30 Questions
What is the primary reason MRI students need to understand pulse sequences?
To perform MRI exams effectively and keep up-to-date with MRI technology
What is the primary advantage of the Conventional Spin Echo pulse sequence?
Good image quality and true T2 weighting
What determines the image weighting, contrast, and quality in an MRI exam?
The type of pulse sequence used
What type of pulse sequence is used for almost every examination?
Conventional Spin Echo pulse sequence
Why is it important for MRI students to keep up-to-date with the latest advances in pulse sequences and MRI technology?
To provide the best possible care for their patients
What is the primary difference between the Conventional Spin Echo and Fast Spin Echo pulse sequences?
Number of 180° rephasing RF pulses
What can be adjusted to optimize pulse sequences and improve image quality?
The repetition time (TR) and echo time (TE)
Why are pulse sequences the fundamental building blocks of MRI exams?
Because they are the foundation of MRI exams
What type of pulse sequence is often used for proton density weighting?
Spin Echo pulse sequence
What is a disadvantage of the Conventional Spin Echo pulse sequence?
Scan times are relatively long
What is a key benefit of understanding pulse sequences in MRI?
Accurate interpretation of MRI results
What is the purpose of the 180° rephasing RF pulse in the Spin Echo pulse sequence?
To rephase the spins
What is the primary purpose of the STIR pulse sequence?
To suppress the fat signal from the anatomy of interest
What is the typical TI value used in the STIR pulse sequence?
Around 100-200 ms
What is a disadvantage of using STIR pulse sequences?
Should not be used with contrast enhancement
What is the purpose of the FLAIR pulse sequence?
To suppress the signal from CSF containing areas
What is a characteristic of Gradient Echo pulse sequences?
Use of variable flip angles and lesser repetition time
What is an advantage of using T1 weighted images?
Very good signal-to-noise ratio
What is the optimal flip angle and TR range for favouring the steady state?
Flip angle of 30° to 45° with TR of 20 to 50 ms
What is the primary difference between coherent and incoherent GE pulse sequences?
The effect on residual transverse magnetization
What is the advantage of coherent GE pulse sequences in angiography?
Faster scans with higher T2* dependence
What is the disadvantage of coherent GE pulse sequences in 2D acquisitions?
Poor SNR
What is the purpose of spoiling in incoherent GE pulse sequences?
To dephase the residual transverse magnetization
What is the advantage of incoherent GE pulse sequences in volume acquisitions?
Good SNR in volume acquisitions
What is the primary purpose of MRA techniques?
To see the blood vessels more clearly than surrounding
Which type of MRA technique is commonly used in conjunction with incoherent GRE pulse sequences?
Time of flight MRA
What is the advantage of Phase-contrast MRA over Time of flight MRA?
Better background suppression
Which type of pulse sequences are typically used in MRA to show flowing vessels as bright?
GRE pulse sequences
What is the primary difference between Time of flight MRA and Phase-contrast MRA?
The type of pulse sequences used
Which of the following is NOT a benefit of MRA techniques?
High signal intensity from stationary nuclei
Study Notes
Pulse Sequences
- A pulse sequence is a specific set of magnetic field gradients and radiofrequency pulses used to generate an MRI image
- The type of pulse sequence determines the image weighting, contrast, and quality
Coherent (In-Phase) Gradient Echo Pulse Sequences
- Uses a variable flip angle excitation pulse followed by a frequency encoding gradient rephasing
- Maintains the steady state by selecting a TR shorter than the T1 and T2 times of the tissues
- Tissues with long T2 values appear with high signal intensity
- Uses: Increased T2* dependence, very fast scans, preserves transverse signal, good for angiography, can be acquired in a volume acquisition
- Disadvantages: More gradient noise to the patient, poor SNR in 2D acquisitions compared to spin echo, more magnetic susceptibility
Incoherent (Spoiled) Gradient Echo Pulse Sequences
- Spoils the residual transverse magnetization, minimizing its effect on image contrast
- Uses: Increased T1 weighting, good SNR in volume acquisition, can be acquired in 2D or volume, breath-holding is possible
Pulse Sequence Types
- Spin Echo (SE) pulse sequences
- Conventional Spin Echo (CSE) pulse sequence
- Fast Spin Echo (FSE) pulse sequence
- Inversion Recovery (IR) pulse sequences
- STIR (Short Inversion Recovery)
- FLAIR (Fluid Attenuated Inversion Recovery)
- Gradient Echo (GE) pulse sequences
- Coherent gradient echo pulse sequence
- Incoherent gradient echo pulse sequence
- Steady State Free Precession (SSFP)
- Ultrafast imaging
- Echoplanar imaging
Conventional Spin Echo (CSE) Pulse Sequence
- Uses a 90° excitation RF pulse followed by 180° rephasing RF pulse
- Advantages: Good image quality, true T2 weighting is possible
- Disadvantages: Scan times are relatively long, more RF power deposition in the body
Fast Spin Echo (FSE) Pulse Sequence
- Uses a 90° excitation RF pulse followed by several 180° rephasing RF pulses
Magnetic Resonance Angiography (MRA)
- Allows acquisition of images with high signal from flowing nuclei and low signal from stationary nuclei
- Uses GRE pulse sequences to show flowing vessels as bright
- Two types of MRA techniques: Time of Flight (TOF-MRA) and Phase-Contrast MRA (PC-MRA)
Time of Flight MRA (TOF-MRA)
- Uses incoherent GRE pulse sequences in conjunction with TR and flip angle combinations that saturate background tissue
- Demonstrates arterial and venous flow in head, neck, and peripheral vessels
Phase Contrast MRA (PC-MRA)
- Uses coherent GRE sequences, providing excellent background suppression
- Disadvantage: Longer scan times than TOF-MRA
STIR (Short Inversion Recovery) Pulse Sequence
- Suppresses the fat signal from the anatomy of interest
- Uses a TI value that corresponds to the time it takes fat to recover from full inversion to the transverse plane
- Disadvantage: Should not be used with contrast enhancement
FLAIR (Fluid Attenuated Inversion Recovery)
- Uses a TI value around 2000 ms
- Suppresses the signal from CSF-containing areas
Learn about the different pulse sequences in MRI and how they affect image weighting, contrast, and quality. Understand the importance of pulse sequences in performing MRI exams and how they impact diagnostic results.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
