Scanners in Real Life Flashcards

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1
Q

What factors affect MRIs slow uptake for the use in Radiotherapy?

A
  • Resolution: can be as low as 1.4x1.4x3mm
  • Geometric Accuracy: Is a function of the manufacturing process, the interaction between B0-field and patient, and the imaging sequence.
  • Compatibility with Treatment systems: Image intensity is qualitative.
  • Availability: Not all centres have them
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2
Q

What are the advantages of CT over MRI in RT planning?

A
  • Intensity calibrated units: relate directly to tissue density.
  • Good resolution: 1x1x2mm
  • Geometric accuracy is a function of the scanner set up.
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3
Q

How does the magnet design affect image accuracy?

A
  • End effects of solenoid depend on length and diameter of the bore. Small thinner bore, fewer end effects, but worse patient comfort and compliance.
  • Inhomogeneity from end effects leads to geometric distortion and B0 is now a function of r.
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4
Q

How does the bore length, width and field strength affect B0 homogeneity?

A

Shorter bore - worse B0 homogeneity.
Wider bore - worse B0 homogeneity.
Higher field - worse B0 homogeneity.

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5
Q

What other problems do MRI systems have for RT compatibility?

A

MRI systems usually have curved beds, RT systems have flat beds.

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6
Q

What are the advantages and disadvantages of open bore systems in RT compatibility?

A

+ Wide patient access, allows the patient to be scanned in the treatment position.
- Lower B0 field, reduced SNR, worse resolution.

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7
Q

How does gradient design affect the image accuracy?

A

High gradient uniformity required, if the gradient is a function of distance then the frequency is no longer linearly related to the location and there will be geometric distortion.

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8
Q

What determines the linearity of a gradient?

A

The accuracy of the gradient windings. Typically gets worse the further off axis you are, causing end effects.

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9
Q

How can gradient non-linearity be corrected?

A

Scan a test object with a uniform structure. Use software to calculate the correction required to shift the points back to the correct place.

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10
Q

How does inductance affect gradient timing?

A

Higher inductance requires a longer time to reach the maximum gradient and also the longer it takes the gradient field to fall to zero afterwards.

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11
Q

How can we overcome inductance effects in gradient coils?

A
  • Design a coil with minimal inductance.
  • Use a high voltage to drive the current rapidly.
  • Drive the gradient coils with a trapezoidal waveform.
    • Rise rate is deliverable in a linear fashion with the capacity of the gradient amplifiers.
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12
Q

How will gradient heating effect image quality?

A

Significant heating can cause thermal expansion which in turn causes geometric changes.
Heating of the local environment can cause more frequency changes and more geometric effects.

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13
Q

How are eddy currents formed by gradient switching?

A
  • Turning gradient on and off causes rate of change of magnetic flux (dB/dt).
  • This magnetic field extends inside and outside the coil.
  • The coil is surrounded by conducting surfaces (e.g. scanner bore tube, internal magnet structures, Rf coil structures)
  • Lenz’s law applies: switching gradients induced a current flow in those surrounding structures, that current creates a magnetic field which opposes the change.
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14
Q

How can we change the gradient waveform to reduce the effect of eddy currents?

A
  • Shield the gradient coils with secondary coils designed to cancel distant field (i.e wound in opposite directions)
  • Pre-emphasise the waveworm: drive the gradient with the opposite function to the eddy current.
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15
Q

How effective is gradient shielding on removing Eddy currents?

A

Can reduce eddy current effect to 1% of un-shielded. This can still lead to significant distortions.

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16
Q

What effects can eddy currents have on the image?

A

They can cause apparent movement in the image.

17
Q

How can RF coils affect the image accuracy?

A

RF coils display spatial sensitivity. In MRI Body coils are used as close as possible to the patient to increase the signal intensity.
Can physically distort soft tissue and affect body contours.

18
Q

How are RF coils used in MRI for RT planning?

A

For RT we can mount the RF coils away from the patient to stop soft tissue distortions but that lowers the SNR as we have increased the distance between the coil and the magnetisation.

19
Q

What are the two types of Patient-Scanner interactions?

A
  • Magnetic Susceptibility effects.

- Dielectric Resonance

20
Q

How does magnetic susceptibility effect image accuracy?

A
  • Human tissues have a range of magnetic susceptibilities.
    -These susceptibilities define the relationship between the applied magnetic field, and the magnetic field stregth, H, within the tissue.
    B=u_0(1+X_m)H
  • Different tissues with have different magnetic fields established by the applied field and cause field gradients between adjacent tissues.
  • This will cause inhomogeneities in the B field (even if it is uniform) and can cause distortion from patient to patient, ROI to ROI or scan to scan (of the same patient).
21
Q

How does dielectric resonance effect image accuracy?

A
  • Tissue has a high dielectric constant, reducing the speed of propagation and the wavelength.
  • In free-space, RF at 3T wavelength is 234cm, in tissue its 30cm - comparable to the size of the object!
  • This causes standing wave effects as RF wave must be continuous at boundaries.
  • Standing waves can lead to image intensity variations, signal voids, and local heating.
22
Q

How can dielectric resonance effects be reduced?

A

Imaging at lower field strength increase wavelength, and so effects are less likely to happen.

23
Q

What are the two approaches we have for reducing the effects of these problems?

A
  • Avoid or minimise the distortion in the first place.

- Correct the distortion in post-processing.

24
Q

Why is noise a problem in MRI?

A
  • Signal is sampled in the presence of noise.
  • Cannot control noise frequencies, much wider thatn signal frequencise.
  • Noise will alias, reducing perfromance.
25
Q

How can noise aliasing be stopped?

A

Apply a filter to allow only the MRI frequencies through to signal processing.

26
Q

What is the sampling dilemma?

A
  • Noise is proportional to (4KTdf)^0.5
  • Low sampling bandwidth (i.e. slow sampling) has significant T2 decay reducing signal but has low noise.
  • High sampling bandwidth (i.e. fast sampling) has less T2 decay (more signal) but also more noise.
27
Q

How does bandwidth affect distortion?

A
  • The offset is given by the ratio of the local field variation, dB0, to the pixel bandwidth, df/N.
  • To minimise distortion use the highest possible bandwidth.