Chapter 13 Common MR Pulse Sequences Flashcards

1
Q

A pulse sequence can be defined as:

A

a series of pulse with periods of time in between.

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2
Q

There are 2 major types of pulse sequences:

A

Spin Echo and Gradient Echo

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3
Q

the spin echo category includes:

A

conventional spin echo
fast spin echo and inversion recovery sequences - STIR & FLAIR

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4
Q

An Inversion Recovery (IR) sequence is basically a:

A

spin echo sequence except it begins with a 180 degree inversion pulse

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5
Q

What is Time of Inversion (TI)?
(in an IR sequence)

A

the time between the initializing 180 degree pulse and the 90 degree pulse

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6
Q

the time of inversion significantly affects MR Image contrast

A

following a 180 degree inversion pulse, the net magnetization will recover along the longitudinal axis, if one selects an inversion time that is 69% of a tissue’s T1 relaxation time, then at the time of the 90degree pulse application, that tissue would be crossing over the 0 longitudinal point and will in effect be nulled (No signal)

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7
Q

As one changes the TI, one changes the

A

tissue which is nulled

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8
Q

there are 2 ways in which IR sequences are used clinically:

A

nulling fat or nulling fluid (CSF)

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9
Q

If a short inversion time (TI) is selected, we can null the signal from:

A

FAT

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10
Q

what is STIR?

A

Short Tau Inversion Recovery
nulling fat from signal

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11
Q

the exact TI depends on the

A

field strength

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12
Q

the appropriate TI to null fat will _____as field strength ______.

A

increases;increases
TI depends on field strength

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13
Q

what is FLAIR?

A

Fluid Attenuated Inversion Recovery
nulling CSF from signal

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14
Q

a FLAIR sequence which utilizes a long TR and long TE is referred to as a

A

T2 FLAIR
the pathologic fluid remains bright

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15
Q

what sequence is MS well visualized on

A

T2 FLAIR

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16
Q

If one selects a more moderate TR and a short TE (along with TI to null CSF), one can obtain:

A

T1 weighted images with excellent gray/white matter contrast

17
Q

important points to remember regarding IR sequences:

A
  1. selecting a T1 that is 69% of a tissues T1 relaxation time will null the signal from that tissue.
  2. the TI will vary not only with tissue but field strength.
  3. if nulling fat, the sequence is referred to as STIR
  4. if nulling CSF, the sequence is referred to as FLAIR
18
Q

the main types of gradient echo sequences are :

A

steady state
spoiled
balanced gradient echos
echo planar imaging EPI

19
Q

basic contrast properties unique to gradient echo sequences are:

A

following an RF pulse, transverse magnetization decays due to several factors:
++ T2 relaxation - this rate varies with tissue’s fat and/or water content
++ T2* - a more rapid decay due to the addition of off resonance effects (T2 prime) which are inhomogeneities in the field and chemical shift

20
Q

gradient echo sequences do not utilize a

A

180 degree refocusing pulse prior to the formation of the echo so the transverse magnetization decays at a rate based on T2*

21
Q

gradient spin echo sequences are _____to inhomogenetities

A
22
Q

gradient echo sequences are _____to spin echo sequences with regards to sensitivity to small areas of hemorrhage, particularly in the brain

A

SUPERIOR

23
Q

gradient spin echo sequences are _____to inhomogeneities

A
24
Q

in a gradient echo sequences there is no

A

180 degree refocusing pulse prior to the formation and sampling of the echo.
if a voxel contains both water and fat protons, depending on the time at which the signal is sampled, the water and fat protons may either be in phase or out of phase

25
Q

the ______ the flip angle, the ____the TR require for complete longitudinal recovery to occur.

A

higher;longer

26
Q

T or F
the flip angle in addition to TR is a parameter used to control the amount of T1 weighting in a gradient echo sequence

A

true

27
Q

_______a flip angle has the same contrast effect on the image as raising the TR

A

reducing (or lowering)
both would result in reduced saturation

28
Q

for any tissue, based on it’s T1 relaxation time and the TR selected, there is a flip angle which result in maximum signal. that flip angle is known as the:

A

Ernst Angle

29
Q

when the TR is shorter than the T2 (& T2*) of most tissues, after several pulses, longitudinal and transverse magnetization _____. This condition is known as________.

A

coexist; steady state