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MRI Potpourri
Chapter 13 - Selected Parts
39
Medical
Post-Graduate
08/06/2016

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Term
NEX
Definition
Number of excitations - repeating identical signal acquisitions for the purpose of signal averaging.
Term
How is the acquisition time determined?
Definition
Time = TR x #PEG steps x NEX
Term
If the K-space is not square, which direction is usually the smallest and why?
Definition
The phase encode gradient is typically smaller and this is used to reduce acquistion time.
Term
What is multislice data acquisition?
Definition
Several slices are selectively excited in a sequential timing scheme during the TR interval.
Term
Describe 3 other methods of filling the K-space.
Definition

Centric filling - filliing central rows first

Keyhole filling - outer rows are filled first, then the center rows are filled when an event like contrast occurs.

Spiral filling - starts at the center of K-space and spirals outward.

Term
What is propeller imaging?
Definition
Propeller - Periodically rotated overlapping parallel lines with enchanced reconstruction.  A wide rectangle at the center is filled first, then it is rotated about the center.  Repeat filling and rotating.  This causes overlapping information at the center of K-space.
Term
What is parallel imaging?
Definition
A technique that fills k-space by using the response of multiple receive RF coils that are coupled together with independent channels.
Term
What is SENSE?
Definition
SENSitivity Encoding - using a measured sensitivity profile for each coil used in parallel imaging to determine where the signal is coming from.
Term
What are common image matrix sizes in MRI?
Definition
512x256, 512x512, and 1024x512
Term
What are common pixel sizes in MRI?
Definition

0.5 to 1 mm for large FOV

0.1 to 0.2 for limited FOV

Term
Typical slice thickness in MRI.
Definition
5 to 10 mm.
Term
What effects do TR, TE, and flip angle have on SNR?
Definition

Longer TR increases SNR.

Longer TE reduces SNR.

Smaller flip angle reduces SNR.

Term
For a given pulse sequence, what is SNR proportional to?
Definition

SNR ≈ Voxelx,y,z x √NEX / √BW

 

Term
What is the voxel volume equal to?
Definition
Voxel Volume = (FOVx / No. Pixelsx) x (FOVy / no. Pixelsy) x (slice thickness, z)
Term
SNR is _____ to voxel volume.  Doubling the matrix size over the same FOV will _______ the SNR.  Doubling the FOV with the same matrix size will _____ the SNR.
Definition

SNR proportional to voxel volume.

Double the matrix size - reduce SNR by half.

Double the FOV - double the SNR.

Term
SNR is proportional to the _____ of NEX.  Doubling the NEX will ______ the SNR.
Definition

square root of the NEX.

Double NEX - increase SNR by √2 -> 40%.

Term
SNR is proportional to the _______ of the receiver bandwidth.  A narrow BW results in a ______ SNR.
Definition

inverse square root

higher

Term
Sample dwell time
Definition

Time to sample the signal, ΔT

ΔT = 1 / (RF BW)

Term
Effect of magnetic field strength on SNR.
Definition

SNR ≈ B1 to B1.5

Double the field strength results in 2-3 times the SNR.

Term
Fringe fields below _____ are considered safe.
Definition
0.5 mT (5 Gauss)
Term

Field uniformity is expressed in _____.

Typical values range from ____ to _____.

Definition

parts per million (ppm)

< 1 ppm to 10 ppm

Term

The most common bioeffect of MR is ________.

This is caused by _______.

Definition

tissue heating.

Caused by RF energy deposition and/or by rapid switching of high strength gradients.

Term

What does SAR stand for?

Give a value.

Definition

Specific Absorption Rate

< 4 W/kg for the whole body average

Term
How many MRI incidents are in TJC Sentinel Event Database?  How many resulted in death?
Definition
5 events (4 deaths)
Term
What are the main categories of injuries found in MRI?  At what percentage?
Definition

1. Burns (most common, > 70%)

2. Projectiles (10%)

3. Electronic Device Malfunctions

Term
Electronic devices that can malfunction due to MRI fields include
Definition
pacemakers and pumps
Term
MRI related burns come from
Definition
wires, leads, implants, staples, clamps
Term
Projectiles include
Definition
ferromagnetic flying objects like IV poles and O2 tanks as well as clips moving in the brain and fragments moving in the eye.
Term
What 4 actions are taken to ensure MRI safety:
Definition

1. controlling access

2. posting warning signs

3. removing ferromagnetic objects

4. screening patients

Term
What are the MRI zones?
Definition

Zone 1 - general public

Zone 2 - reception and changing areas

Zone 3 - restricted area (control room) - trained MR personnel and screened patients only

Zone 4 - the magnet room

Term
MRI warning signs include:
Definition

1. Magnetic is always ON

2. Projectile hazard

3. Danger to those with implants (pacemakers)

Term
Screening MRI patients involves:
Definition
Questionairre regarding previous surgeries, implants, and foreign metal objects
Term
What is important for safety in MRI patient positioning?
Definition
No skin-to-skin contact.
Term
How does Fast Spin Echo Imaging work?
Definition
A series of 180 degree refocusing RF pulses follows the 90 degree excitation pulse.
Term
What is ETL?  What does it do to the acquisition time?
Definition

Echo Train Length - Used in Fast Spin Echo

ETL is the number 180 degree refocusing RF pulses used per TR interval.  It reduces the acquisition time by a factor of ETL.

Term
What happens to the echo size during Fast Spin Echo.
Definition
Each echo in the Echo Train gets smaller due to T2 relaxation.
Term
What is Echo Planar Imaging?
Definition
A single RF excitation pulse is used.  The FEG is continuously cycled to acquire echos.  Usually a small matrix is used.  This is very fast.  Mainly used in diffusion imaging.
Term
What factors affect SAR?
Definition

1. increases with the square of the magnetic field

2. increases with the square of the RF flip angle

3. increases linearly with shorter TR

4. increases with the number of RF pulses per cycle

5. increases with patient size

Term
Gradient field bioeffects include
Definition

peripheral nerve stimulation (PNS)

sound pressure (noise) levels

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