Shared Flashcard Set

Details

Magnetic Resonance Imaging
Chapter 12
85
Medical
Post-Graduate
07/27/2016

Additional Medical Flashcards

 


 

Cards

Term
What are the primary advantages to MRI.
Definition
High contrast sensitivity to soft tissue and inherent patient safety due to nonionizing radiation.
Term
SI unit for magnetic field strength?
Definition
T - Tesla
Term
How many Gauss are in one Tesla?
Definition
10,000 G = 1 T
Term
Strength of the Earth's magnetic field?
Definition
0.5 Gauss
Term
Common magnetic field strengths in clinical MRIs?
Definition
1.5 to 3 T
Term
Give 3 types of coils and what are they used for?
Definition
Shim coils - improve main magnetic field homogeneity, RF coils - transmit energy and receive signals, Gradient coils - produce a linear variation in field strength
Term
What is required for a nucleus to have a magnetic moment?
Definition
The sum of the protons and neutrons must be odd.
Term
What element is most commonly used in MR and why?
Definition
Hydrogen because it has the largest magnetic moment and the greatest abundance.
Term
The orientation of "free" protons in a applied magnetic field.
Definition
Parallel and anti-parallel to the applied field.  There will be more in the lower energy parallel direction and this creates a measurable magnetic moment.
Term
Torque applied in the direction perpendicular to the magnetic field results in?
Definition
precession
Term
What is the Larmor equation?  What does it describe?
Definition

ω0 = γ * Bo

It express the relationship between the external magnetic field and the angular precessional frequency.

Term
What is the Larmor equation in terms of linear frequency?
Definition
fo = γ/(2π) * Bo
Term
What is the gyromagnetic ratio for hydrogen?
Definition
42.58 MHz/T
Term
At equilibrium, Mo is at a ________ and Mxy is at a _______.
Definition
Mo - maximum, Mxy - minimum
Term
The RF excitation pulse is known as the ________ field.  It is applied at the _______ frequency.
Definition
B1 field, applied at the Larmor frequency.
Term
Flip angle
Definition
The degree of Mz rotation by the B1 field into the xy plane.
Term
The flip angle displacement is determined by
Definition

Θ = ω1t = γB1t

per the Larmor equation

be careful: linear vs angular frequency

Term
What flip angle provides the largest Mxy and thus the largest detectable signal?
Definition
90 degrees
Term
What is the advantage of flip angles that are less than 90 degrees?
Definition
Results in a larger transverse magnetization per unit excitation time.  This is used in fast MRI techniques.
Term
A damped sinusoidal signal from the transverse magnetic field is known as
Definition
FID - free induction decay
Term
Decay of the transverse magnetic moment is called _____ - ______ decay and is governed by the ____ relaxation time.
Definition
spin-spin decay - T2 relaxation time
Term
T2 is the time required for the transverse magnetic moment to drop to ____% of its peak signal.
Definition
Drop to 37% of the peak signal.
Term
The mathmatical expression for T2 decay.
Definition
Mxy(t) = Moe-t/T2
Term
Return of the longitudinal magnetic moment is called _____ - ______ decay and is governed by the ____ relaxation time.
Definition
spin-lattice, T1
Term
T1 is the time required to recover ____% of MZ.
Definition
63%
Term
The mathematical expression for regrowth of the Mz.
Definition
Mz(t) = Mo(1-e-t/T1)
Term
T2* includes the loss of phase coherence from both
Definition
intrinsic and extrinsic magnetic field variations.
Term
Extrinsic field variations are caused by ____.
Definition
Main magnetic field inhomogeneities and susceptibility agents in the tissue (contrast material)
Term
List the relaxation time constants in order of size.
Definition
T1 > T2 > T2*
Term
T1 is typically ____ times longer than T2?
Definition
5-10
Term
Fundamental properties of the different tissues are given by
Definition
T1, T2, T2*, and proton density
Term
How does increasing the main magnetic field affect T1 and T2.  Why?
Definition
T1 increases and T2 is unaffected.  T1 increases because there is less overlap between the molecular vibration frequency and the Larmor frequency.
Term
Since most tissues of clinical interest are smaller-sized molecules, tissues with a longer T1 usually have a _____ T2 and tissues with a shorter T1 usually have a _____ T2.
Definition
longer, shorter
Term
For brain tissues, which has the shortest T1?  The longest?
Definition
Shortest T1 - fat, Longest T1 - CSF
Term
Typical T1 values?
Definition

0.1 to 1 sec for soft tissues,

1-4 seconds for aqueous tissues (CSF)

Term
Define time of repetition, give a typical range of values.
Definition

Period of time between B1 excitation pulses.

milliseconds to several seconds

Term
Time of echo
Definition
Period of time between the excitation pulse and the appearance of the peak amplitude of an induced echo.
Term
How is an echo created?
Definition
By applying a 180 degree RF inversion pulse or a gradient polarity reversal at a time of TE/2.
Term
Time of Inversion
Definition
TI is the time between the initial inversion/excitation (180 degrees) RF pulse and a 90-degree readout pulse.
Term
Why does partial saturation occur?
Definition
The repetition time (TR) between excitation pulses does not allow for a full return to equilibrium, so Mz is reduced for the next excitation pulse.
Term
Greater partial saturation occurs in tissues with ____ _____.
Definition
longer T1
Term
What are the three basic pulse sequences?
Definition

Spin Echo (SE)

Inversion Recovery (IR)

Gradient Echo (GE)

Term
Briefly describe the Spin Echo sequence.
Definition
A 90-degree RF pulse excites the protons and induces a FID.  A 180-degree RF pulse at TE/2 inverts and refocuses the spins so phase coherence occurs at TE.  Data is then read out at TE.
Term
Signal intensity for a SE sequence is given by
Definition
S ≈ ρH (1-e-TR/T1)e-TE/T2
Term
What parameters can the user control?  Which can they not control?
Definition

User controls TR, TE and TI.

They can't control T1, T2, T2*.

Term
A T1 weighted SE sequence has a ____ TR and a ____ TE
Definition
short TR and a short TE
Term
T2 differences are minimized by using a ____ ____?
Definition
short TE
Term
T1 differences are minimized by using a ______  ______.
Definition
Long TR
Term
A proton weighted SE sequence has a ____ TR and a ____ TE
Definition
Long TR and a Short TE
Term
In a T1 weighted image, which tissues will be brightest and why.
Definition
Fat, because it has the shortest T1, so it will recover the most Mz during the TR period.
Term
What tissue has the highest signal in a SE proton weighted image.
Definition

CSF - it has the greatest proton density

(CSF > fat > gray matter > white matter)

Term
A T2 weighted SE sequence has a ____ TR and a ____ TE
Definition
Long TR and a Long TE
Term
What tissue appears brightest in a SE T2 weighted image?
Definition
CSF because it has the largest T2.
Term
During conventional SE sequences, two differently weighted signals are acquired.  Which ones and how does it work.
Definition
Proton density and T2 weighted signals are acquired during the same TR.  Both use a long TR to minimize T1.  A short TE is used to get the Proton density weighted signal followed by a second 180 degree RF pulse at a longer TE/2 to get a T2 weighted signal.
Term
Inversion recovery emphasizes ___ relaxation times.
Definition
T1
Term
TI - the time of inversion is
Definition
the time from the initial 180-degree inversion pulse to a 90-degree excitation pulse.
Term
Describe Inversion Recovery Spin Echo
Definition
An initial 180 degree RF pulse is used to invert Mz to -MZ.  After a short time - the time of inversion, TI - a 90-degree RF (readout) pulse rotates the recovered MZ into the transverse plan to generate a FID.  A second 180-degree pulse at TE/2 produces an echo at TE.
Term
What is STIR.  Why is it used.
Definition
STIR - Short Tau Inversion Recovery - it uses a very short TI and magnitude signal processing where Mz is always positive.  It is used to Null out fat signals.  It works because fat has the shortest T1.
Term
Bounce point or tissue null
Definition
During inversion recovery, the Mz signal will go through zero, effectively creating no signal for that tissue if a readout pulse is applied.
Term
During Inversion Recovery (or Short Tau Inversion Recovery) when does the signal null (bounce point) occur?
Definition
When TI = ln(2) * T1
Term
What is a FLAIR sequence.
Definition
Fluid Attenuated Inversion Recovery - TI is selected at the bounce point for CSF.
Term
What are the advantages and disadvantages of the SE and IR SE sequences?
Definition

Advantages - less sensitive to magnetic field inhomogeneities, high SNR and CNR

Disadvantage - Relatively long TR and thus long acquisition times.

Term
What is the GE technique?
Definition
GE - Gradient Echo - uses a magnetic field gradient reversal to induce the formation of the echo instead of the 180-degree inversion pulse.
Term
Gradient Echo does not cancel out _________ like SE does.
Definition
extrinisic inhomogeneities - (Bo inhomogeneities and contrast agents)
Term
Gradient Echo tends to use a _____ flip angle.
Definition
small
Term

Slew rate?

units?

Definition

The rate at which the gradient can be created.

T/m per sec or T/sm

Term
What are the three gradients used for localizing the MR signal?
Definition
Slice select, frequency encode and phase encode.
Term
Eddy Currents
Definition
Currents that are induced in nearby conductors when the gradient field is turned on.
Term
Frequency bandwidth
Definition
The range of frequencies over the field of view.
Term
Frequency BW per pixel.
Definition
BW divided by the number of discrete samples.
Term
Slice thickness is determined by
Definition
1) the BW of the RF pulse and 2) the gradient strength across the FOV.
Term
How can a thin slice be excited.
Definition
Use a narrow BW or a high Gradient strength.
Term
How can a thick slice be excited?
Definition
Use a wide BW or a lower gradient strength.
Term
The FEG is also known as the
Definition
Frequency Encode Gradient - aka the readout gradient.
Term
The FEG is applied ______ to the SSG and it varies from ___ to ___ over the field of view.
Definition
orthogonally, from -f to f.
Term
The PEG is applied before the _____ and after the _____.
Definition
before the FEG and after the SSG.
Term
The PEG induces a _____ change in the proton spins that ______ as you go ____ from the null.
Definition
phase change, increases, farther
Term
For a SE sequence, each TR interval is repeated with a different ______ strength.
Definition
PEG
Term
The K-space matrix describes the ________ domain.
Definition
frequency
Term
The FEG induced frequency variations are mapped along the _____ axis and the PEG induced phase variations are mapped along the _____ axis.
Definition

FEG - kx

PEG - ky

 

Term
The center of k-space represents the _____ spatial frequencies and the periphery of k-space represents the ______ spatial frequencies.
Definition

center - lower frequencies

periphery - higher frequencies

Term
GRE is more sensitive to magnetic field inhomogeneity.  When can this be an advantage?
Definition
Identifying a hemorrhage.
Term
What are the advantages and disadvantage of GRE over SE?
Definition

Advantages: short TR, faster image acquisition time, lower SAR

Disadvantages: decreased SNR

Term
What is Spoiled GRE?
Definition
After each echo, the residual transverse magnitization is destroyed either with a spoiling gradient or RF spoiling pulse.
Term

What are the units for gradient strength?

Typical values?

Definition

mT/m

10-40 mT/m

Supporting users have an ad free experience!