HC5 Structural Neuroimaging Flashcards

1
Q

MRI and fMRI

A
  • MRI: anatomy
  • fMRI: brain function
  • You need to take a MRI before taking a fMRI as you have to know the anatomy before being able to make a FMRI scan.
  • Same machine used for both scan types, based on the same principle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Magnets produce magnetic fields

A

o Strong visible attraction and repulsion effects on range of materials
o MRI safety: life or death
▪ NEVER bring anything metal into a MRI room!
o Less obvious effect on human body: influence on nuclei

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Less obvious effect on human body: influence on nuclei

A

→ nuclear magnetic resonance imaging (NMR)
▪ = MRI
▪ Nuclear because of the effect on nuclei it has
▪ ≠ Radioactivity
▪ Nausea (because of influence of magnet on the nuclei in the brain, if you get up quickly)
▪ No consequent short- or long-term illness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Most relevant element for brain imaging

A

Hydrogen
o Human body is made of ~ 70% water, the brain ~ 75%
o Water molecules contain hydrogen atoms
o Hydrogen atoms only contain one single proton
o Hydrogen could take another electron in its innermost shell
o Atoms with uneven number of protons act as dipoles. Dipoles have an positive and a negative side, two “poles”. Basically, they are small magnets.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Nuclei with odd number of protons/neutrons spin at the Larmor frequency

A

o Depends linearly upon magnetic field strength of the magnet (For 1H: 1.5T = 63.76 MHz, 3T = 127.7 MHz, 7T = 298.0 MHz)
o A stronger magnetic field causes the protons/neutrons to spin faster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Nuclear MAGNETIC resonance imaging

A

Part of nuclei align with direction of the magnetic field

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Nuclear magnetic RESONANCE imaging

A

If additional magnetic field oscillates with the Larmor frequency, nuclei absorb energy from the field.
Nuclei resonate with the additional magnetic field you add

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Static magnetic field

A

Atoms align with direction magnetic field

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Oscillating magnetic field

A

= radio frequency (RF) pulse
o Spins individual atoms so they get in phase
o Atoms flip and take direction of oscillating field
▪ Increase in energy state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

When RF pulse is no longer applied

A

o Dephasing of atoms
o Realigning to static magnetic field (flip back)
▪ emits energy = small signal in radio
frequency range -
▪ This energy you measure in the MRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Small signals over all the re-aligning nuclei integrate

A

o The less dephasing happened, the stronger this signal is
o The time it takes to go back to equilibrium depends on the kind of tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Gradients of field strength

A
  • Remember: Larmor frequency depends upon field strength
  • Gradients: as linear as possible, stationary and of short duration
  • Static magnetic field differs across space
    Three orthogonal gradients of field strength on top of static magnetic field
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Static magnetic field differs across space

A

o Nuclei in different locations have a different Larmor frequency
→ RF pulse only affects the nuclei with matching Larmor frequency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Three orthogonal gradients of field strength on top of static magnetic field

A

o Slice selection gradient (Z): applied at time of RF pulse
o Phase encoding gradient (Y): use of dephasing after RF pulse
o Frequency encoding gradient (X): applied at time of read out of signal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Slice slection gradient

A

Applied during RF pulse
RF pulse only affects nuclei that experience a total field strength with matching Larmor frequency
Slice: volume of excited nuclei
Every slice has a different frequency
One slice per RF pulse if 2D image
Interleaved slice acquisition: to minimize cumulative effects due to cross-slice excitation
The excited nuclei (the slice) are affected by the 2 other gradients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

RF pulse only affects nuclei that experience a total field strength with matching Larmor frequency

A

3T (B0) & 127.7 MHz RF pulse & slice selection gradient G from
inferior to superior → RF pulse only affects nuclei in horizontal
slice where summed field strength = 3T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

One slice per RF pulse if 2D image

A

→ scanning a full 3D image requires as many RF pulses as number of slices needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Interleaved slice acquisition: to minimize cumulative effects due to cross-slice excitation

A

Less spill over, keeps the slices separate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Phase encoding gradient

A
  • Applied after RF pulse
  • Change spin resonance frequency of excited nuclei depending on their location in the gradient, causing dephasing
  • When removed, resonance frequencies are the same again, but differences in phase persist
  • All nuclei at a certain position in the gradient have same phase, thus phase is informative about position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Frequency encoding gradient

A
  • Applied during data acquisition
  • Frequency encoding gradient = the read-out direction
  • All nuclei at a certain position in gradient have same resonance frequency, thus frequency at read-out is informative about position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Gradient-echo echo planar imaging

A
  • Gradient reversals un-do effect of initial gradient
    o signal consists of a series of echo’s elicited by the reversals
    Sufficient echo’s: all combinations of phases and frequencies are characterized
    o use Fourier analysis to reconstruct image
    >< Spin-echo sequence: reverses the RF pulse to create echo
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Voxels

A
  • Unit of space = voxel
  • The shorter the time in which an image has to be taken, the lower the number of slices that can be imaged
  • Number of voxels per row/column in the slice relates back to number of steps of phase encoding gradient
    o 128 steps per dimension with field of view of 256 mm → resolution of 2 mm
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

How do these physical principles give rise to an image with anatomical structure?

A
  • Emitted signal decays over time
  • Signal intensity depends upon several (biological) factors
  • Factors are different in different tissues, resulting in signal contrast
  • Pulse sequence and parameter choice determine which factor has most weight
25
Signal intensity depends upon several (biological) factors:
o Density of 1H protons o T1-recovery: recovery of longitudinal orientation = spin-lattice relaxation (realign with static magnetic field) ▪ Speed of going back to static magnetic field, depends on the kind of tissue o T2-decay: loss of transverse magnetization due to the loss in phase coherence = spin-spin interactions ▪ The speed of dephasing, depends on the kind of tissue
26
Pulse sequence and parameter choice determine which factor has most weight
→ T1-weighted vs T2-weighted imaging o details on these pulse sequences and parameter choice: read only (e.g. page 42)
27
T1-recovery time
= time it takes the longitudinal magnetization to grow back to 63% of its final value = spin-lattice relaxation time
28
What is T1-recovery time?
The time it takes for longitudinal magnetization to grow back to 63% of its final value. Also known as spin-lattice relaxation time.
29
What happens during T1-recovery?
After being deflected, protons prefer to realign with the magnetic field (low-energy state). As they do, they release RF energy back into their surroundings (the "lattice").
30
Characteristics of a T1-weighted image
- White matter appears white (shorter relaxation time, less dephasing). - Fast T1 = less dephasing = higher signal = brighter image. - More dephasing = lower signal = darker image.
31
What is T2-decay?
Right after a 90° RF pulse, transverse magnetization is maximized. Protons collide and begin to dephase, causing the MR signal to decrease.
32
What is T2-decay time?
The time it takes for transverse magnetization to decrease to 37% of its starting value. Also known as spin-spin relaxation time.
33
Characteristics of a T2-weighted image
Fast T2 = more dephasing = lower signal = darker image.
34
MRI principles recap
- Protons have spin and align with a magnetic field (B0). - A 90° RF pulse deflects them. - Two relaxation processes occur: T1 (longitudinal relaxation): How fast protons realign with B0. T2 (transverse relaxation): How fast protons dephase and release energy.
35
What are the three main components of an MRI scanner?
- Magnet - Gradient coils (create varying magnetic fields) - Radio frequency (RF) coil (transmits and measures RF waves)
36
How does the magnet in an MRI scanner work?
- Electrons flow along a wire, generating a magnetic field (Faraday’s principle). - Wires are cooled with liquid helium for superconductance. - Magnetic field strength depends on the number of loops and current (e.g., 1.5T, 3T, 7T, 9.4T). - Higher field strength = better signal, resolution, and contrast, but more artifacts.
37
CT scan vs. MRI scan
CT scan: Used in clinical settings for inflammation, infection, TBI, stroke, tumors, etc. MRI scan: Used when no contraindications (e.g., pacemaker) exist.
38
Three structural MRI methods
- T1-weighted MRI (anatomical imaging) - Diffusion tensor imaging (DTI) - Magnetic resonance spectroscopy (MRS)
39
T1-weighted anatomical imaging: Quality check
- Artifacts due to: Fixed materials (e.g., braces, implants). Removable materials (e.g., hairpins). - Purpose: Find anatomical abnormalities (clinical or incidental). - High-field scanning = optimized local images but poor images of other brain areas.
40
Voxel-Based Morphometry (VBM)
- Morphometry = Quantifying brain anatomy properties. - Compares regional tissue volumes to detect differences between subject groups. Used for: - Identifying correlations with age, behavior, disease. - Studying neurodegenerative/neurovascular diseases.
41
Examples of neuroanatomical abnormalities
Patient HM (Corkin, 2002): Damage to medial temporal lobe → anterograde amnesia. Patient DF (Steeves et al., 2006): Lateral occipital lesion → visual agnosia (cannot recognize objects but can act on them).
42
Relevance of brain structure for behavior
- MRI studies link brain structure to IQ, personality traits (Big Five), etc. - Effect sizes are small, but findings are statistically significant.
43
Connectivity in the brain
- "Nothing defines the function of a neuron better than its connections." – M. Mesulam - Visual system connectivity (Felleman & Van Essen, 1991): Studied monkey visual system. Found hierarchical organization in visual processing.
44
Diffusion tensor imaging (DTI)
Pattern of action potentials o From where and to where? o Paths = axons Noninvasive imaging: o Large bundles of 1000s of axons o Axons that start and end in each other’s vicinity, stay together → white-matter pathways or tracts
45
Diffusion
movement of flow from higher concentration to lower concentration (molecules in this case)
46
What is Diffusion-Weighted Imaging (DWI)?
- Special pulse sequence adapted for molecular diffusion. - Based on movement of molecules from high to low concentration. - Cell walls & myelin affect diffusion → results in anisotropy (direction-dependent diffusion).
47
Types of diffusion
Isotropic diffusion → Equal in all directions (e.g., in cerebrospinal fluid). Anisotropic diffusion → Different diffusion rates depending on direction (e.g., in white matter).
48
Diffusion Tensor and Visualization
Diffusion is described by a tensor: - Isotropic diffusion → circle shape. - Anisotropic diffusion → ellipse shape. Used to analyze white matter integrity (e.g., in multiple sclerosis)
49
Mean diffusion (MD)
Overall amount of diffusion
50
Fractional anisotropy (FA)
From zero (isotropic diffusion) to 1 (only diffusion along main axis)
51
Axial and radial diffusivity (AD and RD)
amount of diffusion in certain direction: main axis (AD) or other directions (RD)
52
Different indices
differential sensitivity to diffusion-related phenomena
53
DTI in Neurological Conditions
In some neuropathological conditions specific predictions can be made about which indices are affected and how (e.g. decreased myelination: FA ↓ because RD ↑ , AD =) o For example in people with MS
54
Orientation maps in DTI
- Darker areas → Lower FA (less structured pathways). - Lighter areas → Higher FA (highly directional tracts). corpus callosum: light red color → goes in one direction from right to left and left to right
55
What is Tractography?
- A method to trace white matter connections by following main diffusion direction. - Three types of connections: Projection fibers → Connect cortex to subcortex. Commissural fibers → Connect left & right hemispheres. Association fibers → Connect distant areas within one hemisphere.
56
DTI and Behavioral Relevance
- Used to test disconnection hypotheses (brain connectivity changes affecting mental processes). - Hard to determine exact biological cause (e.g., less myelination? Fewer axons? Synaptic issues?).
57
Example DTI - Van de Putte et al. (2018):
Simultaneous interpreting training leads to changes in control related brain networks. ▪ frontal-basal ganglia subnetwork related to domain-general and language-specific cognitive control ▪ language control related subnetwork with key role for cerebellum and SMA ▪ Interpreters (translate and at same time get new information) vs. translators (translate text to other text), scanned before and after internship → interpreters develop stronger language control
58
Example tractography - Thiebaut de Schotten et al. (2015)
Reconstructing structural disconnections in famous case studies ▪ Phineas Gage: Pole through frontal cortex ▪ louis victor leborgne: tan tan → first non-fluent aphasic patient of Broca ▪ Henry Molaison (HM): memory