MRI Flashcards

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1
Q

benefits of MRI

A
No ionising radiation
Uses magnetic fields and radiofrequency pulses
Allows repeat studies
Non-invasive
Excellent soft tissue detail
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2
Q

negatives of MRI

A

Expensive hardware
Time consuming scans (cf CT secs v 10 x min)
Some participants cannot be scanned
cant scan everyone - metal implants, obese

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3
Q

what is the magnetic field measured in

A

TESLA (T)

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4
Q

what is the most common magentic field strength used in clinical use

A

1.5T

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5
Q

why do we use hydrogen

A

Has spin. Other nuclei like carbon and oxygen do not
Plentiful in body (density varies with tissue type)
Hydrogen + carbon = fat
Hydrogen + oxygen = water

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6
Q

what happens to hydrogen in a magnetic field

A

Two orientations: parallel or antiparallel
Systems prefer low energy to high energy, so:
The parallel orientation (the “right” way) is a low-energy state
The antiparallel orientation (the “wrong” way) is a high-energy state

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7
Q

why arent all protons the “right”wat in the parallel alignment

A

Because heat provides energy to move protons to the high-energy (antiparallel) state-and energy gap is very small (depending on magnet strength)
That’s why the magnetic field must be strong – to overcome the effect of heat and produce a significant net alignment of the protons

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8
Q

how do you know where the signal comes from

A

the RF energy you collect will have an energy that is position dependent
This means the signal you now collect will contain a ‘code’ that tells you where it originated.

This is the key to constructing an image which is basically a ‘signal map’.

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9
Q

typical scan sequence to get one image

A

5 minute sequence

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10
Q

what is the echo time

A

Time between putting signal in and picking it up

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11
Q

what is the repetition time

A

Time between putting each signal in

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12
Q

why do you keep chnaging the magnetic field across the body during the scan

A

gives equal distribution and good quality image

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13
Q

are more or less repetitions required if the resolution is higher

A

more reptitions = higher resolution

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14
Q

what is the benefit of tissues having different characteristics in the rate they lose energy

A

allows different types of MRI scan to be performed that result in different signal contrasts

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15
Q

what is relaxation

A

the rate energy is lost

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16
Q

what are the three types of relaxation

A

T1-TR
T2-TE
T2*-TE

17
Q

what is quenching

A

Deliberate or accidental release of liquid helium removes magnetic field
Risk of frostbite, suffocation (due to replacement of oxygen) or trapping of personnel (due to increased ‘air’ pressure).

18
Q

what has the slowest relaxation time

A

water

19
Q

what has the fastest relaxation time

A

fat

20
Q

in a T2 weight image what are the relaxtation times of water and fat

A

water - high

fat - low

21
Q

in a T1 weight image what are the relaxtation times of water and fat

A

water - low

fat - high

22
Q

effect of short tR

A

maximise T1 contrast

23
Q

effect of long TR

A

maximise T2 contrast

24
Q

effect of short TE

A

maxmises T2 contrast

25
Q

effect of long TE

A

mamxise t2 contrast

26
Q

what imaging is produced from a short TR and TE

A

T1W

27
Q

what imaging is produced from a long TR and TE

A

T2W

28
Q

use of DWI in MI

A

Acutely infarcted tissue can look normal on standard MRI
After 1 hour post cerebral artery occlusion changes have been seen on DWI but T1 & T2 retain normal appearance. T2 changes may take up to 12 hrs.
Approx stage of infarction can be identified – clinically significant
88-100% acute or subacute infarcts may be identified

29
Q

use of perfusion scanning

A

Image demonstrates cardiac muscle perfusion

May also be used in the brain to evaluate salvageable cerebral tissue in case of stroke

30
Q

why do you need a RF generator

A

The energy difference between the two states is very small-corresponds to a radio wave energy level