WorksheetsMRI Physic Radiology
Total questions: 15
Worksheet time: 15mins
Regarding nuclear magnetic resonance imaging (MRI):
In an external magnetic field, more hydrogen nuclei align with their magnetic
moments parallel to the external field than antiparallel
Protons subject to a strong static external magnetic field start to precess in phase
The frequency of precession (Larmor frequency) of protons in a static magnetic field
of 1.5 T equals 42.6 MHz
At 1.5 T, the precessional frequency of hydrogen nuclei in fat is 220 Hz lower than
that of hydrogen nuclei in water
Apart from hydrogen, other nuclei that can be polarized in an external magnetic
field include carbon 12C and oxygen 16O
Which of the following are true about MRI signal formation in biological tissues?
A free induction decay (FID) signal can only occur after a 90 degree pulse
After a 90 degree pulse, the longitudinal magnetization recovers at the same rate as the
transverse magnetization decays
The rate of the longitudinal magnetization recovery does not depend on the external
magnetic field strength
Dephasing of the transverse magnetization is mainly due to spin–spin relaxation
The FID is not usually considered in clinical MRI
In magnetic resonance imaging
Signal is generated from 12C nuclei
Paramagnetic contrast agent is used to enhance tissue contrast
The SI unit for main magnetic field strength is Gauss
Scanning time is reduced by using shorter time to repeat (TR)
Vascular pulsation artefacts occur in the phase encoding direction
Regarding magnetic resonance imaging (MRI)
Larmor frequency is proportional to the proton density
the flip angle depends on the applied radiofrequency strength
the free induction decay signals are detected with gradient coils
nuclei with odd number of nucleons are used
the longitudinal magnetization lies perpendicular to the X-Y plane
In spin–echo (SE) imaging:
The first radiofrequency pulse in a spin–echo pulse sequence is a 180 degree pulse
Rephasing of the transverse magnetization is caused by the 180 degree pulse
Effects of local field inhomogeneities on the MRI signal are eliminated
For practical purposes, the delay between excitation and the refocusing pulse is kept constant, but signal readout can be performed at any chosen echo time (TE)
Rephasing can only be performed once, and the whole sequence must be repeated to obtain another echo
Regarding the image quality in MRI
increasing TR will decrease the signal intensity on T2-weighted
decreasing pixel size will decrease signal-to-noise ratio
image resolution is improved by increasing the matrix size
shimming improves field homogeneity
image quality is unaffected by TE (echo time)
Regarding MRI - Spin Echo
TR is the time between two 90 degree radiofrequency pulses
Signal read-out during the 180 radiofrequency pulse
Field inhomogeneity is due to introduction of patient onto the magnetic field.
Spin-Spin relaxation is T1 relaxation.
T2 is the time for the MR signal to fall to 63% of its maximum value.
Concerning image contrast in spin–echo imaging:
The best contrast between tissues with different T1s is obtained with short repetition times (TRs) and short echo times (TEs)
T2 weighting is obtained with short TEs and long TRs
An image obtained with a TE of 15 ms and a TR of 2000 ms would be proton density (PD) weighted
Fat appears with a high signal on T1-, T2- and PD-weighted sequences
The fat signal is partially suppressed on fast (turbo) spin–echo imaging
Regarding spatial encoding in standard (i.e. non-fast/turbo) spin–echo imaging:
The slice-selection gradient is usually applied just before the 90 degree and 180 degree radiofrequency (RF) pulses
A phase-encoding gradient is usually applied along the larger dimension of the imaged object
The entire phase-encoded information is obtained during a single readout
A frequency-encoding gradient is applied together with the phase-encoding gradient
A spin–echo sequence requires a rephasing gradient applied after the slice-selection gradient
Regarding MRI
Tissue with higher proportion of free water has longer T2 relaxation time
Lamour frequency is inversely proportional to strength of external magnetic field.
The central area of K space represent contrast of image
Chemical shift artefact can be reduced by increasing receiver bandwidth
Higher gradient amplitude increase the slice thickness
Which of the following are true regarding opposed-phase imaging?
It is most commonly used with gradient-echo sequences
In a 1.5 T magnet, the magnetization of fat and water becomes out of phase every 220 ms
A gradient echo obtained with a TE of 6.9 ms at 1.5 T would represent a summation of signals from fat and water
The most common application of out-of-phase imaging is in the diagnosis of hepatic and adrenal lesions
Out-of-phase images show a characteristic ‘India ink’ appearance
Concerning inversion recovery:
It can be used to achieve T1 weighting or to suppress the signal from a specific tissue type
The inversion recovery sequence starts with a 90 degree excitation pulse
In short-TI inversion recovery (STIR) imaging, the TI is set equal to the T1 of fat so that the signal from fat is nulled
Image acquisition in FLAIR is usually combined with a T2-weighted spin–echo sequence
Inversion recovery sequences require high field magnets and are sensitive to magnetic field inhomogeneities
Regarding methods of fat suppression:
The main advantage of short-TI inversion recovery (STIR) as a method of fat suppression is its specificity
Out-of-phase imaging alone is useful for suppressing signal from adipose tissue
Frequency-selective fat saturation is achieved by applying a chemical shift-selective excitation pulse followed by a spoiler gradient
Higher magnetic field strengths allow better spectral fat saturation
The signal-to-noise ratio (SNR) in images obtained with spectral fat saturation is worse in comparison with STIR
Regarding artefacts in MRI:
Motion artefacts occur mainly in the frequency-encoding direction
Aliasing usually occurs in the phase-encoding direction of 2D images
Magnetic susceptibility effects are more pronounced on spin–echo than on gradient-echo sequences
Chemical-shift artefacts are virtually eliminated in 3 T scanners
Ringing (Gibbs) artefacts can be eliminated by increasing the matrix size
Regarding spine imaging
Balanced steady state free precession (BSSFP) reduces CSF pulsation artifact.
CT myelogram is acquired 4H post injection.
Maximum age for ultrasound is 2 months.
RAO view of lumbosacral spine demonstrates pars interarticularis.
Spinal DSA is the first line study to diagnose spinal vascular anomaly.
