MRI in Practice

Chapter

Precession and precessional (Larmor) frequency

Precessional phase

Resonance

The results of resonance – classical theory

The results of resonance – quantum theory

MR signal

The free induction decay (FID) signal

Pulse timing parameters

References

2 Image weighting and contrast

Introduction

Image contrast

Relaxation

T1 recovery

T2 decay

Contrast mechanisms

Relaxation in different tissues

Fat and water

T1 recovery in fat

T1 recovery in water

T2 decay in fat

T2 decay in water

T1 contrast

T2 contrast

Proton density contrast

Weighting

T1 weighting

T2 weighting

Other contrast mechanisms

Diffusion-weighted imaging (DWI)

Functional MRI

Magnetization transfer contrast

Susceptibility weighting (SWI)

Contrast agents

References

3 Spin-echo pulse sequences

Introduction

RF rephasing

Conventional spin-echo

Mechanism

Spin-echo using one echo

Spin-echo using two echoes

Uses

Suggested parameters

Fast or turbo spin-echo (FSE/TSE)

Mechanism

Weighting in TSE

Uses

Suggested parameters

Single-shot turbo spin-echo (SS-TSE)

Driven equilibrium

Inversion recovery (IR)

Mechanism

Uses

Suggested parameters

Fast inversion recovery

Short tau inversion recovery (STIR)

Mechanism

Uses

Suggested parameters

Fluid attenuated inversion recovery (FLAIR)

Mechanism

Uses

Suggested parameters

IR prep sequences

References

4 Gradient-echo pulse sequences

Introduction

Variable flip angle

Gradient rephasing

How gradients dephase

How gradients rephase

Weighting in gradient-echo pulse sequences

Weighting mechanism 1 – extrinsic contrast parameters

Weighting mechanism 2 – the steady state

Weighting mechanism 3 – residual transverse magnetization

Coherent or rewound gradient-echo

Mechanism

Uses

Suggested parameters

Incoherent or spoiled gradient-echo

Mechanism

Uses

Suggested parameters

Reverse-echo gradient-echo

Mechanism

Uses

Suggested parameters

Balanced gradient-echo

Mechanism

Uses

Suggested parameters

Fast gradient-echo

Echo planar imaging

Uses and limitations

References

5 Spatial encoding

Introduction

Mechanism of gradients

Gradient axes

Slice-selection

How does it work?

When does slice-selection occur?

Slice thickness and slice-selection

Frequency encoding

How does it work?

When does frequency encoding occur?

FOV and frequency encoding

Phase encoding

How does it work?

When does phase encoding occur?

Phase matrix, phase resolution, and phase encoding

Bringing it all together – pulse sequence timing

References

6 k-Space

Introduction

Part 1: What is k-space?

Part 2: How are data acquired and how are images created from these data?

Sampling

Receive bandwidth

Sampling window (sampling time)

Fast Fourier transform (FFT)

Part 3: Some important facts about k-space!

Fact 1: k-Space is not the image

Fact 2: Data are symmetrical in k-space

Fact 3: Data acquired in the central lines contribute signal and contrast, while data acquired in the outer lines contribute resolution

Fact 4: The scan time is the time to fill k-space

Fact 5: The incremental step between each data point in k-space determines the FOV

Fact 6: The dimensions of k-space determine pixel size

Part 4: How do pulse sequences fill k-space?

Part 5: Options that fill k-space

Partial, fractional averaging, or half Fourier

Partial echo

Parallel imaging

Single-shot

Spiral k-space filling

Propeller or radial k-space filling

Sequential and 3D (volume) acquisition

References

7 Protocol optimization

Introduction

Signal-to-noise ratio (SNR)

Magnetic field strength

Proton density

Type of coil

TR, TE, and flip angle

Number of signal averages (NSA or NEX)

Receive bandwidth

Voxel volume

Contrast-to-noise ratio (CNR)

Presaturation

Spatial resolution

Rectangular FOV

Scan time

Trade-offs

Protocol development and modification

References

8 Artifacts

Introduction

Phase mismapping

Appearance

Cause

Remedy

Aliasing

Appearance

Cause

Remedy

Chemical shift artifact

Appearance

Cause

Remedy

Out-of-phase signal cancellation

Appearance

Cause

Remedy

Magnetic susceptibility artifact

Appearance

Cause

Remedy

Truncation artifact

Appearance

Cause

Remedy

Cross-excitation/cross-talk

Appearance

Cause

Remedy

Zipper artifact

Appearance

Cause

Remedy

Shading artifact

Appearance

Cause

Remedy

Moiré artifact

Appearance

Magic angle

Appearance

Cause

Remedy

Equipment faults

Flow artifacts

Entry-slice phenomenon (ESP)

Time-of-flight (TOF) phenomenon

Flow artifact remedies

Flow-dependent (non-contrast-enhanced) angiography

Inflow MRA

2D sequential inflow angiograms

3D volumetric inflow angiograms

Black-blood imaging

Phase-contrast MRA

ECG-triggered 3D FSE (flow-spoiled fresh blood imaging)

MRA summary

References

9 Instrumentation

Introduction

Magnetism

Diamagnetism

Paramagnetism

Ferromagnetism

Scanner configurations

Closed-bore systems

Open systems

Extremity systems

Magnet system

Permanent magnets

Resistive electromagnets

Superconducting electromagnets

Solenoid magnets

Ramping a magnet

Field strength (flux density)

Magnet shielding

Passive shielding

Active shielding

Shim system

Homogeneity

Passive shimming

Active shimming

Gradient offset (dynamic) shimming

Gradient system

Gradient coil

Gradient amplifiers

Gradient characteristics

Gradient amplitude

Gradient rise time

Gradient slew rate

Gradient power duty cycle

Acoustic gradient noise

Balanced gradients

RF system

RF shielding

RF transmit system

RF transmit coils

RF receive system

RF receive coils

Patient transport system

Computer system and graphical user interface

References

10 MRI safety

Introduction (and disclaimer)

Definitions used in MRI safety

Safety zones

Personnel

Device safety

Psychological effects

The spatially varying static field

Transient biological effects

Projectile hazards

Torque on implanted devices

Foreign bodies in the static field

Electromagnetic (radiofrequency) fields

Heating

The antenna effect

Induced currents in implanted devices

Time-varying gradient magnetic fields

Nerve stimulation

Effect of time-varying gradients on implanted devices

Acoustic noise

Cryogens

Thermal sensitivity

Asphyxia

Quench

Explosion

Safety tips

Additional resources

References

Glossary

Index

EULA

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