MRI Flashcards

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1
Q

MRI details

A
  • no IR
  • uses magnetic properties of hydrogen
  • structural and functional modality
  • great soft tissue imaging
  • great image quality in head and neck, pelvic and hip bones
  • can view in all planes
  • uses NMR
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2
Q

what can’t occur

A

LOCALISATION: as the treatment position is altered due to the magnetic coils

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3
Q

what is NMR

A

the magnetic resonance transition of nuclear spin states when a radio frequency signal is applied in the presence of a magnetic field

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4
Q

why is there a net spin

A

due to an uneven number of protons and neutrons, hydrogen atoms align the precession of the spin occurs at a characteristic frequency

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5
Q

what happens to the protons in hydrogen when there is a stronger magnetic field

A

they will temporarily change direction, the protons will align with the external magnetic field

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6
Q

what is the measurement of the protons relaxing

A

T1 and T2

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7
Q

what is T1

A

time constant for the time of the longitudinal magnetism to return - relaxation phase

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8
Q

describe the alignment etc process T1

A
  • changes in the magnetic field causes changes in the electrical field
  • the coil creates an electrical field which runs through
  • a measurement is taken for the change from longitudinal to transverse
  • the energised protons lose energy from the RF pulse relaxing back into the longitudinal arrangement
  • transverse component decays
  • longitudinal component is re-established
  • exponent; effect
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9
Q

describe T2

A
  • protons experience interface from another spin magnet nearby which then becomes affected
  • which decays the transverse magnetic component
  • orientation becomes random
  • exponential with time
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10
Q

what are the 4 principles in MRI

A
  1. the nucleus
  2. magnetism
  3. placing the body in a magnetic field
  4. introducing a RF pulse
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11
Q

describe the nucleus step within the principles

A
  • H has an uneven spin
  • velocity is constant
  • lamor frequency = number of spins
  • the direction of axis spin can change
  • proton spin produces an electrical current
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12
Q

describe the magnetism stage

A
  • hydrogen has the highest magnetic signal
  • the normal state has no magnetisation
  • random alignment
  • MRI uses the combined effect of a group of protons
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13
Q

describe the placing the body in a magnetic field stage

A
  • alignment occurs in one direction
  • along the long axis there is a small magnetisation
  • the precessing spin magnets emit RF waves
  • signal is weak
  • temporary effect under the influence of the magnet
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14
Q

describe the introduction of the RF pulse phase

A
  • the RF pulse frequency = number of protons in hydrogen
  • introducing an RF pulse then changes the orientation
  • RF is perpendicular to the long axis of the magnet
  • if the Lamar frequency is equal to the hydrogen protons. then they change direction
  • spin magnets flip 90
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15
Q

what happens when the protons flip 90 back

A

they reduce net magnetisation to 0 and some magnetisation is established in the transverse direction. They resonate, precess in synchrony, which causes the transverse magnetic signal to become strong

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16
Q

what prep is needed for MRI

A
  • coil positioning
  • breathing instructions
  • contrast
17
Q

what are the limitations

A
  • pregnant women
  • cardiac pacemaker
  • cochlear implant
  • clips for brain aneurysms
  • metallic objects
  • acoustic noise
  • claustrophobia
18
Q

what are the considerations

A
  • patient movement
  • 3D planning system
  • QA programme
  • coils
  • dish couches
  • mineral filled catheters
  • surgical clips as tumour bed markers
  • immobilisation and reproducibility
  • patient size
19
Q

advantages in RT localisation

A
  • contrast may be altered
  • no effects with the artefacts
  • BEV for beam
  • visualises tumours in difficult areas
  • good visualisation against normal tissue
  • 3D
  • open design so patient friendly
20
Q

disadvantages in RT localisation

A
  • inferior imaging for bony structures
  • image registration is difficult
  • no electron density
  • catheters for marking are larger than in CT
  • cost and accessibility
  • head and body could
  • long scan times
  • head MRI compatible accessorises
  • distortions especially in large fields
21
Q

describe the use of contrast

A
  • oral or iv
  • safer than conventional
  • re-allergies
  • good kidney function
  • high magnetic signal