Spatial localization requires the imposition of magnetic nonuniformities Linear gradients are superimposed on the homogeneous and much stronger main magnetic field (B0) The change in Larmor frequency of the precessing nuclei are used to distinguish position of the NMR signal within the object Conventional MRI involves RF excitations (NMR) combined with magnetic field gradients to localize the signal from volume elements (voxels) within the patient
How the MR signal is localized within the patient (2D) How the collected FID echoes are collected (‘k(‘k-space’ data acquisition) and how these are reconstructed into
the grayscale image data visualized on PACS (2D) How 3D volume data is acquired and reconstructed What factors of the MRI data collection process play into the resulting quality of reconstructed image slices and volumes How consideration of artifacts, safety/bioeffects and instrumentation play into the decisions you will be making in the future with regards to image interpretation, magnet operation and system purchase
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Linear magnetic field gradients with prescribed directionality and strength are produced in paired wire coil configurations energized with a DC current of specific polarity and amplitude Gradient null point; reverse grad. polarity w/ opp. opp. current Linear over a predefined field
of view (FOV) Three sets: x, y and z; can also generate oblique w/ superpos.
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 416416-7.
Location of nuclei along gradient is determined by their frequency frequency (∆f = (γ ∂z·∆ ∆z) and phase (∆φ (γ/2π /2π)·∂B/ ·∂B/∂z· (∆φ = 2π 2π·∆f·∆t) Peak amplitude of gradient (G) field (‘steepness’): [1,80] mT/m Slew rate (‘quickness’ of gradient ramping): [5,200] mT/m/msec
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Gradient amplitude and number of samples over the FOV determines the frequency bandwidth across each pixel 10 mT/m · 42.58 MHz/T · 1T/1,000 mT · 1 m/100 cm = 4258 Hz/cm Localization of nuclei in 2D requires the application of three distinct distinct and orthogonal gradients during the pulse sequence: slice select, select, frequency encode and phase encode gradients From the above calculation, it’s easy to see that with gradients our old friend:
π= friend: γ/2 γ/2π 426 HzHz-cm-1/mT/mT-m-1, so then it’s just a matter of multiplying the number of mT/m by this factor to get the bandwidth (Hz)/cm.
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 417.
RF pulse antennas can’t spatially direct the RF energy within FOV FOV In conjunction with a selective frequency narrowband RF pulse applied to the entire volume, the SSG determines the imaging slice
For a given gradient strength, ST determined by RF BW For fixed RF BW, the gradient strength determines ST Excite a rectangular slab (slice) of nuclei ‘sinc’ waveform: sinc(t) = sin(t)/t Need an infinitely long sinc pulse to get a perfectly rectangular slice Truncation in time of sinc pulse leads to rounded slice profiles
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 419419-20.
Width of sinc pulse determines the output frequency BW Both narrow BW w/ weak gradient and wide BW w/ strong gradient same ST SNR ∝ [SQRT(BW)][SQRT(BW)]-1 Narrow BW SNR
Narrow BW chemical shift Gradients cause spin dephasing: phase important! ReRe-establish original phase with opp. polarity gradient with ½ integrated area (∆f ∝ G·∆ G·∆t)
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 421.
Composite signal is amplified, digitized and decoded by Fourier Transform (FT) ∆f = (γ ∆f ∝ ∆x
(γ/2π /2π)·Gx·∆x Rotation of FEG direction provides projections through object as a function of angle Like CT: filtered backprojection However, due to sensitivity to motion artifacts phase encoding gradients used
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 423.
FEG aka readout gradient Applied to SSG ∆f = (γ ∆f ∝ ∆x (γ/2π /2π)·Gx·∆x Applied throughout formation and decay of the FID echo from slab excited by the SSG Demodulation of the composite signal produces a net frequency variation that is symmetrically distributed from +fmax to –fmax at FOV edges Spatial projection: column sum
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Short duration gradient applied before FEG and after SSG to provide 3rd spatial dimension After SSG all spins in φ coherence During PEG application linear variation in precessional frequency introducing a persistent phase shift across the slice slab (∆φ ∝ By·∆y·t) After all FID data collected, a FT is applied to decode the spatial position along the PE direction Motion during data collection produces ghosting in along PE
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 424.
For the SE pulse sequence Timing of the gradients in conjunction with RF excitation pulses and data acquisition during echo evolution and decay Sequence repeated periodically (TR) with only slight changes in the PEG amplitude to provide the 3D identity of protons of the object object in the resulting image
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D43. In MRI, the RF frequency is dependent on the:
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A. Diameter of the body part being imaged B. Magnetic field strength C. Pulse sequence D. Relaxation time E. RF coil
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c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 425.
D46. Gradient fields in MRI are principally used to:
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A. Eliminate perturbations in the magnetic field due to site location B. Maintain a uniform magnetic field in the field of view C. Measure the spin coupling D. Provide spatial localization E. Shorten T1 to reduce scan time
MRI data initially stored in a ‘k‘kspace’ matrix (spatial frequency domain corr. time domain; x : k, f : t – FT pairs; Larmor relation through gradients: ∆f = (γ
(γ/2π /2π)·Gx·∆x) k-space divided into 4 quadrants w/ origin at center FID data encoded in kx by FEG and in ky by PEG Spat. Freq. enc.: [[-kmax,kmax] Complex conjugate symmetry: only ½ matrix + one line req.
adapted from Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 426.
Example: 3 cycles/sec in kx MR data acquired as a complex, composite frequency waveform With methodical variations of the PEG during each excitation, the the kkspace matrix is filled (or partially filled) to produce the desired desired
variations across the FE and PE directions
Tailoring pulse sequences emphasizes the image contrast dependent on ρ, T1 and T2 Timing, order, polarity, pulse shaping, and repetition frequency of RF pulses and x, y and z gradient application Major pulse sequences ¬ ¬ ¬ ¬ ¬
(1) Narrowband RF pulse applied simultaneously with SSG (center t=0); SSG: ∂(∆ ∂(∆f)/∂z )/∂z (1) Mz converted to Mxy, the extent determined by the flip θ
(2) PEG applied to SSG for short time (encoding precessional ∆φ along PE grad.) and with differing amplitudes for each repetition to create ∂(∆φ)/ ∂y along PE direction: ∂(∆φ)/∂y multiple views along ky (3) Refocusing 180° 180° RF pulse delivered at t = TE/2: inverting spins
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 428.
(5) ADC sampling rate determined by the excitation BW (6) Data stored in kk-matrix row (k (kx) the position (k (ky) determined by the PEG magnitude (6) Inc. changes in PEG mag. fills matrix one row at a time (may be nonnon-sequential)
(6) When filled partially then copy complex conjugate data into remaining blank rows (7) 2D FT decodes time (spatial frequency - k) domain data piecewise along the rows (k (kx) and then columns (k (ky)
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 428.
(4) ReRe-establishment of phase coherence at t = TE (FID echo) (4) During echo formation and subsequent delay, FEG (∂(∆ ∂(∆f)/∂x) )/∂x) applied to both SSG and PEG, encoding precessional frequency along the readout gradient (5) Simultaneous to application of FEG and echo formation, the computer acquires the timetime-domain signal (FID echo) using ADC
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(8) Object spatial and contrast characteristics manifested in the resulting image (8) Final image a spatial representation of the ρ, T1, T2 and flow characteristics of the tissues in each voxel using a graygray-scale range Voxel thickness determined by SSG and RF freq. bandwidth Pixel dimension determined by varying PEG magnitudes and readout digitization rate
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 428.
Bulk of information representing lower spatial frequencies near center of kk-space – provides large area contrast in the image Higher spatial frequency nearer the periphery – provides resolution and detail in the image
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Max. signal in center of kk-space
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+k
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Axial (SSG: z, PEG: y, FEG: x) Coronal (SSG: y, PEG: x, FEG: z) Sagittal (SSG: x, PEG: y, FEG: z) Oblique (SSG: a1x + a2y + a3z, etc.) Data acquisition into the kk-space matrix same for all
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x -k
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 429.
Acq. time = TR · no. PE steps · NEX (number of excitations) Example (256x192 matrix, TR=600, NEX=2) 230 sec PE along lesser matrix dimension to speed acquisition Multiple slice acquisition also speeds image collection Max number slices = TR/(TE+C) C dependent on MRI system capabilities Longer TR more slices
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 431.
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Take advantage of symmetry and redundant characteristics of kk-space domain signals In PE direction ‘½ Fourier’, ‘½ NEX’ or ‘phase conjugate symmetry’ techniques reduce data collection to ½ ky matrix dimension + 1 line In FE direction ‘fractional echo’ and ‘read conjugate symmetry’ shorten FID echo sampling time Both SNR and artifacts
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 432.
With quadrature detection, have real and “imaginary” (90° out of phase) components of induced voltage from FID (t): V(t) = V1·cos(2πft) + i·V2·sin(2πft). Two data values per digitized FID sample. Complex conjugate =
Similar to SE but with readout gradient reversal for 180° 180° pulse Repetition of acq. for each PE With small flip angles and gradient reversals large reduction in TR and TE fast acq. PEG rewinder pulse (opp. polarity) to maintain φ relationship between pulses (due to short TR) Acq. time=TR time=TR·· no. PE steps · NEX Example (256x192 matrix, TR=30): 15.5 sec SNR and artifacts; one slice GRASS, FISP, FLASH, etc.
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 434.
FSE uses multiple PE steps w/ multiple 180° 180° pulses per TR First echos placed near ky=0
Best SNR least T2 decay Immunity from B0 inhomogen. with up to 16x faster collection Lower SNR for highhigh-freq ky Fewer slices collected per TR SE: 8.5 min (TR=2000, 256 PE) FSE: 2.1 min (TR=2000, 256 PE steps and 4 echos per TR) aka: ‘turbo SE’ SE’ & RARE (R (Rapid Acq. w/ Refocused Echoes)
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Extremely fast imaging Single (1 TR) and multimulti-shot 90° 90° flip, PEG/FEG, 180° 180° flip Oscillating PEG/FEG ‘blips’ stimulate echo formation Rapid ‘zig‘zig-zag’ kk-space filling Acq. occurs in a period < T2*: 2525-50 msec High demands on sampling rate, gradient coils and RF deposition limitations Poor SNR, low res. (642) and many artifacts ‘Real‘Real-time’ snapshot
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 435.
Simultaneous oscillation of PEG/FEG to sample data during echo formation in a spiral starting at kk-space origin Regridding to 2D kk-space array for 2D FT Efficient method placing maximum samples in the lowlowfrequency are of kk-space Like EPI sensitive to T2*: field inhomogeneities and susceptibility agents
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In SE and GRE SSG/FEG balanced so that the uniform dephasing caused by the initial gradient application is rephased by an opposite polarity gradient of equal area Moving spins phase dispersal not compensated Constant flow: spins can be rephased with a gradient triplet HigherHigher-order corrections Applied to both SSG/FEG to correct motion ghosting and pulsatile flow A = -1, B = 3 and C = -3
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 436.
Uses a broadband, nonnonselective RF pulse to excite a large spin volume Acq. time = TR · no. PE steps (z) · no. PE steps (y) · NEX SE: TR=600, 1283 164 min. GRE: TR=50, 1283 14 min. Isotropic or anisotropic (High SNR thin slice recon. prob. for motion artifacts
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 438.
In plane: 0.50.5-1.0 mm (0.1(0.1-0.2 mm surface coil) Slice thickness: 55-10 mm Higher B0 larger SNR thinner slices However, RF heating, T1, T1 contrast and
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SignalSignal-toto-Noise Ratio (SNR)
Major attribute of MR = f (ρ (ρ, T1, T2, flow, pulse param.) MR contrast agents, usually susceptibility agents disrupt local B field to enhance T2 decay or provide additional relaxation mechanisms for T1 decay important enhancement agents for differentiation of normal and diseased tissues Absolute contrast sensitivity of an MR image is ultimately limited by the SNR and presence of image artifacts
FOV: pixel size Gradient strength: FOV Receiver coil characteristics Sampling bandwidth Image matrix: 1282 through 1024 x 512
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Contrast Sensitivity ¬
Dependent on
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NEX ⋅ f (QF ) ⋅ f 2 ( B) ⋅ f 3 (slice gap) ⋅ f 4 (recon.) BW 1
I = intrinsic signal intensity based on pulse sequence Volvoxel = voxel volume = f (FOV, matrix, slice thickness) NEX = number of excitations BW = freq. BW of RF transmitter/receiver f1 (QF) = func. of coil quality factor param. (tuning coil) f2 (B) = function of magnetic field strength f3 (slice gap) = function of interslice gap effects f4 (recon.) = function of reconstruction algorithm
Range of freq. to which the RF detector is tuned Narrow BW SNR ∝ (SQRT[BW])-1 BW = 1/∆ 1/∆T (dwell time – time between FID sampling) Narrow BW ∆T noise (SNR ∝ SQRT[∆ SQRT[∆T]) BW gradient strength chem. shift artifacts) Also requires longer sampling time and affects TEmin which in turn may affect num. slices/TR
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 441.
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RF Coil Quality Factor
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Indication of RF coil sensitivity to induced currents in response to signal emanating from the patient Patient loading: electrical impedance characteristics of the body variation of B field, different for each patient Tuning the receiver coil to ω0 mandatory Also dependent on volume of subject : coil volume ¬ ¬
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Body coil positioned in magnet bore: moderate QF Surface coil: high QF
D54. D54. In MRI the signalsignal-toto-noise ratio can be increased by all of the following except:
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A. Decreasing the slice thickness B. Increasing the number of acquisitions C. Increasing the static magnetic field strength D. Increasing TR E. Switching from a volume to a surface coil
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Raphex 2003 Diagnostic Questions
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Volume of tissue the major contributing factor in SNR HighSNR High-pass filtration methods LowSNR, but spat. resol. Low-pass filtration methods
Due to nonnon-rectangular RF slice selection profiles Overlap of adjacent slices in multislice sequence Saturates spins contrast Use interslice gaps or multislice interleaving
Ferromagnetic properties of Fe, Ni, Co and alloys Bulky and heavy, though new lighter alloys Finding a niche in clinical MRI B0: 0.10.1-0.35 T Lowest operating costs Field uniformity typically less than superconductive with similar FOV Inability to turn off field in an emergency
Field strength Temporal stability Field homogeneity
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Air core: 1m diam., 22-3m depth Wrapped with supercon. wire
Liquid helium cooling B0: 0.30.3-3.0 T clinical (4(4-7 T research) High field uniformity: <1 ppm over 40 cm DSV Most widely used Disadvantages: high initial capital and siting costs, cryogen costs, difficulty turning B off in emergency and extensive fringe fields
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 459.
Either air core or solid core Continuous electrical power ($) Produce a significant amount of heat (cooling system) B0: 0.10.1-0.7 T Able to turn off magnet in an emergency Open design Fringe field well contained Relatively poor uniformity/homogeneity
Pulse programmer Control interfaces RF transmitter RF detector (coils) RF amplifiers Gradient power supplies ADC electronics Computer system Image display
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 461.
Shim coils – active or passive, adjust B0 to homogeneity Gradient coils – noise caused by torque on coil and flexing RF coils – transmitter and body
receiver within bore covers RF coils need to be ‘tuned’ prior to each acquisition Kinds: birdbird-cage, singlesingle-turn solenoid, saddle, surface and phasedphased-array Quadrature detection SNR by √2
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Superconductive magnets: extensive fringe fields Patients w/ pacemakers or ferromagnetic aneurysm clips: avoid fringe fields >0.5 mT (5g) Magnetically sensitive equipment: video monitors, γ cameras and fluoroscopic II Areas above 1.0 mT (10 g) require controlled and restricted access w/ signs Stray RF signal protection: Faraday cage (copper sheeting/mesh)
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 463.
RF exposure causes tissue heating Power deposition limits: (< 1° C head, < 2° C trunk, < 3° C extremities) extremities) 4 W/kg averaged over the whole body for any 1515-minute period 3 W/kg averaged over the head for any 1010-minute period; or
Magnetic field inhomogeneities distortion or misplacement of anatomy Proper site planning, selfself-shielded magnets, automatic shimming and PM procedures > homogeneity
Focal field inhomogeneities ferromagnetic objects: field distortions, signal void
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Magnetic susceptibility: ratio of induced internal magnetization in a tissue to external magnetic field (B0) Drastic changes in mag. suscept. distort B0 TissueTissue-air interfaces: lungs and sinuses rapid T2* Metal: ferrous or not Paramagnetic agents (Gd) ¬ ¬
Diagnose the age of a hemorrhage EPI diffusion study suffers from severe susceptibility artifact due to retained metal after surgery. Courtesy, GE Medical Systems.
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 451.
Motion Artifacts
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Mostly occur along the PEG direction ghost images Compensation methods: ¬ ¬ ¬ ¬ ¬
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Cardiac/respiratory gating Respiratory ordering Signal averaging Short TE SE sequences Gradient moment nulling Presaturation pulses applied outside the imaging region
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¬ ¬ ¬ c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 451451-2.
Artifactual superimposition of wave patterns across the FOV Even one bad pixel can produce a significant artifact, especially especially when at or near kk-space DC data point (center)
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f0 variations resulting from intrinsic magnetic shielding f = (1 - σ) · (γ/2π /2π) · B0 Distinct peaks in MR spectrum Fat: 3.5 ppm lower than H20 B chemical shift G chemical shift Cannot distinguish freq. shift by FEG or chemical shift Misregistration of H20 and fat moieties
anatomical shift Cure: G, but SNR Cure: offoff-reson. presat. pulse Cure: STIR bounce point
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 454.
AKA Gibbs phenomenon Occurs near sharp boundaries and highhigh-contrast transitions Multiple, regularly spaced parallel bands of alternating bright/dark signal fading with distance Lack of highhigh-frequency signals causes ‘ringing’ at sharp transitions Most likely for small matrix dimensions Skull/brain interface
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Result of mismapping anatomy that lies outside the FOV, but within the slice volume Opposite side of image Caused by: ¬ ¬
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NonNon-linear gradients Undersampling of frequencies within the signal envelope (Nyquist sampling limit)
FT cannot distinguish freq. > Nyquist limit lower freq. Cure: lowlow-pass filter (Cure: number of PE steps BW = (γ (γ/2π /2π)·Gx·FOVx = 1/∆ 1/∆T
c.f., c.f. www.spectroscopynow.com/Spy/pdfs/mritutor.pdf c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 456.
SingleSingle-slice GRE (α (α=45=45-60° 60°, TR=50 msec, TE=few msec) Differentiates moving blood (unsaturated) from stationary tissues (saturated) Penetration of unsaturated blood depends on: velocity (magnitude and direction) 2D stack of slices usually acquired Blood moving in unwanted direction (e.g., arterial and venous) is eliminated with a presaturation pulse in an adjacent slice
Signal from blood dependent on relative saturation of tissues and the incoming blood flow Unsaturated spins entering the imaged slice(s)
large FIDs slice(s) In some cases blood signal eliminated through prepresaturation pulses outside of imaged slice(s) slice(s) “Black blood” blood” (flow void) also caused by rapidly flowing and turbulent blood (no full 180° 180° pulse)
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GRE technique provides poor anatomic contrast, but a highhigh-contrast “bright blood” signal Maximum intensity projection (MIP) along specific viewing angles used to generate a series of images for
display TOF MRA often produces variation in vessel intensity dependent on orientation wrt viewing plane
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 444.
Relies on phase change (∆φ (∆φ)) for moving protons (blood); ∆φ = ½ · γ/2π /2π · Gx · vx · t2 Application of + and then – polarity gradients in rapid succession (∆ (∆T) Second acquisition during same phase encode cancels (∆φ) ∆φ) for stationary spins Moving spins accumulate (∆φ (∆φ)) Amount of (∆φ (∆φ)) ∝ (∆T) and v
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c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 446.
Result of selective observation of the interaction between the p+ in free H2O molecules and p+ in macromolecular proteins due to coupling or chemical exchange Can be excited separately using narrownarrow-band RF Magnetization transferred from macromolecular p+ to free H2O p+ Reduced signal from adjacent free H2O p+
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 412.
Intensity variations depend on the amount of (∆φ (∆φ)) Brightest pixels – highest +v, midmid-gray 0v, lowest –v Unlike TOF MRA, the phase contrast image is inherently quantitative When calibrated provides an estimate of the mean blood flow v (magnitude and direction) 2D and 3D possible
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This process affects only those p+ having chemical exchange with the macromolecules and improves image contrast Anatomic imaging of heart, eye, MS, knee cartilage and general MR angiography Tissue characterization possible as the magnetization transfer ratio (MTC (MTCon/MTCoff) is caused in part by tissuetissuespecific surface chemistry
c.f. Yao L, Thomasson D. Magnetization transfer contrast in rapid threethree-dimensional MR imaging using segmented radiofrequency prepulses. prepulses. AJR 2002; 179: 863863-5 .
MR arthrograms of shoulder in 32-year-old man with suspected glenohumeral instability. Axial 3D gradient-echo MR image obtained using
Spine and spinal cord pathophysiology Ischemic injury
SpinSpin-echo and echoplanar pulse sequences with diffusion gradients Obstacles
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fMRI and BOLD Imaging
In vivo structural integrity of tissues measured apparent diffusion coefficient maps Sensitive indicator for early
detection of ¬
Diffusion depends on the random motion of H2O molecules in tissues Interactions of the local cellular structure with the diffusing H2O molecules produces anisotropic, directionally dependent diffusion DiffusionDiffusion-weighted sequences use a strong gradient signal differences based on mobility/directionality Tissues with H2O mobility have greater signal loss
BOLD (B (Blood Oxygen Levelevel-Dependent) Differential contrast generated by blood metabolism in brain Oxyhemoglobin deoxyhemoglobin (paramagnetic) increases magnetic susceptibility and induced signal loss (increased T2*)
DiffusionDiffusion-weighted image (DWI) with gray scalescale-encoded diffusion coefficients.
Sensitivity to head/brain motion Eddy currents
c.f. Bushberg, et al. The Essential Physics of Medical Imaging, 2nd ed., p. 410.
Areas of metabolic activity correlated signal (functional MR) Subtract postpost-stimulus image from prepre-stimulus image ColorColor-coded overlay to a grayscale anatomic image demonstrate activity(t) activity(t) correlating with stimulus(t) stimulus(t)