mri new مهمة
TRANSCRIPT
-
8/3/2019 MRI new
1/166
MRI Physics
Omar Moawayh
Faculty of medicine Cairo University
-
8/3/2019 MRI new
2/166
1- Resonance
-
8/3/2019 MRI new
3/166
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
-
8/3/2019 MRI new
4/166
H2O
Water represents 60 % ofthe human body
OHH
3- Target
-
8/3/2019 MRI new
5/166
-
8/3/2019 MRI new
6/166
-
8/3/2019 MRI new
7/166
-
8/3/2019 MRI new
8/166
-
8/3/2019 MRI new
9/166
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
-
8/3/2019 MRI new
10/166
H
H
H
H
H
H
H
H
Basic constituent of MR
Magnet
Radio frequency coil
-
8/3/2019 MRI new
11/166
=
-
8/3/2019 MRI new
12/166
-
8/3/2019 MRI new
13/166
Refocusing pulse
-
8/3/2019 MRI new
14/166
90180
-
8/3/2019 MRI new
15/166
X
-
8/3/2019 MRI new
16/166
-
8/3/2019 MRI new
17/166
-
8/3/2019 MRI new
18/166
-
8/3/2019 MRI new
19/166
T1 Loss of energy tosurrounding = Longitudinal
relaxation time = spin to lattice
T2Loss of
energy to adjacentnuclei = Transverse
relaxation time = spinto spin
-
8/3/2019 MRI new
20/166
Spin echo
-
8/3/2019 MRI new
21/166
Spin echo
TE
-
8/3/2019 MRI new
22/166
Spin echo
TR
-
8/3/2019 MRI new
23/166
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
-
8/3/2019 MRI new
24/166
Number of signal averaging
-
8/3/2019 MRI new
25/166
TR 600 m sec
TR 600 m sec X30 = 18000 1000 60 = 0. 3m
TE 30 m sec
T1
-
8/3/2019 MRI new
26/166
TE 80-100 m sec
TR 3000 m sec
TR 3000 m sec X100 =300000 1000 60 = 5m
T2
-
8/3/2019 MRI new
27/166
Bright
Dark
-
8/3/2019 MRI new
28/166
PD
==
-
8/3/2019 MRI new
29/166
TE 30 m sec
TR 3000 m sec
TR 3000 m sec X100 =300000 1000 60 = 5m
PD
No T1
No T2
-
8/3/2019 MRI new
30/166
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
-
8/3/2019 MRI new
31/166
Fast spin echo
Echo train length
-
8/3/2019 MRI new
32/166
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
-
8/3/2019 MRI new
33/166
-
8/3/2019 MRI new
34/166
Inversion recovary IR
IT
-
8/3/2019 MRI new
35/166
Inversion recovary IR
IT
Choice of TE also determines amount of T2
IT
TE 100120 msecTE 30 msec
-
8/3/2019 MRI new
36/166
X
IR
-
8/3/2019 MRI new
37/166
-
8/3/2019 MRI new
38/166
FLAIR
Sufficienttime to suppress waterTR 10000 msec
IT 17002200 msec
TE 100120 msec
Fat
H2O
-
8/3/2019 MRI new
39/166
STIRSufficienttime to suppress fat
TE 30 msec
TI 150 msec
TR 5000 msec
Fat
H2O
-
8/3/2019 MRI new
40/166
Slice selection
-
8/3/2019 MRI new
41/166
slice
phase
Read
out
-
8/3/2019 MRI new
42/166
Phase
-
8/3/2019 MRI new
43/166
Gradien
t
-
8/3/2019 MRI new
44/166
Gradient
-
8/3/2019 MRI new
45/166
-
8/3/2019 MRI new
46/166
Gradient
T1
T2 Flip angle
T2TR 200m sec-TE 10 msec- Flip angle 30
T1TR 75 m sec-TE 6 msec- Flip angle 70
-
8/3/2019 MRI new
47/166
-
8/3/2019 MRI new
48/166
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
-
8/3/2019 MRI new
49/166
T2*Signal
decay
-
8/3/2019 MRI new
50/166
Blooming
-
8/3/2019 MRI new
51/166
Iron
-
8/3/2019 MRI new
52/166
Blooming
-
8/3/2019 MRI new
53/166
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
-
8/3/2019 MRI new
54/166
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
-
8/3/2019 MRI new
55/166
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
-
8/3/2019 MRI new
56/166
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
-
8/3/2019 MRI new
57/166
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
-
8/3/2019 MRI new
58/166
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
-
8/3/2019 MRI new
59/166
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
-
8/3/2019 MRI new
60/166
Fat suppresion 1-Opposed Phase
-
8/3/2019 MRI new
61/166
TE = 6.4 msec. In-Phase
TE =3.2 msec. Out-Phase
Fat suppresion 1-Opposed Phase
-
8/3/2019 MRI new
62/166
- ve
52
3
2-Fat SaturationFat suppresion
-
8/3/2019 MRI new
63/166
Fat suppresion 3-Shorttime inversion recovery
STIR
-
8/3/2019 MRI new
64/166
H
Adequately
Mobile
SIGNAL
LOW
HIGH
INTERMEDIATE
DARK, HYPOINTENSE
BRIGHT, HYPERINTENSE
GRAY, ISOINTENSE
Not Adequately Mobile
-
8/3/2019 MRI new
65/166
H
Amount
Motion Minimalhydrogen [air] no signal
Non mobile hydrogen [cortical bone] no signalFasthydrogen [flowing blood] no signal
The image will depend on
-
8/3/2019 MRI new
66/166
Cortical bone
Mature fibrous tissue
Calcifications
Non mobile hydrogen
-
8/3/2019 MRI new
67/166
AIR
Lung &Lung &SinusesSinuses
Minimal hydrogen
-
8/3/2019 MRI new
68/166
T2T1 Subacute bloodSubacute blood
Each structure [lesion] in the humanbody has a characteristic signal
-
8/3/2019 MRI new
69/166
Each structure [lesion] in the humanbody has a characteristic signal
T2T1
T2T1
Fluid
Fat
-
8/3/2019 MRI new
70/166
Signal Void
Black
-
8/3/2019 MRI new
71/166
-
8/3/2019 MRI new
72/166
How to know the pulse sequence?!
T1/ PD T2 Gradient STIR
-
8/3/2019 MRI new
73/166
Diffusion DWIsDepends on Brownian movement
-
8/3/2019 MRI new
74/166
PULSE SEQUENCES FOR DIFFUSION-
WEIGHTED IMAGING
T2 spin-echopulse sequence
EchoplanarImaging(EPI)
-
8/3/2019 MRI new
75/166
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
-
8/3/2019 MRI new
76/166
-
8/3/2019 MRI new
77/166
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.
-
8/3/2019 MRI new
78/166
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
-
8/3/2019 MRI new
79/166
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
-
8/3/2019 MRI new
80/166
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
-
8/3/2019 MRI new
81/166
Vessels
-
8/3/2019 MRI new
82/166
Vessels
-
8/3/2019 MRI new
83/166
Signal to noise ratio
-
8/3/2019 MRI new
84/166
Signalto noise ra
tio
-
8/3/2019 MRI new
85/166
To increase the SNRNEX
TR
FOV
Slice Thickness
Slice Gap
Phase Encoding steps
Frequency Encoding steps
Band Width
TE
-
8/3/2019 MRI new
86/166
To increase the Spatial
ResolutionFrequency Encoding steps
Phase Encoding steps
FOV
Slice Thickness
-
8/3/2019 MRI new
87/166
K-space
-
8/3/2019 MRI new
88/166
K
-
8/3/2019 MRI new
89/166
K space
-
8/3/2019 MRI new
90/166
MR Angiography
MRA
-
8/3/2019 MRI new
91/166
MRA
TOF
Phase contrast
-
8/3/2019 MRI new
92/166
No signals
-
8/3/2019 MRI new
93/166
TOF
-
8/3/2019 MRI new
94/166
45
-
8/3/2019 MRI new
95/166
+10 -100
-10 +100
-
8/3/2019 MRI new
96/166
Arterial Spin
Labeling = ASL
-
8/3/2019 MRI new
97/166
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
-
8/3/2019 MRI new
98/166
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
-
8/3/2019 MRI new
99/166
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
-
8/3/2019 MRI new
100/166
Blood Oxygen
LevelDependent
Bold
-
8/3/2019 MRI new
101/166
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
-
8/3/2019 MRI new
102/166
-
8/3/2019 MRI new
103/166
Commercial pulse
sequences
-
8/3/2019 MRI new
104/166
slice
phase
Read
out
-
8/3/2019 MRI new
105/166
slice
phase
Read
out
FLASH
-
8/3/2019 MRI new
106/166
slice
phase
Read
out
GRASS
/FISP
-
8/3/2019 MRI new
107/166
phase
Readout
slice
-
8/3/2019 MRI new
108/166
Contrast
C t t
-
8/3/2019 MRI new
109/166
Contrast
Short T1
C t t
-
8/3/2019 MRI new
110/166
Contrast
Short T1
-
8/3/2019 MRI new
111/166
Short T1
GdDTPA
-
8/3/2019 MRI new
112/166
GdDTPA
-
8/3/2019 MRI new
113/166
MagnatizationTransvere
Magnatization transvere
-
8/3/2019 MRI new
114/166
Magnatization transvere
-
8/3/2019 MRI new
115/166
After 1m
-
8/3/2019 MRI new
116/166
-
8/3/2019 MRI new
117/166
After 2 m
-
8/3/2019 MRI new
118/166
After 3 m
-
8/3/2019 MRI new
119/166
MR spectroscopy
-
8/3/2019 MRI new
120/166
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
-
8/3/2019 MRI new
121/166
H2O+ C
H2O+ Na
What are the types of
-
8/3/2019 MRI new
122/166
H-MRS
yp
Spectroscopy ?
Limitations
-
8/3/2019 MRI new
123/166
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
-
8/3/2019 MRI new
124/166
100 5
-
8/3/2019 MRI new
125/166
100 5
100 5
-
8/3/2019 MRI new
126/166
100 5
-
8/3/2019 MRI new
127/166
-
8/3/2019 MRI new
128/166
180
Phase
-
8/3/2019 MRI new
129/166
-
8/3/2019 MRI new
130/166
-
8/3/2019 MRI new
131/166
Phase
-
8/3/2019 MRI new
132/166
-
8/3/2019 MRI new
133/166
Artifacts
-
8/3/2019 MRI new
134/166
-
8/3/2019 MRI new
135/166
Wrap around
-
8/3/2019 MRI new
136/166
90
-90
-
8/3/2019 MRI new
137/166
-
8/3/2019 MRI new
138/166
Chemical shift artifacts
After 2 min = augmentation
-
8/3/2019 MRI new
139/166
After 1 min cancellation
-
8/3/2019 MRI new
140/166
100010
-
8/3/2019 MRI new
141/166
Asymmetric brightness
-
8/3/2019 MRI new
142/166
Inhomogeneous brightness
-
8/3/2019 MRI new
143/166
Zero line artifact
-
8/3/2019 MRI new
144/166
-
8/3/2019 MRI new
145/166
Truncation artifacts- Gibbs phenomenon
-
8/3/2019 MRI new
146/166
-
8/3/2019 MRI new
147/166
Metal artifacts
-
8/3/2019 MRI new
148/166
Iron
-
8/3/2019 MRI new
149/166
Bloomingartifact
-
8/3/2019 MRI new
150/166
Field inhomogenity
-
8/3/2019 MRI new
151/166
-
8/3/2019 MRI new
152/166
Zebra stripe artifact
Cross talk
-
8/3/2019 MRI new
153/166
Cross talk
-
8/3/2019 MRI new
154/166
-
8/3/2019 MRI new
155/166
-
8/3/2019 MRI new
156/166
Entrance/Exit slice phenomenon
-
8/3/2019 MRI new
157/166
FlowFlow
compansationcompansation
FlowFlow compansationcompansation
-
8/3/2019 MRI new
158/166
pp
Stationary
Moving
Flow compensationFlow compensation
-
8/3/2019 MRI new
159/166
pp
Presaturation
-
8/3/2019 MRI new
160/166
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
-
8/3/2019 MRI new
161/166
Anti
phase
Antifrequency
Antifrequency
Antiph
ase
Flowsaturation
Skipping presaturation
-
8/3/2019 MRI new
162/166
-
8/3/2019 MRI new
163/166
Quadiscan
-
8/3/2019 MRI new
164/166
GradientGradient
50 100
-
8/3/2019 MRI new
165/166
0
0
100
50
-
8/3/2019 MRI new
166/166
Thank you