NEURO MRI PHYSICS Flashcards

1
Q

What is SWI?

A
  • Susceptibility weighted imaging
  • particularly sensitive to compounds which distort the local magnetic field
    • blood products
    • calcium, etc.
  • 3D high-spatial-resolution
  • fully velocity corrected
  • gradient-echo MRI sequence
  • Compounds that have
    • paramagnetic,
      • deoxyhemoglobin
      • ferritin
      • haemosiderin
    • diamagnetic
      • bone minerals
      • Dystrophic calcification
    • ferromagnetic properties
  • all interact with the local magnetic field distorting it
  • thus altering the phase of local tissue
  • which, in turn, results in a change of signal 2.

USE:

  • identification of small amounts of hx/blood products or calcium in the brain
  • Can also see veins as dexoygaemoglobin as DEOXYHAEMOGLOBIN results in both a loss in magnitiud and a shift in phase
  • Distinguishing between calcification (made up primarily of calcium phosphate, but also containing very small amounts of copper (Cu), manganese (Mn), zinc (Zn), magnesium (Mg), and iron (Fe)) 3 and blood products is not possible on the post-processed SWI images as both demonstrate signal drop out and blooming.
  • The filtered phase images are, however, able to (in most cases) distinguish between the two as diamagnetic and paramagnetic compounds will affect phase differently (i.e. veins/haemorrhage and calcification will appear of opposite signal intensity) 3.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What sets of Data are taken in SWI?

A
  1. Magnitude image
  2. phase image (passed through a high pass filter to remove artefacts)
  3. SWI susceptibility weighted image
  4. mIP minim intensity projection

https://www.youtube.com/watch?v=QaMkM7hNXTg

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

How is a Magnitude SWI image made?

A

https://www.youtube.com/watch?v=QaMkM7hNXTg

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

What are 3 PARAMAGNETIC COMPOUNDS?

A
  • Ferritin
  • Deoxyhaemoglobin
  • Hemosiderin
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What determines if something is PARAMAGNETIC?

A

The images explain pretty much tells you everything there is to know!

Paramagnetic compounds (and atoms) are attracted to magnetic fields while diamagnetic compounds (and atoms) are repelled from magnetic fields.

Paramagnetic compounds have unpaired electrons while in diamagnetic compounds the electrons all have paired spins.

Very few individual atoms are paramagnetic since this requires having a half-filled MO. In contrast, nearly all molecules are diamagnetic (O2 is a notable exception). That is, they essentially have all paired electrons in MOs.

Key points:

Any time two electrons share the same orbital, their spin quantum numbers have to be different. Whenever two electrons are paired together in an orbital, or their total spin is 0, they are diamagnetic electrons. Atoms with all diamagnetic electrons are called diamagnetic atoms.

A paramagnetic electron is an unpaired electron. An atom is considered paramagnetic if even one orbital has a net spin. An atom could have ten diamagnetic electrons, but as long as it also has one paramagnetic electron, it is still considered a paramagnetic atom.

Diamagnetic atoms repel magnetic fields. The unpaired electrons of paramagnetic atoms realign in response to external magnetic fields and are therefore attracted. Paramagnets do not retain magnetization in the absence of a magnetic field, because thermal energy randomizes electron spin orientations.

Summary:

The magnetic properties of a substance can be determined by examining its electron configuration: If it has unpaired electrons, then the substance is paramagnetic and if all electrons are paired, the substance is then diamagnetic

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

What are 2 examples of diamagnetic compounds?

A
  • Bone Minerals
  • Distrophic calcificaitons
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What to watch for in SWI/Phase images?

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

What 2 things are dark on SWI on a normal MRI brain and why?

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

What are 6 uses of SWI?

A
  1. Traumatic Brain injury
  2. Coagulopathic or other hemorrgic disoders
  3. Vascular malformations
  4. Cerebral infarction
  5. neoplasms
  6. Neurodegenerative disorders a/w intracranial calcification or iron deposition.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What two types of substances are dark on SWI?

A

Diamagnetic and paramagnetic substances both cause drop out on SWI.

How to differentiate these?

Look at the PHASE image.

Bright on phase image = DIAMAGNETIC = CALCIUM (ie calcium in DI-et -> DIAMAGNETIC)

Dark on PHASE image = PARAMAGNETIC = deoxyBlood (ie blood! need a PARAMEDIC = PARAmagnetic).

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

Which is the:

Phase image

Magnitude image?

Why?

A

https://www.youtube.com/watch?v=QaMkM7hNXTg

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

WHat is the LEFT handed and RIGHT handed imaging system?

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

WHat does this show in this tumour?

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