100. MRI: INVERSION RECOVERY SEQUENCE Flashcards

1
Q
  1. Define: Inversion Recovery.
A
  • this is a Spin Echo Sequence
  • it begins at a 180° inverting pulse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. What happens when the inverting pulse is removed?
A
  • the Net Magnetisation Vector begins to relax
  • it will go back to the Longitudinal Direction of the
    External Magnetic Field (B₀)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. Define: TI.
A
  • this stands for the Time of Inversion
    (Inversion Time)
  • a 90° pulse is applied at this point
  • this happens after the 180° Inverting Pulse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. What happens after the Time of Inversion (90°) pulse has been applied?
A
  • there will be another 180° Radio Frequency Pulse that
    will be applied
  • this will re-phase the spin
  • it will re-phase it into the Transverse Plane
  • this produces an Echo (TE)
  • this is produced after the Excitation Pulse
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. What is the main purpose of the TI (Inversion Time)?
A
  • it is the main factor that controls the weighting in
    Inversion Recovery Sequences
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. What is the main difference between Inversion Recovering Sequences and Conventional Spin Echo Sequences?
A

INVERSION RECOVERY SEQUENCES:
- begin the sequence with a 180° Inverting Pulse

CONVENTIONAL SPIN ECHO SEQUENCES:
- begin the sequence with a 90° Pulse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. What kind of weighted images does the Inversion Recovery image favour?
A
  • the images are more heavily T1 weighted
  • this produces a large contrast difference
  • between the fat and the water
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. Why is there such a large difference between the contrast in fat and water?
A

CERTAIN INVERSION TIME (TI) VALUES:
- will result in the suppression of the signal from tissues
- this will enhance the fat and the water signals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. What is the Inversion Time (TI) value that is needed to make the tissue from a signal insignificant?
A
  • the Inversion Time (TI) has to be:
    0.69 x T1 Relaxation time of the tissue
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. What are Inversion Recovery Sequences divided based on?
A
  • they are divided based on the Inversion Time (TI) value
    used
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. What are the three different types of Inversion Recovery Sequences we can get?
A
  1. SHORT SEQUENCES
    - the Inversion Time (TI) is between 80 - 150 ms
  2. MEDIUM SEQUENCES
    - the Inversion Time (TI) is between 300 - 1200 ms
  3. LONG SEQUENCES
    - the Inversion Time (TI) is between 1500- 2500 ms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. What does Short Inversion Time Recovery (STIR) make use of?
A
  • it uses short Inversion Times

THESE SHORT INVERSION TIMES:
- place a 90° Excitation Pulse at the time of the Net
Magnetisation Vector of Fat
- this happens when the Net Magnetisation Vector of fat
is passing through the Transverse Plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. In which axis do we find the Transverse Plane?
A
  • the Z-Axis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. What happens after we have applied the 90° Excitation Pulse to the Net Magnetisation Vector of Fat?
A
  • this Excitation Pulse will move the Net Magnetisation
    Vector from the Transverse Plane to the Longitudinal
    Plane
  • this is called the Null Point
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. What is the result of applying a short Inversion Time to the Net Magnetisation Vector of Fat?
A
  • there will be a 90° Excitation Pulse added to the
    Transverse Plane
  • there will be no Transverse Component in the fat
  • no signal will be produced from the Fat
  • the signal from the fat will be suppressed in the
    images
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. What part of the body do we image using the Inversion Recovery Sequence?
A
  • it is used mainly for the Central Nervous system
  • as well as for the Musculoskeletal System
17
Q
  1. What is the FLAIR Sequence?
A
  • this is the Fluid-attenuated inversion recovery
    Sequence
  • it makes use of Long Inversion times

IT INCREASES THE VISIBILITY OF:
- periventricular lesions
- lesions in the cervical cord
- lesions in the thoracic cord

18
Q
  1. What do the Long Inversion Times (TI) used in the FLAIR sequence do?
A
  • they make the signals coming from the
    Cerebro-Spinal Fluid (CSF) insignificant

THE PROCESS IS AS FOLLOWS:
- there will be a 90° Excitation Pulse added to
the Transverse Plane
- this places the Net Magnetisation Vector of
the Cerebro-Spinal Fluid in the Longitudional
plane
- there will be no Transverse Component of
the water in the Cerebro-Spinal fluid
- no signal will be produced from the water
- the signal from the water in the Cerebro-
Spinal fluid will be suppressed in the images

19
Q
  1. Why do we use a long Inversion Time (TI) when we deal with water and Cerebro-spinal fluids?
A
  • the Cerebro-Spinal fluid has a long T1 Recovery time
  • this means that it needs more time to recover from the
    Longitudinal field

THE INVERSION TIME (TI) HAS TO BE LONGER:
- to correspond with the Null Point of the water and the
Cerebro-Spinal Fluid

20
Q
  1. What are Periventricular lesions?
A
  • they are white matter lesions
  • they are found around the centre black spaces

EXAMPLE:
- Multiple Sclerosis Plaques

21
Q
  1. What do Short Inversion Time Recovery Sequences (STIR) do to the signal from normal bone marrow?
A
  • they null the signal
  • they make is insignificant
    this increases the visibility of the Bone Lesions