah."

"Speaker 4","00:32:43:16","00:32:44:19","Some are."

"Reggie","00:32:44:21","00:32:50:06","It's the club in a music video you know."

"Speaker 4","00:32:50:08","00:33:16:03","Summer ends up parallel you know the story right. But this processional frequency that they're calling it is determined by the strength of the magnet. So you might say over the cap. Well, it's 523. What l you. So here we're looking at the actual processional frequency of hydrogen. And so 64 megahertz of what, 528 of three T and almost 300 megahertz and seven Tesla."

"Speaker 4","00:33:16:05","00:33:41:08","So this is important because this increasing procession of frequencies directly related to increased heating like 24 will show you that this RF wavelength has to change the RF waving to match the frequency. Otherwise that interaction doesn't happen and you don't get an image. So I remember learning that you guys other remember this too. It's the same as a lightweight, right?"

"Speaker 4","00:33:41:08","00:33:47:18","So long wavelengths and its rates are the red light. The same is is that of these."

"Reggie","00:33:47:18","00:33:50:13","RF Right."

"Speaker 4","00:33:50:15","00:34:14:18","So at 70 you're trying to move those at 298 megahertz. So that shorter wavelength comes into play at higher energy. You don't travel as far. And that on that note, these two dielectric oh yes, but at three gigahertz these continue up to the gigahertz mainstream gigahertz microwaves and we know what those right."

"Robert","00:34:14:20","00:34:21:13","And in just in practical terms, when you talk about dielectric effect, I mean what scan would that affect the most?"

"Speaker 4","00:34:21:15","00:34:25:08","You know, that's a big one for body imaging with the SATs."

"Jesse","00:34:25:10","00:34:26:04","Yeah, that's."

"Robert","00:34:26:06","00:34:29:20","So that'd be a good reason to do a15 on the set of three T."

"Speaker 4","00:34:29:22","00:34:57:07","And there are some ways to kind of mitigate that three to be one filter, right? It's not. It's good though. It's not as good because all that sides basically creates incoherent waves that cancel each other out, essentially. Right. And then based on the diameter of the patients have two and one is dense. So all these things are creating basically a hydrogen, protons are collecting, they're not contributing signals."

"Speaker 4","00:34:57:09","00:34:58:22","So you end up with like the signal."

"Reggie","00:34:59:00","00:35:06:06","Kind of goes off. They're out of tune at that point, write a note off of what the magnetic thing is supposed to be listening to. Exactly. Yeah."

"Speaker 4","00:35:06:07","00:35:17:11","And so and that's why some the shorter wavelengths penetrate deep into that water. Right? And so 70 is worse at dielectric than 315. It's the money again."

"Robert","00:35:17:13","00:35:20:12","Well there I have been doing body imaging on 70 yet are they."

"Speaker 4","00:35:20:14","00:35:35:22","And then the reason they're is because this RF energy coming from the inherent body coil is pretty widespread. So back to that shoulder and the reason why he's hot all over the place is because it's a big white ray energy. It's not just a natural."

"Reggie","00:35:36:00","00:35:39:08","I see. So the RF is coming from the body coil and hair."

"Robert","00:35:39:10","00:35:44:01","And so they're only using transmit, receive coils and on the 70."

"Speaker 4","00:35:44:01","00:35:53:01","Or only has transmitter. Okay so brain and me I think that's about right and whatever you can stick in that coil."

"Jesse","00:35:53:03","00:35:53:09","Yeah."

"Reggie","00:35:53:13","00:36:03:20","Because even the brain coil almost kind of doesn't go all the way down like as far as you would get from, like, that three D network that you see or regulate. I feel like it's kind of short."

"Robert","00:36:03:20","00:36:07:10","So as far as Caryatids go or something like that or anything like that."

"Reggie","00:36:07:11","00:36:11:07","Exactly. They don't extend it or at all surprised by that."

"Speaker 4","00:36:11:09","00:36:33:00","Yeah. So and I do have a Slide 26 which kind of shows that that's normal RF energy distribution. It was kind of a chest like. So you can imagine that a pacemaker in the chest with direct RF energy as opposed to being a transmitter was unique. While pocket in the heart."

"Reggie","00:36:33:02","00:36:36:20","It's now it's at Yeah."

"Speaker 4","00:36:36:22","00:36:39:00","There's a little bit."

"Reggie","00:36:39:02","00:36:49:07","But it is hard to tune it Well if my heart is predictable where potentially they can be burned depending on where the location was in."

"Speaker 4","00:36:49:09","00:36:50:06","Oh yeah, yeah."

"Reggie","00:36:50:08","00:36:52:11","But it's hard to kind of prevent."

"Speaker 4","00:36:52:13","00:36:55:19","It's hard to prevent it. It is very hard. But I feel like."

"Reggie","00:36:55:19","00:36:58:12","I'm about to get a spoiler alert because destiny has."

"Speaker 4","00:36:58:14","00:37:00:08","A little."

"Robert","00:37:00:10","00:37:03:23","Give me a little tease. Give a little tease."

"Reggie","00:37:04:01","00:37:07:09","So you guys keep widening."

"Speaker 4","00:37:07:11","00:37:08:13","I have been working on something."

"Reggie","00:37:08:14","00:37:11:09","Now, does the acoustic noise actually go up?"

"Speaker 4","00:37:11:09","00:37:15:05","Yes, the signal goes up, but it does."

"Robert","00:37:15:07","00:37:19:04","So is there FDA required is that like."

"Jesse","00:37:19:06","00:37:20:10","Yeah."

"Robert","00:37:20:12","00:37:23:09","Or have a higher rating? Those things are actually."

"Jesse","00:37:23:11","00:37:24:15","The actual."

"Speaker 4","00:37:24:17","00:37:34:01","Whatever decibel rating is going to go up for protection, you know, so I don't know. I don't know. 70 is so new for all of us."

"Robert","00:37:34:03","00:37:49:10","And I do feel like it's B kind of interesting to mentions that Reg has actually been put into the ISO center of a bar of of 70. So he's experienced that vertigo. And one thing that was surprising to me is they brought him into ISO center is how slowly."

"Jesse","00:37:49:12","00:37:49:15","The."

"Robert","00:37:49:15","00:37:51:12","Table moves and that was full speed."

"Jesse","00:37:51:16","00:37:52:06","Yeah."

"Speaker 4","00:37:52:08","00:38:01:00","Think that's important really is you might go cross-eyed right now. I don't know like this is exciting to see it."

"Reggie","00:38:01:01","00:38:07:19","Like it got awkward as I was going in because the tech was still right there. Put in for like."

"Jesse","00:38:07:21","00:38:14:00","20 minutes, like, okay, bye bye now. It would be good, you."

"Robert","00:38:14:00","00:38:17:00","Know, like that accurate?"

"Jesse","00:38:17:02","00:38:18:12","Yeah."

"Reggie","00:38:18:14","00:38:21:20","But they didn't actually turn ingredients on. So we actually do actually."

"Robert","00:38:21:20","00:38:23:05","Represent Cambridge right now to."

"Jesse","00:38:23:05","00:38:24:03","Have."

"Reggie","00:38:24:05","00:38:24:22","My left. You have a."

"Speaker 4","00:38:25:03","00:38:26:13","Nice."

"Jesse","00:38:26:15","00:38:27:00","Is nice."

"Robert","00:38:27:05","00:38:29:19","Sorry to interrupt, Keegan Jesse Hey."

"Speaker 4","00:38:29:21","00:38:52:21","This is all good stuff And so, you know, talking of that, okay, from one 5 to 3 to you'll have four times Psalms. So we haven't really touched on so much. We're getting into this right. But you know, sa specific absorption rate. All right, now it's our little Passover time, right?"

"Speaker 4","00:38:52:23","00:39:00:16","So yeah, you saw the short wavelength was of that higher energy. Okay. Sorry. What."

"Reggie","00:39:00:18","00:39:03:02","And then when he's real and Yeah."

"Speaker 4","00:39:03:02","00:39:31:22","So when you go from 3 to 7 you have five times the SA with an identical protocol. So you have to do something, protocol, optimization and manipulations to mitigate that stuff. But keep in mind that the scanner has FDA requirements and these requirements are across the board, but one five up to 70. And that is so for whole body scanning, this is like 28 bucks if you're using it."

"Speaker 4","00:39:31:22","00:39:47:10","Inherent body transmit. Well, the scanner can't keep a tissue based on an algorithm. Right. Won't keep tissue 1.5 degrees Celsius too much per kilo. That's a normal mode for body 3.2. What's that?"

"Robert","00:39:47:12","00:39:52:04","So FDA takes in account SAR or B1 arms or both? Because I'm curious though."

"Jesse","00:39:52:05","00:39:53:09","Oh, okay."

"Speaker 4","00:39:53:11","00:40:22:01","The FDA is IEC, National electro technical Commission. I guess they are. They kind of follow the same string. I don't know. Yeah, they follow the same guidelines and work together. Right. The FDA does. Yeah. So they're in it to win it, get right. That's good. So for the tech, we just have to make sure that the are accurate."

"Speaker 4","00:40:22:03","00:40:32:17","If the protocol parameters are set in a way that it's going to cross that threshold, the scanner starts out and forces attack to do something else right. From the flip angle."

"Robert","00:40:32:18","00:40:40:10","I understand why weights important, but why is height does that help to determine like the BMI and then that it is it so it's more it's BMI that's important."

"Jesse","00:40:40:14","00:40:43:02","Or every."

"Speaker 4","00:40:43:04","00:40:47:03","You know not naming names but Siemens, GE, Philips."

"Robert","00:40:47:05","00:40:48:04","The main ones."

"Speaker 4","00:40:48:06","00:40:56:21","Who have the weight into their algorithm. Okay. The way that some do. But I would say just for consistency, make."

"Jesse","00:40:56:21","00:40:57:06","Sure."

"Robert","00:40:57:07","00:40:59:14","Katy might know that carrier and why."

"Reggie","00:40:59:16","00:41:21:06","I think that's a thing I think that's why we want our smile giveaway is because it's just more predictable when it comes to the overall energy output of the gradients. And then you can actually like regulate for sure how much they're going to receive versus what songs are like afterwards. You're going to get so well that it can kind of predict, but it's kind of like."

"Speaker 4","00:41:21:08","00:41:21:23","Sure it is."

"Reggie","00:41:21:23","00:41:23:02","Or B what our message is."

"Speaker 4","00:41:23:02","00:41:30:03","Like when rewinding. Yeah, it's after the calibration, right? Yes, yes. Yeah. So that's."

"Robert","00:41:30:05","00:41:37:07","That's why I'm surprised. Yeah, we do. And that's why I was surprised. FDA doesn't lead more towards B one arms versus an estimate which is sorry."

"Speaker 4","00:41:37:09","00:41:40:10","Better and they may have turned out."

"Jesse","00:41:40:12","00:41:41:14","The the."

"Reggie","00:41:41:16","00:41:50:02","Well you know I haven't seen an instruction produced yet. I haven't heard that. Yeah. Is it in there. But it is FDA is getting update Yeah."

"Speaker 4","00:41:50:04","00:41:51:00","That's good."

"Robert","00:41:51:02","00:42:05:04","Katy we have a camera we all know her, but she's our mirror. So soon to be messy. Can I say that? I don't know Will edited out if I care."

"Speaker 4","00:42:05:06","00:42:25:10","So yeah so so what's next? So okay if we're looking at that nick oil at 70 now they're using parallel transmit so this RF delivery is coming from up to eight different channels right inside that coil. So that reduces hotspots that we talked about it artifacts."

"Robert","00:42:25:12","00:42:27:22","So the new coil is a channel."

"Speaker 4","00:42:28:00","00:42:33:07","Well, so it's a channel transmitter. Okay. That's transmit, which is separate from collection."

"Robert","00:42:33:09","00:42:34:05","Okay."

"Reggie","00:42:34:07","00:42:47:13","Right. Well, the really nice part about having an equal like this, of course, is you don't have to worry about wrap, Right. Whenever someone doesn't get to any coil. I'm like, you know, you kind of just the protocol does not work like that already."

"Speaker 4","00:42:47:15","00:42:49:06","Yeah, I want a sampling for sure."

"Reggie","00:42:49:07","00:42:50:08","Right. They got."

"Speaker 4","00:42:50:08","00:42:50:23","To watch face."

"Reggie","00:42:50:23","00:42:53:13","Directions."

"Speaker 4","00:42:53:15","00:43:15:03","But yeah, so when you get this sort pop up, there's a few things that I recommend doing. Just recommendations. You really don't have a choice, right? Because you've got to get it down so the scan will start to take off. But I like to reduce that focus with being on to 120. Okay, You can increase the PR and if that's not my first time."

"Speaker 4","00:43:15:05","00:43:26:14","Right. And then a lot of us have on a transmitter bandwidth like most remote and that now Oh, sorry."

"Reggie","00:43:26:16","00:43:29:11","I don't want to go too far when I just 120."

"Speaker 4","00:43:29:13","00:43:50:03","One What I've heard this is just something that stuck with me from APS along the way is that they say you can't visually see a contrast changed up on of 20 degrees. This is better must be right once you get the the 120, you can start to see that and I, I would be more at t one. Yeah."

"Speaker 4","00:43:50:05","00:44:10:05","And you can still I've gone down to 110 degrees and visually you can't really tell you're in a hurry. I'm right. But then you know, reduce the face and encoding steps that also reduces the rate because you're filling fewer lines of K space and that's part of the range. So if it's not on, turn it down. Right? Yeah."

"Reggie","00:44:10:07","00:44:13:20","So many tools in our belts these days. Just like, okay."

"Speaker 4","00:44:13:22","00:44:14:09","Yeah."

"Reggie","00:44:14:11","00:44:18:03","Scissors. Right, Right."

"Speaker 4","00:44:18:05","00:44:27:17","Yeah, I know you do. And that's why I love MRI and that's why I'm passionate about it. But, you know, you can't protect a secret formula, essentially, right? And you build your ways of doing things."

"Reggie","00:44:27:17","00:44:31:10","In your graphs. Yeah. So we appreciate that back."

"Speaker 4","00:44:31:12","00:44:47:19","And then obviously, like over scanning a lot of people over scan, that's just it when they don't feel confident what the actual meeting was. And so you know, protect your shoulder for example, if you're doing three millimeters you don't need to."

"Robert","00:44:47:21","00:44:50:09","Just get the glenoid."

"Reggie","00:44:50:11","00:44:52:08","Yeah."

"Speaker 4","00:44:52:10","00:44:56:20","Anything on the back. Yeah. That's what that sounded like."

"Robert","00:44:56:22","00:44:57:17","Yeah."

"Reggie","00:44:57:19","00:45:09:06","Do you think that technically going to 70 because of having to deal with the meeting, it kind of pretty much manages to be able to use it to go faster."

"Speaker 4","00:45:09:07","00:45:30:18","I put some sign into this. I've done some thought experiment, right? And I don't know that 70 is going to be a lot faster. Oh three You're right, you know, because I don't know again, you have to you one relaxation right you know achieve at three feet t two relaxation rate. I guess it's not that much different than a154, but it's not that much of an issue."

"Speaker 4","00:45:30:20","00:45:57:16","So but yeah, for t 170 I imagine you switch to gradient guess for a lot of stuff and you're going to get that time savings back. Right. But I just don't know. I need to get my hands on that right on that Ferrari right back to that was dry. So I know. But yeah, so everything takes a little bit longer and you're really trying to do this at a high resolution and it might be similar to."

"Speaker 4","00:45:57:18","00:46:04:09","That's my prediction, right? Yeah."

"Reggie","00:46:04:11","00:46:09:17","Well they will, they will they be tapping into. Oh they can't get caught up like that."

"Speaker 4","00:46:09:19","00:46:18:08","I would think so, yeah. So. All right. Okay. Yeah. Whoops. I think we'll get right."

"Reggie","00:46:18:10","00:46:19:15","Sims."

"Speaker 4","00:46:19:17","00:46:45:08","Sims I don't think is a good option. Right? Right. Yeah. So this is cool because it excites and acquires reconstructs at once so that it's like, you know, it was one like in the past and now you're working with two at the same time. Oh my energy. And so for example, exhales in the long box estimates. It's not that ideal because the goes through it."

"Speaker 4","00:46:45:10","00:46:56:20","All right so instead of the you know acceleration factors, airflow imaging, all three finishing with the logical view and then apply the deeper."

"Reggie","00:46:56:21","00:46:58:13","So."

"Jesse","00:46:58:15","00:46:59:06","That's going to."

"Robert","00:46:59:08","00:47:10:15","Correct me if I'm wrong, but is deep resolve a Siemens term? And so I'm curious of the major vendors, do they all have a 70 out there or is it just."

"Speaker 4","00:47:10:17","00:47:11:11","I know they're."

"Jesse","00:47:11:13","00:47:12:15","Like."

"Speaker 4","00:47:12:17","00:47:14:04","I don't know."

"Jesse","00:47:14:06","00:47:14:17","Okay."

"Speaker 4","00:47:14:18","00:47:16:10","I don't know why they wouldn't have it in the works."

"Reggie","00:47:16:11","00:47:16:19","Right?"

"Speaker 4","00:47:16:21","00:47:19:20","You know that that's, you know, all they have to do is build it."

"Reggie","00:47:19:22","00:47:29:02","And correct me if I'm wrong, Phillips has one that just hasn't been like a clear like two, actually. So they have like a reason."

"Speaker 4","00:47:29:04","00:47:30:06","Okay. Okay."

"Robert","00:47:30:07","00:47:48:13","And I do want to mention, I think that we're we're only covering one five, three, seven years if those are the only ones out there. But there's little field out there like, for example, I mean, we we cover hyper fine. I think that's like 0.6 for Tesla or something. So there's like there's other field strengths out there, but these are the main ones."

"Robert","00:47:48:13","00:48:05:18","If you were to go to like a major outpatient imaging center or, you know, a hospital, it would be either one five or three T, And then rarely would you see a 70. I think there's only what did I hear? What did I hear? How many seventies in the U.S.?"

"Jesse","00:48:05:20","00:48:06:10","It's not a lot."

"Robert","00:48:06:14","00:48:25:17","I think about 40 to 50 world wide is what I heard. Right. So and then our facility just got the very first of its kind in the country, maybe even in the world installed last weekend. So we haven't yet, you know, started using it. But I'm excited to start seeing those images for sure."

"Reggie","00:48:25:23","00:48:27:13","Yeah, me too."

"Speaker 4","00:48:27:15","00:48:43:15","Yeah. So but yeah, back to the thing. I think if you really want to go right, anybody is looking to buy a magnet out there is get the pretty good coils, get the air them and literally double their numbers."

"Reggie","00:48:43:17","00:48:44:18","Just 30 minutes on."

"Speaker 4","00:48:44:18","00:48:53:19","Nobody's going to break a sweat or glass right? It's not like they're going to be run it like crazy in the trenches, like, you know, back in the day. All right."

"Reggie","00:48:53:21","00:48:57:17","Don't worry. Be just the contact information coming out to my home."

"Jesse","00:48:57:18","00:49:00:12","Who get it for free?"

"Robert","00:49:00:14","00:49:22:03","Not for free. There's a fee. Yeah, but actually, you answered a question just now that I was going to ask you later. But let's play hypothetical real quick. If Jessie Bashford was the owner and CEO of an imaging center and you had only one space for only one magnet, what would it be?"

"Speaker 4","00:49:22:05","00:49:23:09","It'd be a 1.5."

"Robert","00:49:23:11","00:49:28:10","Whatever with, with deep learning or, or Okay. Or deep resolve."

"Reggie","00:49:28:12","00:49:29:21","Yeah, I'll do anything right."

"Speaker 4","00:49:29:21","00:49:32:20","And that would pay for the three set right next."

"Robert","00:49:32:22","00:49:37:12","But you only have enough space. I see what you did there."

"Speaker 4","00:49:37:14","00:49:39:07","Yeah."

"Jesse","00:49:39:09","00:49:39:22","Yeah."

"Speaker 4","00:49:40:00","00:49:42:06","With that one file for all the reasons we talked about."

"Jesse","00:49:42:11","00:49:42:17","Yeah."

"Speaker 4","00:49:42:21","00:49:48:06","Yeah. Okay. And I'd love to have one of you."

"Reggie","00:49:48:07","00:49:57:05","I know we've talked about our here, but there's, there's conductive properties and neurostimulation peripheral there."

"Robert","00:49:57:05","00:49:57:17","Yeah, yeah."

"Jesse","00:49:57:19","00:49:58:17","Yeah, yeah, yeah."

"Speaker 4","00:49:58:17","00:50:22:01","Yeah. That, you know, anything conductive it's going to absorb all that energy that's wires, leads, metal objects. So when you're scanning patients, right, you want to make sure that that coil a cable coils, loops rest on the patient. Right. You want it straight, you know, So you can choose to go one way, like toward the head. We plug it in or go the other way."

"Speaker 4","00:50:22:03","00:50:28:20","We choose the option that's going to keep that cable out in the field as best you can. All right. Because, you know."

"Robert","00:50:29:02","00:50:31:03","I would never consider that. Yeah, it makes sense."

"Speaker 4","00:50:31:08","00:50:35:21","Because if it's directly in that RF field from that picture, we show that energy's."

"Reggie","00:50:35:23","00:50:37:00","Moving up."

"Jesse","00:50:37:01","00:50:38:01","Now."

"Speaker 4","00:50:38:03","00:51:01:07","For example, I did experiments online, but the tip of a long wire that they just stuck in that skin type of thing, increased on 67 degrees over a certain period of time. So you can imagine if that was a neuro stimulator or a base RV that's going to cause tissue damage. At the end of that, we and that's why device manufacturers have to set them right."

"Speaker 4","00:51:01:09","00:51:05:22","And you can see now that that's why we were scanning at one site."

"Robert","00:51:06:00","00:51:12:20","And then that's something like a patient can make you aware of what if it's under anesthesia? You know, that's when it becomes scary."

"Speaker 4","00:51:12:22","00:51:21:23","Very scary. I think screaming is the only way. If you can't screen the patient completely and thoroughly and it's probably not safe."

"Reggie","00:51:22:01","00:51:31:09","Yeah, peripheral nerve stimulation would get into that and then we would jump into the final shot and set up that stuff."

"Speaker 4","00:51:31:15","00:51:35:15","Yeah. So I think I have a slide for that."

"Robert","00:51:35:17","00:51:38:22","You there? I saw it."

"Reggie","00:51:39:00","00:51:47:00","Because it doesn't frequently go right because we're getting peripheral nerve stimulation from the gradients."

"Speaker 4","00:51:47:02","00:51:49:18","Yeah. That's it. Yeah. You're exactly right."

"Robert","00:51:49:20","00:51:52:02","So you never lost Deborah."

"Jesse","00:51:52:02","00:51:55:00","For that."

"Speaker 4","00:51:55:01","00:52:23:12","Due to the stronger gradients. Right. Okay. It was backing up against those hydrogen protons. Right. The resident frequency increases. Right. It takes more energy to manipulate those at a higher energy state. And so those gradients have to be stronger. In addition, if you're going to use high resolution scanning with higher resolution requires stronger radiance. And that's the whole reason why we know the rapid changing of gradient creates that peripheral nerve stimulation, creates the switch."

"Speaker 4","00:52:23:18","00:52:24:12","Right?"

"Reggie","00:52:24:14","00:52:35:19","So, so so peripheral nerve stimulation can be present in a couple of different ways, right? Yeah. So twitches is one people just kind of feel like, oh yeah, yeah."

"Jesse","00:52:35:21","00:52:36:17","Yeah."

"Robert","00:52:36:19","00:52:42:08","Yeah, do that again."

"Jesse","00:52:42:10","00:52:42:21","No, it."

"Speaker 4","00:52:42:21","00:52:51:12","Is. No, it isn't nerve. So anything like, you know, you can imagine like electrical shocks right. You could feel that movement."

"Reggie","00:52:51:13","00:53:11:08","Is so interesting because it can kind of present itself definitely on how patients kind of like each patient might not get the same type of stimulation. And I had a patient one time I had to discontinue because it was too painful for me. So I never had it like experience with someone. I can't do this. I really sharp pain kind of going up my stomach."

"Reggie","00:53:11:09","00:53:27:22","All right. Okay. You know, just this position and it was still getting it. Still get. Every time I turn to gradient he was good again so he could do it. So that really had any kind of you want to do it. And I dialed in a little bit more about frequent stimulation. It was just so interesting how it can prevent somebody."

"Reggie","00:53:27:22","00:53:30:10","It is way worse ideas."

"Speaker 4","00:53:30:12","00:53:40:12","And then we were talking about noise earlier, that part of what's creating that noise, right? So stronger gradients, more noise and the need for more air protection. We talked about."

"Reggie","00:53:40:12","00:53:42:06","How to do MRI without gradients."

"Robert","00:53:42:07","00:53:48:06","I know it's $1,000,000,000 idea. This is a they sound like one of our patients."

"Jesse","00:53:48:07","00:53:49:00","I know."

"Robert","00:53:49:02","00:53:50:07","Can't you make it quieter?"

"Reggie","00:53:50:07","00:53:51:03","If it was like."

"Speaker 4","00:53:51:05","00:53:58:00","If it wasn't all plastic on the outside, like if they get some sleep. I don't mean like a jelly."

"Reggie","00:53:58:02","00:53:58:12","Right."

"Robert","00:53:58:12","00:54:05:12","And I remember those old Apple computers or you could see on the inside or those old pagers back in the nineties. So we do that."

"Jesse","00:54:05:12","00:54:08:14","I remember. It will be cool I."

"Robert","00:54:08:16","00:54:12:19","Get on Siemens Philips, all you people."

"Reggie","00:54:12:21","00:54:32:13","Well so to kind of give kind of to our last topic they we're speaking around for to thermal burns on the right and things like that. How what are some of the best ways to prevent it outside. I guess one way would be lower field strengths maybe by scanning what are some of the other."

"Speaker 4","00:54:32:15","00:55:02:02","Yeah you know it's crazy because it's pretty much going to burn it before. And so we talked a lot about patients keeping that RF energy up the hot spots. That's one. But these thermal injuries basically pin down three categories and conductive heating and that's rapidly changing magnetic fields that generate any current. And so I think this is especially important, Right."

"Speaker 4","00:55:02:02","00:55:32:08","Right. Or even a wire. So and in effect is another one where the wire absorbs those electromagnetic waves, it generates oxygen current and it's highest concentrated at the end of that wire that can burn somebody and then use the heating of a resonant room. And that's where you have a coil wire, even a wire sitting on a patient's skin in a super heat through capacitance and stuff."

"Speaker 4","00:55:32:10","00:55:33:23","Basically. I'm not an."

"Reggie","00:55:33:23","00:55:36:12","Electrician, but it sounds good."

"Speaker 4","00:55:36:14","00:55:44:13","But it's essentially absorbing the energy and transferring it on to the patient. It's too hot and we burn. So. Okay."

"Robert","00:55:44:15","00:55:58:04","Well, then you said you mentioned earlier how like just different scanning techniques like parallel imaging, deep learning, these different AI algorithms can help reduce the case base that's filled, which reduces the scar that's transmitted."

"Speaker 4","00:55:58:06","00:56:18:03","Yeah. Fewer lines. Okay. Yeah. So you got to fill that whole case based box to reduce an image, right? Mm. So as you turn on the acceleration, at some point it's not as severe so much as as parallel images. Right. You turn that on, you have fewer lines of K space to fill so it's less or at one time to create."

"Robert","00:56:18:05","00:56:20:15","So seems like that should be the go to right."

"Speaker 4","00:56:20:17","00:56:39:08","Yeah and that's what I'm in with because deep learning reduce noise use higher acceleration factors you wouldn't like the image without without the algorithm, but it solves the problem speed time it's better all the way around. Reduce using, right?"

"Reggie","00:56:39:10","00:56:46:18","Yeah but yeah you even you can do everything you can. Right Right. Well at least you can do all that and still have to."

"Speaker 4","00:56:46:21","00:56:47:14","Work."

"Reggie","00:56:47:16","00:56:50:09","With other things to help prevent that I guess."

"Speaker 4","00:56:50:09","00:56:59:14","Yeah. So you really have to paint the patient, right? So skin to skin contact is not good. Right. And I do have slide 39."

"Reggie","00:56:59:16","00:57:01:12","So my patients like I like this, right?"

"Speaker 4","00:57:01:12","00:57:07:10","Yeah. So that's going to create a loop, you know, which is basically I don't know."

"Robert","00:57:07:12","00:57:10:16","Or if it's a hypersonic patient the is touching."

"Speaker 4","00:57:10:18","00:57:12:17","Yeah but you know a lot of."

"Jesse","00:57:12:19","00:57:13:13","Like."

"Speaker 4","00:57:13:15","00:57:14:00","It."

"Robert","00:57:14:02","00:57:18:01","Said a maple leaf article it's happening in."

"Speaker 4","00:57:18:03","00:57:25:16","Your see at this picture. Yeah. Why do you need what this guy was probably newer anatomically correct so I figured I put it."

"Jesse","00:57:25:18","00:57:26:15","Over."

"Robert","00:57:26:17","00:57:45:03","So it's funny that you had this because just this past week I had I was not a scanning tech. So you don't, you know, you don't want to step on the toes, the scanning tech, and you're just here to help position the patient. So the patient goes very claustrophobic. Can I take my gown off? And I said, no."

"Robert","00:57:45:05","00:58:05:02","The tech said yes, merely I'm thinking, same as with, you know, thought if I contact if he takes his gown off now, his arms touching his torso, I said no, that the patient, that tech said yes. I kind of just stood back and watch how it would all fold out or play out. But anyway, so that's what I was taking into account."

"Speaker 4","00:58:05:04","00:58:24:23","With you on multiple levels, right? Because you know, well, first of all, they say that you need to have at least a quarter inch gap. So I have books like, you know, sheets and gowns are good enough, but then there's the liability of having a patient with no close. Right. That's not okay."

"Jesse","00:58:25:04","00:58:26:12","And yeah."

"Speaker 4","00:58:26:14","00:58:29:10","Right. So I think you didn't write that."

"Robert","00:58:29:12","00:58:51:04","Well, I'm embarrassed. I did. I said no, but I didn't stand my ground because the scanning tech said yes, and then I just let them do their thing and I and I probably should have. And I told the scanning tech afterwards, I said, Hey, it's the same guy that they contacted, you know, were you and what them. That's why I said I didn't want to step on your toes, but that's the reason why I said no."

"Robert","00:58:51:06","00:58:53:12","And you said yes."

"Reggie","00:58:53:14","00:58:54:20","Whenever I don't."

"Speaker 4","00:58:54:22","00:58:57:18","It doesn't matter."

"Robert","00:58:57:20","00:59:07:18","Actually, Katie brought up a really good point. She's not I Mike, but she asked what body part where we scanning. That's actually. Yeah that's a huge factor to consider. I honestly don't remember."

"Speaker 4","00:59:07:20","00:59:09:23","It wasn't me and the transparency."

"Robert","00:59:10:01","00:59:12:04","That's irrelevant."

"Jesse","00:59:12:06","00:59:13:17","Yeah."

"Robert","00:59:13:19","00:59:17:10","Well, it was it dang it. But he had a tapping out."

"Reggie","00:59:17:12","00:59:20:08","You know, just let me."

"Robert","00:59:20:10","00:59:25:05","Yeah. It was a neat for sure. Well now. Yeah. And I feel foolish to not even consider that, but I."

"Jesse","00:59:25:07","00:59:25:15","Said your."

"Speaker 4","00:59:25:15","00:59:29:08","Piece, you communicated and you weren't responsible to me."

"Jesse","00:59:29:10","00:59:30:00","But."

"Robert","00:59:30:02","00:59:37:03","You know, ethically speaking, if you, if you know something is compromising the safety of a patient, whether it's your patient or not, you should stand your ground."

"Reggie","00:59:37:03","00:59:42:02","But you don't want to make it. You may look up and at the same time, it's a."

"Robert","00:59:42:02","00:59:44:17","Fine line. It's a fine line."

"Reggie","00:59:44:18","00:59:48:16","I understand your approach with that. MM Yeah, that is tough."

"Speaker 4","00:59:48:18","00:59:51:00","I think just speaking up is."

"Robert","00:59:51:02","00:59:57:01","So is there FDA requirements because you mentioned a quarter of an inch with padding that it has to be a certain thickness."

"Jesse","00:59:57:06","00:59:58:12","Really."

"Robert","00:59:58:14","00:59:59:09","Interesting."

"Speaker 4","00:59:59:11","01:00:08:00","All kinds of pads out and you know, vendors create these people, make the MRI machines create those. Those are kind."

"Robert","01:00:08:02","01:00:23:17","You know you know, it drives me crazy with pads is that you put if you position the patient perfectly, you put the pads. But what if you're doing some sort of planning with the table is going to move a lot. And the moment it comes out, the pads fall off. Right."

"Speaker 4","01:00:23:18","01:00:28:17","Problem for all of us. Similar types of right and I do have a slight solution."

"Reggie","01:00:28:17","01:00:30:17","For that, right?"

"Robert","01:00:30:19","01:00:32:19","I'm trying to set you up here."

"Jesse","01:00:32:21","01:00:33:20","A good time."

"Robert","01:00:33:22","01:00:56:08","Why not? Let's bring it up. So actually, so if I can kind of introduce you. So if there's one word that I could describe, Jesse, it would probably be passion. And when it comes to just MRI and for different reasons, imaging, this man is he's a Picasso. And, you know, the images are his art. And so but in addition to that, you also find safety to be a huge innovator."

"Reggie","01:00:56:08","01:01:07:07","I think that's why you're so great with even looking at the parameters and trying to make these, you know, that will still make it work for this patient. Even now, everyone's just like, What else are we going to do for this? There's you think it's really good."

"Robert","01:01:07:09","01:01:20:19","There's two different types of people and there's ones that always see room for improvement, and they're the ones that are just complacent and just keep it moving. But you saw room for improvement in terms of padding, right? And so you've actually got and what's your website again."

"Speaker 4","01:01:20:21","01:01:22:14","MRI and Well."

"Robert","01:01:22:16","01:01:42:01","Yeah. And you've got some recent now you got some big, um, customers or clientele coming out right now. They're going to be using your pads. You actually have your own line of padding right? I mentioned how annoying it is when a patient's pads fall off on a table that moves a lot. Or like I say, you bring them out to give them, contrast the pads fall out or whatever."

"Speaker 4","01:01:42:03","01:01:59:08","But yeah, so I came up with this idea like we've all seen the pads, the long and the short pads. But what I think what I have as a skinny tech, I was tired of falling on the floor. And then for some patients, the larger patients sometimes don't end up going."

"Reggie","01:01:59:10","01:02:00:07","Oh yeah, you know."

"Speaker 4","01:02:00:09","01:02:02:02","There's not enough room, right?"

"Robert","01:02:02:04","01:02:06:11","And yet you lean in awkwardly into the poor. Yeah."

"Jesse","01:02:06:13","01:02:07:04","Yeah."

"Speaker 4","01:02:07:06","01:02:33:20","Vomit it. Were in that patient with the arms. Really broad adds are like bouncing on the way. Yeah, yeah, yeah. And maybe a pillow case, right? Yeah, that's right. And so instead of that, I said, why don't, why don't we just have an all in one product where the pads are built in? You know, it's actually the same material as currently made with."

"Speaker 4","01:02:34:01","01:02:47:06","Right. But it goes across the table, patient lays on that, and then all the patients weight holds everything in place, right? Always ends up where you intended and never found for your like for it's dirty, you know."

"Robert","01:02:47:08","01:02:51:19","And it's considerate of that minimum like padding thickness, which is Yeah."

"Speaker 4","01:02:51:21","01:03:13:07","One inch pads. I use that neoprene foam. So this is the same stuff you would get in a wetsuit. So it's super resistant to any sort of like thermal or anything or electrical. It's awesome. And so I have a quarter inch thick. That's the base layer. That's what's closest to the mask and wall. And then I have some softer foam, another half inch of that."

"Robert","01:03:13:09","01:03:14:13","Can we see pictures of a."

"Speaker 4","01:03:14:16","01:03:42:07","Half inch of the neoprene top and a half inch of this other softer, called patient comfort when it compresses at like £50? Okay. So if you think of an elbow, right, it's not going to do awesome. Yeah. And that is the recommendation. I did my homework and talked to the FDA for a half an hour, and so I did a lot to see what's the safest out there on the people that have already done the testing."

"Speaker 4","01:03:42:07","01:03:50:04","All right. And that's what I found. The pad does not compress more than a quarter inch. You can consider it very safe. But if."

"Jesse","01:03:50:06","01:03:52:20","That's it."

"Speaker 4","01:03:52:22","01:04:04:19","So it's like this. So as you can imagine, this would lay across the table and this is the head header. And so."

"Jesse","01:04:04:21","01:04:07:02","Yeah, okay."

"Speaker 4","01:04:07:04","01:04:28:19","So this is the headings. So patients that would be here if they're going at first and even if their feet are still ahead, right. This shape is it when it comes in contact with the skin for fold up around and it's just like perfectly you know and capsule. Yep. Obviously the patient's got anatomy that's outside of this. We have to use an additional pad there."

"Reggie","01:04:28:19","01:04:31:22","Why knowing started this before I know this is it's."

"Robert","01:04:32:00","01:04:33:07","So obvious."

"Reggie","01:04:33:09","01:04:34:19","For me I would never work out of this and."

"Speaker 4","01:04:34:19","01:04:52:17","Don't have this what I'm thinking. So yeah. So I have one inch pads built in a half inch neoprene, four and a half inch, what's called airtag. So it's not latex here. Know none of that. That's the exterior. Waterproof canvas is waterproof canvas this line, the PVC."

"Robert","01:04:52:19","01:04:56:16","So as far as infection control, yeah."

"Speaker 4","01:04:56:18","01:05:13:00","I just bleach. But nothing's going to penetrate this. The on the underside of this is actually just plastic, right? Flexible plastic. So you know, your normal campsite and they will dry and."

"Robert","01:05:13:01","01:05:15:06","Take it to the mic for me if you were."

"Jesse","01:05:15:08","01:05:18:12","In here, it's impossible."

"Speaker 4","01:05:18:14","01:05:31:06","But then on the back because you just slip around. This is Sony. So I have tested this. This will not spike on the table. So the patient sits down, nothing's going to move. And that's that in a nutshell."

"Robert","01:05:31:08","01:05:34:20","So then if somebody wanted to purchase these, where would they go?"

"Speaker 4","01:05:34:22","01:05:57:08","If you just go to my pad, welcome. That's website. I have a few products, I have some longer pads, shorter pad, and my goal is things are going well, by the way, so I have a little bit of house money so I can keep adding new products. Oh that's awesome. So I plan on getting some just, you know, like head coil sponges, housing, stuff like that and a little."

"Reggie","01:05:57:08","01:05:58:18","Bit more of your innovation there, too."

"Speaker 4","01:05:58:19","01:06:12:16","Right, Exactly. Exactly. And so I'd like to have what, just a one stop website for all things radiology, really X-ray positioning pads as the things that they are, Right? Yeah."

"Reggie","01:06:12:18","01:06:36:17","So overall, really a lot of big takeaways from this episode for sure is when you're looking at buying a magnet, right, you want to make sure that you're buying one that's going to suit the population that you're buying it for. So if you're seeing a lot of device patients, you don't want like a 70 for sure, and you maybe don't want to do it right, but or a lot of places within it."

"Reggie","01:06:36:19","01:06:57:12","But if you know, if you do, are you said 1.70 might be an indication where you might be able to benefit from some of this and going up a little bit higher because you just can't do so many things. But it's just so much technology out there, Right. And really optimizing what we do for the patient with what we have is the key here."

"Reggie","01:06:57:12","01:07:03:19","The radiologist with each movie here, we appreciate your time. Amazing. Thank you."

"Robert","01:07:03:21","01:07:07:02","Thank you for your awesome math."

"Speaker 4","01:07:07:04","01:07:39:02","I can't think of anything. I mean, one thing, you know, when we're talking about birds, we really close it out with we want to have any skin to skin contact. Oh, yeah, that's good. And between the patient more because the closer those arms get to the board, closer to that recoil. And so they get more energy. And then also in the armpit, this is somewhere, you know, you kind of talked about that, but size and armpits are another spot that can create a loop, a burn."

"Speaker 4","01:07:39:08","01:07:41:14","Right. So with that."

"Reggie","01:07:41:16","01:07:42:07","Go ahead."

"Speaker 4","01:07:42:07","01:07:43:14","Topic that."

"Reggie","01:07:43:16","01:07:47:16","Is like using maybe tell you later if you do see that you like the touching or."

"Speaker 4","01:07:47:21","01:08:14:21","Like, yeah. Or the literature says it needs to be an approved pad. Okay. But it's distance. That's what's really nice. So yes, if you rolled up a towel, I think that's better, right? If the patient's wearing pants and they're not, you know, moisture also sweating. Yeah. You know, so the pants are going to help with that. And so whenever you can know, Katie."

"Jesse","01:08:14:23","01:08:17:16","The her. All right."

"Robert","01:08:17:18","01:08:37:15","Jesse, you're awesome. Whatever. Well, we've done it before. We could do it again. It's been a few years. All right, let's do this. So maybe so. We ask everybody at the end of the episode what has been the most satisfying or fulfilling moment in your health care career?"

"Speaker 4","01:08:37:17","01:08:39:12","In the sense that."

"Jesse","01:08:39:14","01:08:39:22","Every."

"Robert","01:08:39:22","01:08:42:14","Day is a new day? Yeah. We didn't prepare you for this question. Yeah."

"Speaker 4","01:08:42:14","01:08:44:08","So everything that I've done in my."

"Reggie","01:08:44:08","01:08:44:18","Career."

"Speaker 4","01:08:44:18","01:08:47:04","Has brought me to this very moment right here with you."

"Jesse","01:08:47:06","01:08:49:16","Know, whatever."

"Speaker 4","01:08:49:18","01:08:56:20","It's just each day builds on that next and it just keeps getting better. So you ask me next week and be that."

"Jesse","01:08:56:21","01:08:58:18","There is this really."

"Speaker 4","01:08:58:20","01:09:05:09","This issue, right? You guys have started this podcast is awesome. I think one of your episodes has like 100,000 views."

"Reggie","01:09:05:10","01:09:07:10","Yeah. Did it not? They were pretty much names."

"Speaker 4","01:09:07:12","01:09:15:21","Yeah, you're pretty much famous. Sit here amongst the likes of you, right."

"Reggie","01:09:15:23","01:09:23:11","A lot of our audience of this. I love our newer technologies. Do you have any advice for people maybe who haven't taken the board or we're just getting to do."

"Speaker 4","01:09:23:16","01:09:41:21","Yeah, I would say if you're passionate about about what you do, just like I don't understand the people. This is just not me who can do a job for 8 hours a day, seven days a week for 42 and not understand what they're doing. Right, Right. So if you just take an interest, whatever it is, it doesn't have to be an."

"Speaker 4","01:09:41:21","01:09:54:11","All right. Take a genuine interest, take steps, learn the stuff. You're going to be better for it. Everything's going to be easier and it might be better. Okay."

"Robert","01:09:54:13","01:09:56:17","You'll be proud of what you do."

"Reggie","01:09:56:19","01:10:01:02","What you do. Yeah. I end up being like that. Just the character in your book."

"Speaker 4","01:10:01:02","01:10:06:11","Now you guys are way too jazzy."

"Reggie","01:10:06:11","01:10:12:09","Thank you for watching, liking and subscribing. We got three. We appreciate you guys."

"Robert","01:10:12:11","01:10:14:21","I think that's it. So three podcasts."

"Reggie","01:10:14:23","01:10:16:00","Out I."

"Jesse","01:10:16:01","01:10:16:09","Good."