Advanced Topics in Neuro MRI Pt.1 Flashcards

1
Q

What is Diffusion?

A

The flow of energy or matter from a high concentration to low concentration, resulting in a homogenous distribution

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2
Q

True or false. Diffusion weighted imaging (DWI) is a type of contrast-weighting in MRI.

A

True

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3
Q

In DWI the contrast difference between the tissues is based on the difference in the _________ diffusion in those tissues.

A

water molecule

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4
Q

If cells swell they hinder the path of the intercellular diffusion and hence increase/reduce the diffusion coefficient. So __ or __ can be detected.

A

reduce; swelling or inflammation

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5
Q

What sequences are used in DWI?

A

fast sequences; usually done with fast EPI sequence

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6
Q

What is apparent diffusion coefficient (ADC)?

A

The signal intensity that is dependent on the strength of the gradients and the diffusion coefficient; ADC can be measured if we have signal from two different gradients

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7
Q

What are some clinical applications of DWI? (when is it used)?

A

strokes, abcesses, tumors, lymphoma

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8
Q

When there is low diffusion (little to no motion of water molecules), then what color is the does the water signal appear as?

A

white

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9
Q

Is diffusion isotropic or anisotropic?

A

anisotropic

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10
Q

What is Diffustion Tensor Imaging (DTI)?

A

The type of measurement where you measure diffusion along many directions (one at a time)

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11
Q

What is anisotropy?

A

diffusion rate depends on direction

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12
Q

Anisotropic diffusion can be expressed by a _.

A

tensor

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13
Q

Higher number of diffusion direction =

A

better accuracy of directionality of diffusion, but longer acquisition time

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14
Q

What are the colors for direction and what do they represent?

A

Green = Anterior-Posterior
Red = Right-Left
Blue = Superior-Inferior
Other colors = combination of directions

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15
Q

What is fiber tracking?

A

colorful lines that show how diffusion propagates in the brain and are thought to be white matter fibers

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16
Q

When is fiber tracking used?

A

before major brain surgeries to help guide the surgeons for cutting and removing tumors

17
Q

What is perfusion?

A

the passage of blood, a blood sustitute, or other fluid through the blood vessels or other natural channels in an organ or tissue

18
Q

What does perfusion measure?

A

how well blood is supplied & how fast it passes (perfuses) through a certain tissue

19
Q

Why do we do perfusion?

A

for tumor grading

20
Q

What is the process of a perfusion sequence?

A
  1. use very fast GRE (usually EPI with 128 factor)
  2. repeat sequence many times (50)
  3. After a few repeats (6-10), contrast is injected at high rate (4cc/sec)
  4. Study is analyzed by special software