Advanced Topics in Neuro MRI Pt.2 Flashcards

1
Q

What is MR Spectroscopy?

A

the sequence in which we suppress the water signal to look at the hydrogen signals of the other metabolites.

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2
Q

Signal amplitude depends on _

A

chemical concentration

the # of protons giving rise to the peak

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3
Q

What are metabolites?

A

chemical substances necessary for taking part in a particular metabolic process; chemicals present in body tissues to ensure its living and function

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4
Q

What are differences between Imaging and Spectroscopy?

A

Imaging: observe only the water & fat signal; water concentration is high through all the body tissues
Spectroscopy: suppress the water signal so other chemical resonances can be observed (trying to minimize the relaxation effects; metabolite concentrations are high in the brain, prostate & breast (we are limited to those body parts)

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5
Q

What are the major metabolites?

A

choline, creatine, NAA, Myo-Inositol, & Lactate

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6
Q

What is single-voxel Spectroscopy?

A

selection of a voxel and getting its signal

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7
Q

How can we reduce water signal by 1000 times to get the right dynamic range?

A

frequency selective pulses followed by dephasing gradients

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8
Q

Why is a short and long TE used in single-voxel spectroscopy?

A

Short TE: shows all metabolites; good for quantification
Long TE: smooth baseline; lactate inverts (distinction from fat)

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9
Q

What is multi-voxel spectroscopy also called?

A

Chemical Shift Imaging (CSI) or Spectroscopic Imaging (SI)

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10
Q

What is multi-voxel spectroscopy?

A

the sequence that acquires spectra of many voxels (or makes a color map of the whole slice) at the same time; phase encodes the spatial dimensions, but the readout gradient is replaced with step-wise encoding

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11
Q

Where is CSI used?

A

most commonly used on the brain and prostate

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12
Q

What is the magnetic property of deoxyhemoglobin?

A

paramagnetic with respect to the surrounding tissue

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13
Q

What is the magnetic property of oxyhemoglobin?

A

diamagnetic; isomagnetic with respect to the surrounding tissue

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14
Q

What are some clinical practices of functional MRI (fMRI)?

A

Motor functions, language assay, pre-surgery, speech, listening

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15
Q

What are the challenges in functional MRI?

A
  • BOLD signal change is weak
  • SNR of in single-shot EPI images is low
  • Physiological pulsations (cardiac and respiratory)
  • Head motion; instrumental instability
  • susceptibility artifacts as EPI is very prone to that

Temporal resolution: limited by BOLD impule-response function , image sampling rate, and spin relaxation times
Spatial Resolution: limited by BOLD point-spread function, SNR, and image sampling rate

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