MRI Pulse Sequences and Parameters

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Questions and Answers

A pulse sequence involves a complex interplay of various parameters including RF pulses and gradients to form an MR image.

True (A)

Inversion recovery sequences are primarily applied to gradient echo sequences in practice.

False (B)

Spin Echo (SE) pulse sequence consists of 90-degree and 270-degree RF pulses.

False (B)

The time between two 90-degree pulses is known as TE (Time to Echo).

<p>False (B)</p> Signup and view all the answers

Gradient Echo sequences and Spin Echo sequences are the two main classifications of pulse sequences.

<p>True (A)</p> Signup and view all the answers

Spin Echo sequences are crucial for understanding other imaging sequences.

<p>True (A)</p> Signup and view all the answers

Phase encoding gradient is activated only during the reception of the signal in a pulse sequence.

<p>False (B)</p> Signup and view all the answers

The signal induced in the receiver coil after the 180-degree pulse is known as free induction decay (FID).

<p>False (B)</p> Signup and view all the answers

T2-weighted images are particularly poor at demonstrating pathology due to their inability to show diseased tissues effectively.

<p>False (B)</p> Signup and view all the answers

In a conventional SE sequence, only one echo is obtained per TR.

<p>True (A)</p> Signup and view all the answers

The Turbo factor refers to the number of 90-degree pulses sent after each 180-degree pulse.

<p>False (B)</p> Signup and view all the answers

The SINGLE-SHOT FAST SPIN-ECHO sequence acquires all echoes needed to form an image in multiple TRs.

<p>False (B)</p> Signup and view all the answers

After a 180-degree pulse in a DUAL SPIN-ECHO sequence, the first TE is short, producing proton density weighted images.

<p>True (A)</p> Signup and view all the answers

The amplitude of the signal generated in a FAST (TURBO) SPIN-ECHO sequence remains constant regardless of the increasing TE.

<p>False (B)</p> Signup and view all the answers

Turbo spin-echo sequences increase scan time when using a short turbo factor.

<p>False (B)</p> Signup and view all the answers

Multiple echoes are obtained in a fast SE sequence due to sending multiple 90-degree pulses after a single 180-degree pulse.

<p>False (B)</p> Signup and view all the answers

In GRE sequences, a 180-degree pulse is utilized for rephasing the transverse magnetization.

<p>False (B)</p> Signup and view all the answers

The scanning time in GRE sequences can be reduced due to the smaller flip angle, which is usually less than 90 degrees.

<p>True (A)</p> Signup and view all the answers

T2 relaxation in GRE sequences is referred to as T2* (T2 star) due to the effects of magnetic field inhomogeneity.

<p>True (A)</p> Signup and view all the answers

Coherent GRE sequences destroy the residual transverse magnetization after each TR to avoid interference.

<p>False (B)</p> Signup and view all the answers

Half of the K-Space is acquired in a single excitation in the SINGLE-SHOT FAST SPIN-ECHO sequence.

<p>True (A)</p> Signup and view all the answers

SE sequences utilize a gradient-based approach for rephasing transverse magnetization.

<p>False (B)</p> Signup and view all the answers

The GRADIENT ECHO sequence is characterized by a longer TR compared to SE sequences.

<p>False (B)</p> Signup and view all the answers

In spoiled GRE sequences, the residual transverse magnetization is preserved to enhance signals.

<p>False (B)</p> Signup and view all the answers

Flip angles of 30° to 45° with TR of 20 to 50 ms favor the steady state.

<p>True (A)</p> Signup and view all the answers

Steady state sequences generally have long TR and TE values.

<p>False (B)</p> Signup and view all the answers

Inversion Recovery sequences are primarily used to enhance T2 weighting in images.

<p>False (B)</p> Signup and view all the answers

Prior to the 90-degree pulse in Inversion Recovery, a 180-degree pulse is applied to saturate the tissues.

<p>True (A)</p> Signup and view all the answers

Protons in water recover faster than protons in fat according to their T1 values.

<p>False (B)</p> Signup and view all the answers

The B-Incoherent Gradient Echo pulse sequence uses frequency encoding gradient rephasing.

<p>True (A)</p> Signup and view all the answers

SS sequences can be used to study rapid physiologic processes due to their slow acquisition speeds.

<p>False (B)</p> Signup and view all the answers

The residual transverse magnetization effects on image contrast are minimized in Incoherent Gradient Echo sequences.

<p>True (A)</p> Signup and view all the answers

B-DIFFUSION WEIGHTED IMAGING (DWI) uses either GRE or FPI sequences to demonstrate areas with restricted diffusion.

<p>False (B)</p> Signup and view all the answers

DWI is primarily useful in the brain to identify salvageable and non-salvageable tissue after a stroke.

<p>True (A)</p> Signup and view all the answers

The technique of Magnetization Transfer (MT) contrast increases the visibility of stationary nuclei and decreases the visibility of flowing nuclei.

<p>False (B)</p> Signup and view all the answers

Time of Flight MRA (TOF-MRA) typically uses incoherent GRE pulse sequences combined with TR and flip angle adjustments.

<p>False (B)</p> Signup and view all the answers

Phase Contrast MRA (PC-MRA) provides excellent background suppression but has longer scan times compared to other techniques.

<p>True (A)</p> Signup and view all the answers

The A-STIR sequence is designed to suppress the signal from fat tissue using a TI value of around 100-200 ms.

<p>True (A)</p> Signup and view all the answers

The B-FLAIR sequence typically uses a TI value of around 100-200 ms to suppress fluid signals.

<p>False (B)</p> Signup and view all the answers

Inversion Recovery (IR) sequences utilize a 90-degree pulse after a 180-degree inversion pulse.

<p>True (A)</p> Signup and view all the answers

4-Echo Planar Imaging (EPI) fills all lines of K-Space in multiple TRs to form an image.

<p>False (B)</p> Signup and view all the answers

GE-EPI sequences are slower than SE-EPI sequences.

<p>False (B)</p> Signup and view all the answers

Spin echo echo planar imaging (SE-EPI) uses multiple 90° pulses instead of 180° pulses.

<p>False (B)</p> Signup and view all the answers

In IR sequences, if the timing corresponds with the recovery of a specific tissue, no signal will be detected from that tissue.

<p>True (A)</p> Signup and view all the answers

Perfusion Weighted Imaging (PWI) utilizes GRE sequences solely for dynamic MR imaging of brain lesions.

<p>False (B)</p> Signup and view all the answers

Flashcards

What is a pulse sequence?

A pulse sequence is a structured set of radiofrequency (RF) pulses and magnetic field gradients used to generate an MR image.

How are pulse sequences classified?

Pulse sequences are broadly categorized into spin echo and gradient echo sequences.

Explain the key components of a spin echo sequence.

A spin echo sequence involves two primary RF pulses: a 90-degree pulse to tip the magnetization and a 180-degree pulse to rephase the protons.

What are TR and TE in a spin echo sequence?

The time between two 90-degree pulses is called the repetition time (TR), and the time between the 90-degree pulse and the echo signal is called the echo time (TE).

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What is Inversion Recovery (IR) in MRI?

Inversion Recovery (IR) is a technique applied to spin-echo sequences where a 180-degree pulse is used to invert the magnetization before the 90-degree pulse. This helps to suppress signal from certain tissues.

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What is Echo Planar Imaging (EPI)?

Echo planar imaging (EPI) is a technique used with gradient echo sequences to rapidly acquire data by applying a series of gradient pulses to encode spatial information.

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What is a gradient echo sequence?

Gradient echo sequences use gradient pulses to dephase and rephase the magnetization instead of a 180-degree pulse like spin-echo.

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Why is the spin echo sequence important?

The spin echo sequence, with its two key pulses and defined timing parameters, forms the foundation for understanding other more complex pulse sequences.

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What are the modifications of SE sequences?

In conventional SE sequence, one line of K-Space is filled per TR. This is modified to have more than one echo (line of K-Space) per TR, sending multiple 180-degree pulses after the 90-degree pulse. Each 180-degree pulse obtains one echo.

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What is a Dual Spin-Echo Sequence?

This sequence involves sending two 180-degree pulses after each 90-degree pulse, acquiring two echoes per TR. The PD + T2 double echo sequence is an example.

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What is a Fast (Turbo) Spin-Echo Sequence?

This sequence sends multiple 180-degree pulses after each 90-degree pulse, acquiring multiple echoes per TR. Each echo fills a single K-Space line, resulting in faster scanning.

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What is a Single-Shot Fast Spin-Echo Sequence?

This sequence acquires all echoes needed to form an image in a single TR, using many 180-degree pulses.

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What is a Turbo Factor?

The number of 180-degree pulses sent after each 90-degree pulse in a Fast Spin-Echo sequence. It determines the speed and weighting of the image.

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What is TE Effective?

The TE at which the center of K-Space is filled in a Fast Spin-Echo sequence. It determines the weighting of T1 and T2.

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What are T1-weighted images good for?

This technique uses a long TR and short TE to primarily visualize proton density. It's one of the most widely used techniques for generating images.

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What are T2-weighted images good for?

This technique uses a long TR and long TE to primarily visualize water content. It helps identify areas of inflammation and disease.

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Gradient Echo (GRE) Sequence

A type of MRI sequence where the signal is produced by a gradient echo, meaning that the signal is rephrased by gradients instead of a 180 degree pulse. This allows for faster scanning times.

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T2*

In a GRE sequence, the dephasing caused by magnetic field inhomogeneity is not eliminated because there is no 180-degree pulse. This results in a faster T2 decay, often referred to as T2*.

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Spoiled or Incoherent GRE

A type of GRE sequence where the residual transverse magnetization is destroyed after each TR, preventing it from interfering with the next TR. This results in a more controlled signal and can help create stronger image contrast.

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Steady State (SS) or Coherent GRE

A type of GRE sequence where the residual transverse magnetization is not destroyed, but rather refocused. This allows for a steady state of magnetization, resulting in consistent signal intensity over time.

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T1 Relaxation

The time it takes for the longitudinal magnetization to recover to 63% of its original value after an RF pulse. It is a crucial parameter in determining the scan time and image contrast.

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T2 Relaxation

The time it takes for the transverse magnetization to decay to 37% of its original value. It is influenced by factors such as magnetic field inhomogeneity and is another key parameter that affects the image contrast

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Half-Fourier Acquisition

A type of pulse sequence that only acquires a portion of the k-space data, the other half being reconstructed mathematically using a half-Fourier transform. This results in significantly faster scan times.

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Single-Shot Fast Spin-Echo (SSFSE)

A type of MRI sequence that acquires all of the K-space data in a single excitation, significantly reducing the scan time by half.

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Incoherent (Spoiled) Gradient Echo Sequence

A type of pulse sequence that uses a variable flip angle excitation pulse and frequency encoding gradient rephasing to produce a gradient echo. It also 'spoils' or dephased the remaining transverse magnetization to minimize its effect on image contrast, resulting in increased T1 weighting.

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Inversion Recovery (IR) Sequence

This sequence uses a 180-degree inverting pulse before the usual spin-echo or gradient echo sequence, typically with spin echoes. The inverting pulse flips the longitudinal magnetization (LM) from positive to negative, causing saturation of all tissues. Then, as tissues recover their LM at different rates depending on their T1 values, the 90-degree pulse is applied, leading to increased T1 contrast in the images.

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Inversion Time (TI)

The time interval between the inversion 180-degree and the excitatory 90-degree pulses.

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Steady State (SS) Sequence

A type of magnetic resonance imaging (MRI) sequence that uses a series of short repetition times (TR) and echo times (TE) to allow for rapid image acquisition. It emphasizes steady-state saturation, resulting in bright signal from tissues with long T2 values.

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Steady State Free Precession (SSFP)

A specific type of steady-state sequence that uses a coherent gradient echo pulse. It enhances T2 weighting.

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Echo Time (TE)

The time interval between the application of a 90-degree excitation pulse and the receipt of an echo signal.

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What is Diffusion-Weighted Imaging (DWI)?

A type of MRI imaging that uses either GRE or EPI sequences to highlight areas of restricted diffusion of extracellular water, often seen in conditions like infarction. The affected area shows up as bright on the images. It's particularly helpful in differentiating between recoverable and irreparable brain tissue after a stroke.

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What is Functional MRI (fMRI)?

A dynamic MRI technique that captures images of the brain while a person is performing a task or at rest. It allows researchers to study brain activity in real-time by observing changes in blood flow and oxygen levels.

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What is Magnetization Transfer (MT) Contrast in MRI?

A technique that reduces background signal to improve the visibility of blood vessels and specific disease processes. It makes features like vessels stand out more clearly.

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What is Magnetic Resonance Angiography (MRA)?

A specialized MRI technique designed to visualize blood vessels by detecting the difference in signal intensity between flowing blood and stationary tissue. This creates a clearer picture of blood vessels compared to standard MRI.

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What is Time of Flight MRA (TOF-MRA) and what is it used for?

A technique that uses coherent GRE pulse sequences to saturate background tissue while allowing flowing blood to show a strong signal. It's commonly used to visualize arteries and veins in the head, neck, and limbs.

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What is Phase Contrast MRA (PC-MRA)?

A technique utilizing coherent GRE sequences to suppress background signal and provide detailed images of blood vessels. Although it offers excellent background suppression, it typically involves longer scan times compared to other MRA techniques.

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What is a STIR sequence?

Short Inversion Recovery (STIR) is an IR sequence variation that utilizes a short TI value to suppress the signal from fat. By selecting a TI corresponding to the time it takes for fat to recover from inversion to the transverse plane, the fat signal is nullified, leaving only other tissues in the image.

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What is a FLAIR sequence?

Fluid Attenuated Inversion Recovery (FLAIR) is an IR sequence variation that utilizes a longer TI value (around 2000ms) to suppress the signal from free water. This makes it ideal for visualizing lesions or structures that have a high water content, as the background water signal is reduced.

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What is Single Shot EPI (SS-EPI)?

Single Shot EPI (SS-EPI) is a variation of EPI where all the lines of k-space required to form an image are acquired in a single TR.

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What is Spin Echo EPI (SE-EPI)?

Spin Echo EPI (SE-EPI) is a type of EPI where multiple 180-degree pulses are used to generate echoes, contributing to the image formation.

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What is Gradient Echo EPI (GE-EPI)?

Gradient Echo EPI (GE-EPI) is a variation of EPI where gradient pulses are used for rephasing instead of a 180-degree pulse. This allows for quicker acquisition times compared to SE-EPI.

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What is Perfusion Weighted Imaging (PWI)?

Perfusion Weighted Imaging (PWI) is a dynamic MR imaging technique that utilizes gradient echo (GRE) or EPI sequences with contrast agents to assess the uptake of the contrast agent in lesions. It is used in studying vascular abnormalities in various organs such as brain, pancreas, liver, and prostate.

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Study Notes

Pulse Sequences and Image Contrast

  • The presentation discusses pulse sequences used in medical imaging, specifically Magnetic Resonance Imaging (MRI).
  • A pulse sequence is a series of parameters and events using radiofrequency (RF) pulses and magnetic field gradients to create an MRI image.
  • The pulse sequence charts the interplay of patient longitudinal magnetization, RF pulse transmission (degrees), spatial localization gradients (X, Y, Z), signal acquisition (echoes), and filling of K-Space with acquired signals.

Outline of Presentation

  • The presentation outlines the following pulse sequences:
    • Spin Echo (SE)
    • Modifications of SE sequences (Dual Spin-Echo, Fast (Turbo) Spin-Echo, Single-Shot Fast Spin-Echo)
    • Gradient Echo (GRE)
    • Types of GRE sequences (Steady-State, Incoherent)
    • Inversion Recovery (IR)
    • Types of IR sequences (STIR, FLAIR)
    • Echo Planar Imaging (EPI)
  • Specific examples of EPI sequences (Perfusion Weighted Imaging (PWI), Diffusion Weighted Imaging (DWI), Functional MRI (fMRI), Magnetization Transfer (MT) Contrast, Magnetic Resonance Angiography (MRA), Time of Flight (TOF-MRA), Phase Contrast (PC-MRA)).

What is a Pulse Sequence?

  • A pulse sequence is a time-ordered interplay of events involving RF pulses (e.g., 90°, 180°) and gradients to create an MR image.
  • It details the patient's net longitudinal magnetization.
  • It describes RF pulse transmissions (90°, 180°, etc., or any degree).
  • It explains the activation of X, Y, and Z gradient fields for spatial localization.
  • It clarifies signal (echo) acquisition and K-Space filling with acquired data.

Spin Echo (SE)

  • The SE sequence uses 90° and 180° radiofrequency pulses.
  • The 90° pulse tilts the net magnetization vector from the z-axis to the transverse (XY) plane.
  • A weak signal (free induction decay – FID) is induced.
  • The 180° pulse rephases the dephasing magnetization, resulting in a stronger signal (spin echo).
  • TR (Time to Repeat) is the time between successive 90° pulses.
  • TE (Time to Echo) is the time between the 90° pulse and the echo signal.

Modifications of SE Sequences

  • Dual Spin-Echo: Uses two 180° pulses per 90° pulses, producing two echoes per TR (Time to Repeat). This sequence yields both proton density and T2-weighted images.
  • Fast (Turbo) Spin-Echo: Sends multiple 180° pulses after a 90° pulse, generating multiple echoes in a single TR. This greatly speeds up image acquisition. Retains T1 and T2 information.
  • Single-Shot Fast Spin-Echo: Acquires multiple echoes in a single TR, further reducing scan time and obtaining almost half the K-space information in one excitation.

Gradient Echo (GRE)

  • GRE sequences lack 180° pulses.
  • Rephasing of magnetization is achieved by reversing gradients in the frequency encoding direction.
  • Flip angles are generally smaller than those in SE sequences (often less than 90°).
  • GRE sequences are faster due to reduced TR values.
  • Two types: Steady-state (coherent) and Incoherent (spoiled).

Inversion Recovery (IR)

  • IR sequences include an initial 180° pulse before a conventional spin-echo sequence.
  • This inverts the longitudinal magnetization, eventually recovering to a positive value, allowing for better contrast.
  • The time between the 180° pulse and the subsequent 90° excitation pulse (TI) is critical in determining tissue contrast.
  • Two main types used in MRI: STIR and FLAIR.

Echo Planar Imaging (EPI)

  • EPI acquires multiple K-space lines in a single TR, drastically reducing scan time.
  • Two variations: spin-echo (SE-EPI); and gradient-echo (GE-EPI).
  • EPI is used in dynamic imaging, diffusion weighting, perfusion imaging, and functional magnetic resonance imaging (fMRI).

Additional Techniques

  • Perfusion Weighted Imaging (PWI): Dynamic imaging using contrast medium to study blood flow and tissue uptake.
  • Diffusion Weighted Imaging (DWI): Evaluating restricted water diffusion, enhancing contrast to detect areas of injury or ischemia. Common for stroke detection.
  • Functional MRI (fMRI): Measures brain activity through changes in blood flow and oxygenation. Useful in mapping brain functions.
  • Magnetization Transfer (MT) Contrast: Suppressing background tissue to enhance the visibility of vessels and certain diseases.
  • Magnetic Resonance Angiography (MRA): Acquiring images of blood vessels with high contrast.
  • Time-of-Flight (TOF-MRA) and Phase Contrast (PC-MRA): Highlighting moving blood in vessels and blood flow. These techniques are used in vascular evaluation.

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