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1- Resonance
2- Spinning
N K Na H P H H C H H H H H O H
3- Target
Water represents 60 % of the human body
H2O
H H O
Na
Frequency
H H H H H H H H
Refocusing pulse
90
180
T1
Loss of energy to
T2
Loss of
Spin echo
Spin echo
TE
Spin echo
TR
Sequence time
Sequence time seconds- minutes
1 TR 4000 m sec TE m sec The acquisition time = 4000m sec TR X 60= 240000 1000 60 = 4 minutes 60
T1
TR 600 m sec
TE 30 m sec
T2
TR 3000 m sec
TE 80-100 m sec
Bright
Dark
PD
PD
TR 3000 m sec
TE 30 m sec
No T1 No T2
Heavy T2
TR 3000 m sec
TE 120 m sec
Increasing the TE of a sequence weights it more heavily toward T2 So it is sensitive for water , cyst and haemangioma
Signal intensity of fat is greater than that of conventional images obtained with comparable parameters Magnetic susceptibility difference artifacts are lessened
Inversion recovary IR
IT
Inversion recovary IR
Choice of TE also determines amount of T2
IT
IT
TE 30 msec
IR
FLAIR
Fat
H2O
STIR
H2O
Fat
TE 30 msec
Slice selection
slice
phase
Read out
Phase
Gradient
Gradient
Gradient
T2TR 200m sec-TE 10 msec- Flip angle 30
T2 Flip angle T1
T1TR 75 m sec-TE 6 msec- Flip angle 70
In T2* signal decay, the transverse magnetization is dephased because of magnetic field in homogeneities. The magnetic field is not exactly the same everywhere; in some places it is a bit stronger (B0 + ) for example, 1.505 T and in others it is a bit weaker (B0 ) for example, 1.495 T. Such differences may occur because of the presence of metallic objects, air, dental implants, or calcium, or they may be due to the limitations of magnet construction
Blooming
Iron
Blooming
Because gradients do not refocus field inhomogeneities, GRE sequences with long TEs are T2* weighted (because of magnetic susceptibility) rather than T2 weighted like SE sequences. sequences
Steady-state sequences are a class of rapid magnetic resonance (MR) imaging techniques based on fast gradient-echo acquisitions in which both longitudinal magnetization (LM) and transverse magnetization (TM) are kept constant. Both LM and TM reach a nonzero steady state through the use of a repetition time that is shorter than the T2 relaxation time of tissue. When TM is maintained as multiple radiofrequency excitation pulses are applied, two types of signal are formed once steady state is reached: preexcitation signal (S ) from echo reformation; and postexcitation signal (S+), which consists of free induction decay.
Depending on the signal sampled and used to form an image, steady-state sequences can be classified as (a) postexcitation refocused (only S+ is sampled), (b) preexcitation refocused (only S is sampled), and (c) fully refocused (both S+ and S are sampled) sequences. All tissues with a reasonably long T2 relaxation time will show additional signals due to various refocused echo paths. Steady-state sequences have revolutionized cardiac imaging and have become the standard for anatomic functional cardiac imaging and for the assessment of myocardial viability because of their good signal-to-noise ratio and contrast-to-noise ratio and increased speed of acquisition. They are also useful in abdominal and fetal imaging and hold promise for interventional MR imaging. Because steady-state sequences are now commonly used in MR imaging, radiologists will benefit from understanding the underlying physics, classification, and clinical applications of these sequences
Steady-state free precession TR is usually shorter than the T and (SSFP) T of the tissues imaged
1 2
1- Coherent completely or partially refocused (rewound) GRE sequences A gradient (called a rewind gradient) to rephase the T2* magnetization while it is being dephased and thereby preserve the T2* effects 2-Spoiled GRE sequences A gradient has same effect as T1 or proton-density weighting
TE
1-Coherent completely or partially refocused (rewound) GRE sequences A gradient to rephase T2* magnetization while it is being dephased and thereby preserve the T2* effects
TR4 6 msec- TE 1 2 msec;- flip angle 30
Complete
T2
T1
T1 & T2
preexcitation
Partial
postexcitation
2-Spoiled GRE sequences spoiler RF pulse or gradient is used to eradicate any remaining transverse magnetization after each echo producing same effect as T1 or PD
TR4 6 msec- TE 1 2 msec;- flip angle 70
2-Spoiled GRE sequences spoiler RF pulse or gradient is used to eradicate any remaining transverse magnetization after each echo producing same effect as T1 or PD
TR4 6 msec- TE 1 2 msec;- flip angle 70
Fat suppresion 5 2 3
2-Fat Saturation
- ve
STIR
Adequately Mobile
HIGH
H
SIGNAL
BRIGHT, HYPERINTENSE
INTERMEDIATE
GRAY, ISOINTENSE
LOW
DARK, HYPOINTENSE
Not Adequately
Mobile
H
Amount
Minimal hydrogen [air] no signal
Motion
Non mobile hydrogen [cortical bone] no signal Fast hydrogen [flowing blood] no signal
Minimal hydrogen
AIR
Lung & Sinuses
T1
Subacute blood
T2
T1
Fluid
T2
T1
Fat
T2
Signal Void
Black
T1/ PD
T2
Gradient
STIR
Diffusion DWIs
Depends on Brownian movement
Echoplanar Imaging(EPI)
Spin echo T2
Gradient pulses
preferred direction of water motion In anisotropic diffusion ,in the white matter, consisting of dense fiber bundles, water moves more easily parallel to the fibers than across them.
The signal intensity decreases when the white matter tracts run in the same direction as DW gradients
Direction of DW gradient
Splenium
Corticospinal tract
Vessels
Vessels
K-space
K space
MR Angiography MRA
MRA
No signals
TOF
45
+10
-10
-10
+10
CONTINUOUS labeling
CASL
Imaging plane Labeling plane
RF inversion pulse spins inverted The labeled spins (water protons) flowing into the imaging plane and exchanging with tissue protons, cause signal loss measuring signal changes between tagged images and baseline untagged images CBF images (qualitative / quantitative)
spin s
PULSED labeling
PASL
spin s
spin s
Magnetic susceptibility is also used in blood oxygenation level dependent (BOLD) imaging T2* The relative amount of deoxyhemoglobin in the cerebral vasculature is measured as a reflection of neuronal activity BOLD MR imaging is widely used for mapping of
Brain function
slice
phase
Read out
slice
phase
FLASH
Read out
slice
phase
GRASS /FISP
Read out
Contrast
Contrast
Short T1
Contrast
Short T1
Gd DTPA
Short T1
Gd DTPA
Magnatization Transvere
Magnatization transvere
After 1m
After 2 m
After 3 m
MR spectroscopy
MR spectroscopy
What is MRS ?
MRS is a non-invasive method which can provide in vivo data on human bio-chemistry & pathophysiology. Thus it is a non-invasive probing of the Underlying biochemistry of cells MRS is a new MR technique that can help to dd between benign and malignant bony and soft tissue tumor, also plays an important role in diagnosis of bone infection and metabolic disorders.
H2O+ C H2O+ Na
H-MRS
Limitations
FALSE POSITIVE PEAKS Benign lesions with high cellular concentration Inflammatory lesion with excessive inflammatory cells FALSE NEGATIVE STUDY Malignant lesions of low cell population will give low choline levels
10
10
180 Phase
Phase
Artifacts
Wrap around
90
-90
10
1000
Asymmetric brightness
Inhomogeneous brightness
Metal artifacts
Iron
Blooming artifact
Field inhomogenity
Cross talk
Flow compansation
Flow compansation
Stationary
Moving
Flow compensation
Presaturation
Spatial presaturation Antiphase aliening phase encoding Antifrequency aliening out direction Flow suppression Sat Leading slice Following slice Suppress wrapped artifacts in wrapped artifact in the read blood flow and CSF flow
Antifrequency
Antiphase
Flow saturation
Antifrequency
Antiphase
Skipping presaturation
Quadiscan
Gradient
50 0
100
100 50 0
Thank you