MRI at a Glance Third Edition Catherine Westbrook ne s elf test nli an d o m h o ti er w MRI at a Glance This new edition is also available as an e-book. For more details, please see www.wiley.com/buy/9781119053552 or scan this QR code: MRI at a Glance Third Edition Catherine Westbrook Department of Medicine and Healthcare Science Faculty of Medical Science Anglia Ruskin University Cambridge, UK This edition first published 2016 © 2016 by John Wiley & Sons, Ltd. 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Cover image: © Getty Images/Yuji Sakai Set in 9.5/11.5pt Minion Pro by Aptara Inc., New Delhi, India 1 2016 Contents Preface vii Acknowledgements viii How to use your textbook ix About the companion website xi 1 Magnetism and electromagnetism 2 2 Atomic structure 4 3 Alignment 6 4 Precession 8 5 Resonance and signal generation 10 6 Contrast mechanisms 12 7 Relaxation mechanisms 14 8 T1 Recovery 16 9 T2 decay 18 10 T1 weighting 20 11 T2 weighting 22 12 PD weighting 24 13 Conventional spin echo 26 14 Fast or turbo spin echo – how it works 28 15 Fast or turbo spin echo – how it is used 30 16 Inversion recovery 32 17 Gradient echo – how it works 34 18 Gradient echo – how it is used 36 19 The steady state 38 20 Coherent gradient echo 40 21 Incoherent gradient echo 42 22 Steady-state free precession 44 23 Balanced gradient echo 46 24 Ultrafast sequences 48 25 Diffusion and perfusion imaging 50 26 Functional imaging techniques 52 27 Gradient functions 54 28 Slice selection 56 29 Phase encoding 58 30 Frequency encoding 60 31 K space – what is it? 62 v 32 K space – how is it filled? 64 33 K space and image quality 66 34 Data acquisition – frequency 68 35 Data acquisition – phase 70 36 Data acquisition – scan time 72 37 K space traversal and pulse sequences 74 38 Alternative K space filling techniques 76 39 Signal to noise ratio 78 40 Contrast to noise ratio 80 41 Spatial resolution 82 42 Chemical shift artefacts 84 43 Phase mismapping 86 44 Aliasing 88 45 Other artefacts 90 46 Flow phenomena 92 47 Time-of-flight MR angiography 94 48 Phase contrast MR angiography 96 49 Contrast-enhanced MR angiography 98 50 Contrast agents 100 51 Magnets 102 52 Radiofrequency coils 104 53 Gradients and other hardware 106 54 MR safety – bio-effects 108 55 MR safety – projectiles 110 Appendix 1a: The results of optimizing image quality 112 Appendix 1b: Parameters and their associated trade-offs 113 Appendix 2: Artefacts and their remedies 114 Appendix 3: Main manufacturers’ acronyms 115 Glossary 116 Index 121 vi Preface MRI at a Glance is one of a series of books that presents analogies, bulleted lists, simple tables, key points, equations (but complex information in an easily accessible format. This only for those who like them), scan tips, ‘Did You Know’ learning series has become famous for its concise text and clear points, some questions and answers and plenty of images to aid diagrams, which are laid out with text on one page and diagrams the understanding of each topic. There are appendices on trade‐ relating to the text on the opposite page. In this way all the infor- offs, acronyms, abbreviations and artefacts. The glossary has also mation on a particular topic is summarized so that the reader has been expanded. the essential points at their fingertips. This book is intended to provide a concise overview of essen- The third edition has been updated with a new companion tial facts for revision purposes and for those very new to MRI. website that includes some exciting new features. In the book, For more detailed explanations the reader is directed to MRI in some chapters have been streamlined and reorganized and there Practice and Handbook of MRI Technique. Indeed, the diagrams are some updated images and diagrams. Each topic is presented and images in this book are taken from these other texts and MRI on two pages for easy reference and large subjects have been at a Glance is intended to complement them. broken down into smaller sections. In the book and compan- Learning MRI physics can be hard work. I hope that this book ion website I have included simple explanations and animations, helps to demystify it! vii Acknowledgements Once again I thank my friend and colleague John Talbot for Medical Systems and GE for supplying the images, and to all my his beautiful diagrams and for his support. We make a great friends and family in Brighton, London, Paris, Witney, Leeds, St team and long may it continue! Thanks again to Philips Augustine, Atlanta and New York. CW viii
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