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    MRI Physics

    Omar Moawayh

    Faculty of medicine Cairo University

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    1- Resonance

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    H

    H

    H

    H

    H

    H

    K

    H

    H

    P C

    Na

    N

    H

    O

    2- Spinning

    Nuclei spin abouttheir axes acting like tiny magnets

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    H2O

    Water represents 60 % ofthe human body

    OHH

    3- Target

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    Radio frequency coil Hydrogen Atom [proton]

    H H HHHH H H

    O O O O

    N

    Na

    MR images depend on movement of hydrogen

    protons in response to applied radiofrequency

    Frequency

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    H

    H

    H

    H

    H

    H

    H

    H

    Basic constituent of MR

    Magnet

    Radio frequency coil

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    =

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    Refocusing pulse

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    90180

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    X

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    T1 Loss of energy tosurrounding = Longitudinal

    relaxation time = spin to lattice

    T2Loss of

    energy to adjacentnuclei = Transverse

    relaxation time = spinto spin

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    Spin echo

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    Spin echo

    TE

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    Spin echo

    TR

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    Sequence time

    TR 4000m sec

    TE m sec

    Sequence

    time seconds- min

    utes

    The acquisition time = 4000m sec TR X60=240000 1000 60 = 4 minutes

    1 60

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    Number of signal averaging

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    TR 600 m sec

    TR 600 m sec X30 = 18000 1000 60 = 0. 3m

    TE 30 m sec

    T1

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    TE 80-100 m sec

    TR 3000 m sec

    TR 3000 m sec X100 =300000 1000 60 = 5m

    T2

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    Bright

    Dark

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    PD

    ==

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    TE 30 m sec

    TR 3000 m sec

    TR 3000 m sec X100 =300000 1000 60 = 5m

    PD

    No T1

    No T2

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    TE 120 m sec

    TR 3000 m sec

    TR 3000 m sec X100 =300000 1000 60 = 5m

    Increasing the TE of a sequence weights it more heavilytoward T2So it is sensitive for water , cyst and haemangioma

    Heavy T2

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    Fast spin echo

    Echo train length

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    Acquisition time for T2SE 7 m 17s FSE echo train length of 16 was 34 s

    Signal intensi

    ty of fa

    tis grea

    ter

    than

    tha

    tof conven

    tionalimages obtained with comparable parameters

    Magnetic susceptibility difference artifacts are lessened

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    Inversion recovary IR

    IT

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    Inversion recovary IR

    IT

    Choice of TE also determines amount of T2

    IT

    TE 100120 msecTE 30 msec

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    X

    IR

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    FLAIR

    Sufficienttime to suppress waterTR 10000 msec

    IT 17002200 msec

    TE 100120 msec

    Fat

    H2O

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    STIRSufficienttime to suppress fat

    TE 30 msec

    TI 150 msec

    TR 5000 msec

    Fat

    H2O

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    Slice selection

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    slice

    phase

    Read

    out

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    Phase

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    Gradien

    t

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    Gradient

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    Gradient

    T1

    T2 Flip angle

    T2TR 200m sec-TE 10 msec- Flip angle 30

    T1TR 75 m sec-TE 6 msec- Flip angle 70

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    In T2* signal decay, the transverse magnetization isdephased 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 Tand in others it is a bit weaker (B0 )for example, 1.495 T.Such differences may occur because ofthe presence ofmetallic objects, air, dental implants, or calcium, or they

    may be due to the limitations of magnet construction

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    T2*Signal

    decay

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    Blooming

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    Iron

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    Blooming

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    Beca

    use gradien

    ts do no

    trefocus field inhomogeneities,

    GRE sequences with long TEs

    are T2* weighted (because ofmagnetic susceptibility) rather

    than T2 weighted like SEsequences. sequences

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    Steady-state sequences are a class of rapid magneticresonance (MR) imaging techniques based on fast

    gradient-echo acquisitions in which both longitudinalmagnetization (LM) and transverse magnetization(TM) are kept constant. Both LM and TM reach anonzero steady state throughthe use of a repetition

    time that is shorter than the T2 relaxation time oftissue. When TM is maintained as multipleradiofrequency excitation pulses are applied, two typesof signal are formed once steady state is reached:

    preexcitation signal (S) from echo reformation; andpostexcitation signal (S+), which consists of freeinduction decay.

    Depending on the signal sampled and used to form an image

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    Depending on the signal sampled and used to form an image,steady-state sequences can be classified as (a) postexcitationrefocused (only S+ is sampled), (b) preexcitation refocused (onlyS is sampled), and (c) fully refocused (both S+ and S aresampled) sequences. All tissues with a reasonably long T2relaxation time will show additional signals due to variousrefocused echo paths. Steady-state sequences haverevolutionized cardiac imaging and have become the standard for

    anatomic functional cardiac imaging and for the assessment ofmyocardial viability because oftheir good signal-to-noise ratioand contrast-to-noise ratio and increased speed of acquisition.They are also useful in abdominal and fetal imaging and holdpromise for interventional MR imaging. Because steady-state

    sequences are now commonly used in MR imaging, radiologistswill benefit from understanding the underlying physics,classification, and clinical applications ofthese sequences

    S d f i

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    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 weightingTE

    Steady-state free precession(SSFP) TR is usually shorter than the T1 and

    T2 ofthe tissues imaged

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    1-Coherent completely or partially refocused (rewound) GRE sequencesA gradientto rephase T2* magnetizationwhile it is being dephased and

    thereby preserve the T2* effects

    T1T2 T1 & T2

    Complete

    Partialpreexcitation postexcitation

    TR46 msec- TE 12 msec;- flip angle 30

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    2-Spoiled GRE sequencesspoiler RF pulse or gradientis used to eradicate any remaining transversemagnetization after each echo producing same effect as T1 or PD

    TR46 msec- TE 12 msec;- flip angle 70

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    2-Spoiled GRE sequencesspoiler RF pulse or gradientis used to eradicate any remaining transversemagnetization after each echo producing same effect as T1 or PD

    TR46 msec- TE 12 msec;- flip angle 70

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    Fat suppresion 1-Opposed Phase

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    TE = 6.4 msec. In-Phase

    TE =3.2 msec. Out-Phase

    Fat suppresion 1-Opposed Phase

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    - ve

    52

    3

    2-Fat SaturationFat suppresion

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    Fat suppresion 3-Shorttime inversion recovery

    STIR

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    H

    Adequately

    Mobile

    SIGNAL

    LOW

    HIGH

    INTERMEDIATE

    DARK, HYPOINTENSE

    BRIGHT, HYPERINTENSE

    GRAY, ISOINTENSE

    Not Adequately Mobile

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    H

    Amount

    Motion Minimalhydrogen [air] no signal

    Non mobile hydrogen [cortical bone] no signalFasthydrogen [flowing blood] no signal

    The image will depend on

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    Cortical bone

    Mature fibrous tissue

    Calcifications

    Non mobile hydrogen

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    AIR

    Lung &Lung &SinusesSinuses

    Minimal hydrogen

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    T2T1 Subacute bloodSubacute blood

    Each structure [lesion] in the humanbody has a characteristic signal

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    Each structure [lesion] in the humanbody has a characteristic signal

    T2T1

    T2T1

    Fluid

    Fat

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    Signal Void

    Black

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    How to know the pulse sequence?!

    T1/ PD T2 Gradient STIR

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    Diffusion DWIsDepends on Brownian movement

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    PULSE SEQUENCES FOR DIFFUSION-

    WEIGHTED IMAGING

    T2 spin-echopulse sequence

    EchoplanarImaging(EPI)

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    DIFFUSION WEIGHTED IMAGING USING SPIN-

    ECHO T2-WEIGHTED PULSE SEQUENCE

    Spin-echo T2-weighted pulse sequence with two extragradient pulses that are equal in magnitude and opposite indirection

    Spin echo T2

    Gradient pulses

    TR 5100 m sec TE 137m sec - total acquisition time 20 s

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    ISOTROPIC AND ANISOTROPIC DIFFUSION

    In isotropic diffusion nopreferred direction ofwater motion

    In anisotropic diffusion ,inthe white matter,consisting of dense fiberbundles, water moves

    more easily parallel to thefibers than across them.

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    The signal intensity decreases when the white matter tracts

    run in the same direction as DW gradients

    X ZY

    Direction of DW

    gradient

    Hypointense white

    matter tractSplenium

    Frontal and

    occipital

    Corticospinal

    tract

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    CREATION OF ISOTROPIC DW IMAGE

    Multiply the three images created with the DW

    gradient pulses applied in three orthogonaldirections (Gx, Gy,and Gz). The cube root of this

    product is the DW image

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    Example: water molecules

    moving perpendicular to the

    axons in the white matter would

    be slowed by crossing morecell membranes than water

    moving in a direction parallel to

    an axon. the degree of

    anisotropy in the WM is larger

    than that in the GM.

    diffusion is orientation-dependant

    being affected by these barriers and by

    the nerve fiberorientation.

    Diffusion Tensor Imaging

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    Vessels

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    Vessels

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    Signal to noise ratio

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    Signalto noise ra

    tio

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    To increase the SNRNEX

    TR

    FOV

    Slice Thickness

    Slice Gap

    Phase Encoding steps

    Frequency Encoding steps

    Band Width

    TE

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    To increase the Spatial

    ResolutionFrequency Encoding steps

    Phase Encoding steps

    FOV

    Slice Thickness

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    K-space

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    K

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    K space

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    MR Angiography

    MRA

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    MRA

    TOF

    Phase contrast

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    No signals

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    TOF

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    45

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    +10 -100

    -10 +100

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    Arterial Spin

    Labeling = ASL

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    BBB is highly permeative to water

    The unidirectional clearance of water can be usedas a measure ofCBF.

    Proposed by Detre et al

    (Magn Reson

    Med. 1992 Jan;23(1):37-45)CONTINUOUS

    labeling

    CASL

    PULSED

    labeling

    PASL

    Arterial Spin Labeling = ASL

    CONTINUOUS

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    Imagingplane

    Labelingplane

    RF inversion pulse spins inverted

    s

    pin s

    labeling

    CASL

    The labeled spins (water protons) flowing into the imaging planeand exchanging withtissue protons, cause signal lossmeasuring signal changes between tagged images and baseline

    images (qualitative / quantitative)CBFuntagged images

    PULSED E cho

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    sp

    in s

    Labelingplane

    Imagingplane

    sp

    in s

    labeling

    PASL

    F low-sensitiveA lternating

    I nversionR ecovery

    P lanarI maging and

    S ignalT argeting byA lternating

    R adioequency

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    Blood Oxygen

    LevelDependent

    Bold

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    Magnetic susceptibility is also used in blood oxygenationleveldependent (BOLD) imaging T2*

    The relative amount ofdeoxyhemoglobin in the cerebral

    vasculature is measured as a reflection of neuronal activity

    BOLD MR imaging is widely used for mapping of

    Brain function

    Bases of the BOLD effect

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    Commercial pulse

    sequences

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    slice

    phase

    Read

    out

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    slice

    phase

    Read

    out

    FLASH

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    slice

    phase

    Read

    out

    GRASS

    /FISP

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    phase

    Readout

    slice

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    Contrast

    C t t

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    Contrast

    Short T1

    C t t

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    Contrast

    Short T1

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    Short T1

    GdDTPA

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    GdDTPA

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    MagnatizationTransvere

    Magnatization transvere

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    Magnatization transvere

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    After 1m

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    After 2 m

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    After 3 m

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    MR spectroscopy

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    What is MRS ?

    MRS is a non-invasive method which can provide in vivo dataon human bio-chemistry & pathophysiology. Thus it is anon-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 playsan important role in diagnosis of bone infection andmetabolic disorders.

    MR spectroscopy

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    H2O+ C

    H2O+ Na

    What are the types of

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    H-MRS

    yp

    Spectroscopy ?

    Limitations

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    Limitations

    FALSE POSITIVE PEAKS

    Benign lesions with high cellular concentrationInflammatory lesion with excessive inflammatory cells

    FALSE NEGATIVE STUDY

    Malignant lesions of low cell population will give lowcholine levels

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    100 5

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    100 5

    100 5

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    100 5

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    180

    Phase

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    Phase

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    Artifacts

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    Wrap around

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    90

    -90

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    Chemical shift artifacts

    After 2 min = augmentation

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    After 1 min cancellation

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    100010

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    Asymmetric brightness

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    Inhomogeneous brightness

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    Zero line artifact

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    Truncation artifacts- Gibbs phenomenon

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    Metal artifacts

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    Iron

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    Bloomingartifact

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    Field inhomogenity

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    Zebra stripe artifact

    Cross talk

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    Cross talk

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    Entrance/Exit slice phenomenon

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    FlowFlow

    compansationcompansation

    FlowFlow compansationcompansation

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    pp

    Stationary

    Moving

    Flow compensationFlow compensation

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    pp

    Presaturation

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    Spat

    ial presatu

    rat

    ionAntiphase aliening Suppress wrapped artifacts in

    phase encoding

    Antifrequency aliening

    wrapped artifact in the readout direction

    Flow suppression Sat blood flow and CSF flow

    Leading slice

    MovingS

    atFollowing sliceMoving Sat

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    Anti

    phase

    Antifrequency

    Antifrequency

    Antiph

    ase

    Flowsaturation

    Skipping presaturation

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    Quadiscan

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    GradientGradient

    50 100

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    0

    0

    100

    50

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    Thank you