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
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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

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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

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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.

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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

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6
Q

Nuclear MAGNETIC resonance imaging

A

Part of nuclei align with direction of the magnetic field

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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

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8
Q

Static magnetic field

A

Atoms align with direction magnetic field

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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

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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

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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

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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
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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

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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

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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

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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

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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

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18
Q

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

A

Less spill over, keeps the slices separate

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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
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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
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21
Q

.

A
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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
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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
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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
Q

Signal intensity depends upon several (biological) factors:

A

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
Q

Pulse sequence and parameter choice determine which factor has most weight

A

→ T1-weighted vs T2-weighted imaging
o details on these pulse sequences and parameter choice: read only (e.g. page 42)

27
Q

T1-recovery time

A

= time it takes the longitudinal magnetization to grow back to 63% of its final value
= spin-lattice relaxation time

28
Q

What is T1-recovery time?

A

The time it takes for longitudinal magnetization to grow back to 63% of its final value.
Also known as spin-lattice relaxation time.

29
Q

What happens during T1-recovery?

A

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
Q

Characteristics of a T1-weighted image

A
  • White matter appears white (shorter relaxation time, less dephasing).
  • Fast T1 = less dephasing = higher signal = brighter image.
  • More dephasing = lower signal = darker image.
31
Q

What is T2-decay?

A

Right after a 90° RF pulse, transverse magnetization is maximized.
Protons collide and begin to dephase, causing the MR signal to decrease.

32
Q

What is T2-decay time?

A

The time it takes for transverse magnetization to decrease to 37% of its starting value.
Also known as spin-spin relaxation time.

33
Q

Characteristics of a T2-weighted image

A

Fast T2 = more dephasing = lower signal = darker image.

34
Q

MRI principles recap

A
  • 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
Q

What are the three main components of an MRI scanner?

A
  • Magnet
  • Gradient coils (create varying magnetic fields)
  • Radio frequency (RF) coil (transmits and measures RF waves)
36
Q

How does the magnet in an MRI scanner work?

A
  • 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
Q

CT scan vs. MRI scan

A

CT scan: Used in clinical settings for inflammation, infection, TBI, stroke, tumors, etc.
MRI scan: Used when no contraindications (e.g., pacemaker) exist.

38
Q

Three structural MRI methods

A
  • T1-weighted MRI (anatomical imaging)
  • Diffusion tensor imaging (DTI)
  • Magnetic resonance spectroscopy (MRS)
39
Q

T1-weighted anatomical imaging: Quality check

A
  • 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
Q

Voxel-Based Morphometry (VBM)

A
  • 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
Q

Examples of neuroanatomical abnormalities

A

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
Q

Relevance of brain structure for behavior

A
  • MRI studies link brain structure to IQ, personality traits (Big Five), etc.
  • Effect sizes are small, but findings are statistically significant.
43
Q

Connectivity in the brain

A
  • “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
Q

Diffusion tensor imaging (DTI)

A

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
Q

Diffusion

A

movement of flow from higher concentration to lower concentration (molecules in this case)

46
Q

What is Diffusion-Weighted Imaging (DWI)?

A
  • 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
Q

Types of diffusion

A

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
Q

Diffusion Tensor and Visualization

A

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
Q

Mean diffusion (MD)

A

Overall amount of diffusion

50
Q

Fractional anisotropy (FA)

A

From zero (isotropic diffusion) to 1 (only diffusion along main axis)

51
Q

Axial and radial diffusivity (AD and RD)

A

amount of diffusion in certain direction: main axis (AD) or other directions (RD)

52
Q

Different indices

A

differential sensitivity to diffusion-related phenomena

53
Q

DTI in Neurological Conditions

A

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
Q

Orientation maps in DTI

A
  • 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
Q

What is Tractography?

A
  • 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
Q

DTI and Behavioral Relevance

A
  • 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
Q

Example DTI - Van de Putte et al. (2018):

A

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
Q

Example tractography - Thiebaut de Schotten et al. (2015)

A

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