FREQUENTLY ASKED QUESTIONS ABOUT
MAGNETIC RESONANCE IMAGING (MRI)
Bruce M. Damon, PhD
Vanderbilt University
What do I need to know before
reading these FAQs?
What kinds of magnetic
fields are used in MRI?
What kinds of MR signals
are used for MRI?
What properties of the
MR signal are you concerned with in MRI?
What are some common MRI
terms?
How can you tell things
apart in images?
In addition to imaging
anatomy, what else is MRI good for?
What is functional MRI
(fMRI) of the brain?
What is muscle functional
MRI (mfMRI)?
Could you tell me a little
more about diffusion MRI?
What are some the main
biomedical MRI journals?
Where
can I go for more information?
Before
you read these questions and answers, you may find it helpful to read the FAQs
for MRS. Once you understand what an FID is, continue on.
MRIÕs main clinical use is making internal anatomical images. Almost all biological MR images are images of water. More specifically, we are imaging the protons in water. Water is convenient to use because it is the most plentiful substance in the body, and because protons give the highest NMR signal of any atomic species.
There
are three. You should know about
two types already: the static magnetic field and pulsed (RF) magnetic
fields. The third type, a gradient
magnetic field, is used to cause a linear variation in magnetic field strength
(and therefore Larmor frequency).
The gradient can be oriented in any direction that we want it to
be. Gradients, which are switched
on and off during the course of the imaging experiment, have many uses,
including:
á
Creating signals
á
Selective excitation
á
Spatial encoding
á
Diffusion imaging
á
Disrupting unwanted MR
signal patterns
MR
imaging uses echo signals. An echo
is an MR signal that is ÒreturnedÓ after the FID has decayed. There are several types of MR echoes,
which are distinguished by what causes the return of signal. If we use a pulsed magnetic field at
the Larmor frequency, itÕs called a spin echo. This pulse is often called a ÒrefocusingÓ pulse because it
brings back into phase any magnetic moments that have dephased because of
magnetic field inhomogeneities.
Another common type of echo is a gradient echo. A gradient echo is caused by first
turning a gradient magnetic field on, during the FID. This disrupts the phases of the magnetic moments. Then the gradient is reversed, which
restores the phases. A gradient
echo results from the restoration of the phases.
Its
magnitude, frequency, phase, and origin in the body.
First,
we selectively excite the protons in a narrow band (ÒsliceÓ) of tissue. To do this, we apply a gradient, which
causes a linear variation in Larmor frequency. Then we give an RF pulse that is designed to only excite the
protons in a narrow frequency band.
That band corresponds to the slice.
To
tell things apart within the slice, we also use gradients. We apply a gradient while the signal is
being read to cause a linear variation in Larmor frequency along one direction
within the slice. This gradient is
called the Òread-outÓ or frequency-encodingÓ gradient. We spatially encode signals along the
other direction by applying a gradient in between the FID and the echo. This causes a linear variation in phase
(so this gradient is called the Òphase-encoding gradientÓ). Phase encoding requires that we acquire
many echoes, with a different gradient strength each time. The data acquired for each
phase-encoding step are written into a raw data matrix called k-space.
In
conventional imaging, one ÒlineÓ of k-space is recorded per echo. In echo-planar imaging (EPI), all of
k-space is recorded in a single echo.
Finally,
we process the k-space data. We
use a two-dimensional Fourier transform for this purpose. The transformed data get displayed as a
grayscale image.
TR (Repetition Time): In
conventional imaging, TR is the time between phase encodings. In EPI, the effective TR is the time
between images. Typical values
range from 100 to 4000 ms.
TE (Echo Time): The
time between the initial pulse and the peak of the echo. Typical values range
from 5 to 150 ms.
Slice Thickness: The thickness (in mm or cm) of tissue that is
selectively excited for each slice.
Typical values range from 0.5 Ð 2 cm.
FOV (Field of View): The spatial dimensions (in mm or cm) of the slice.
Typical values range from 10«10 to 40«40 cm.
Matrix Size: The size of the k-space matrix. For example, there might be 128 points read out along
the frequency encoding direction and 128 phase-encoding steps. Typical values
range from 64«64 to 512«512 and are almost always a power of two.
Voxel (Volume Element): The smallest unit of spatial resolution in an
image.
In-plane Resolution: The area of each voxel within the slice plane; for
25.6«25.6 cm FOV and a 128«128 matrix, the
in-plane resolution is 4 mm2.
Voxel Size: The volume of each voxel; equal to the in-plane resolution times the slice thickness.
Number of Excitations: the number of times the entire imaging sequence is
run, for purposes of signal averaging.
T1: T1 is the longitudinal relaxation time constant, which
describes how long it takes for the system to return to equilibrium after it
has been disrupted by an RF pulse.
In muscle, the T1 of water protons is about 1 s.
T2: T2 is the transverse relaxation time constant, which
describes how long it takes for the signal to decay. At 30 Ð 40 ms, the T2
of muscle water is much shorter than its T1.
There
are several ways of generating contrast in images. First, things can be distinguished on the basis of how much
stuff is there (proton density).
To generate this type of contrast, TR must be long (relative to T1)
and TE must be short (relative to T2). Second, things can be distinguished using relaxation
times. To develop contrast on the
basis of T2, a spin-echo image with a long TR and long TE are
used. To generate contrast on the
basis of T1, a short TR and short TE are used.
There
are many other ways of generating contrast, including making images that are
sensitive to diffusion or to the exchange of magnetization between proteins and
water.
There
exists a whole family of MRI methods called Òphysiologic MRI.Ó Some methods, like diffusion MRI, can
be used to make quantitatively accurate images of the physiological
process. Others, like functional
MRI of the brain and of muscle, are simply sensitive to physiologic processes
that are associated with the activation of the tissue.
When
a region of the brain is activated, it receives increased blood flow Ð so much,
in fact, that the venous and capillary concentrations of deoxyhemoglobin
actually decreases. This is
significant in MRI because deoxyhemoglobin is paramagnetic, and therefore
causes minute variations in magnetic field strength. These inhomogeneities cause the signal to decay faster. So when the flow goes up and the
deoxyhemoglobin concentration goes down, you get more signal from more
stuff. The result is a slight (~2%)
increase in MR signal from active regions of the brain. Gradient echoes are particularly
sensitive to magnetic field inhomogeneity and so are often used in fMRI.
Exercising
muscles appear brighter in the image grayscale. In part this is due to an increase in the T2 of
intracellular water (longer T2 = more signal = brighter in the
image). The T2
increases appear to be caused by changes in the chemical behavior of water due
to cellular energy metabolism.
Also, there are important extracellular effects of exercise, such as
volume increases and blood flow and oxygenation changes, that influence the
signal too.
mfMRI
therefore seems to indicate muscle involvement during exercise, with an
excellent inherent spatial sensitivity.
Right now, our incomplete understanding of what causes the mfMRI
response precludes equating it with any single physiological variable (such as
neural activation, metabolism, or blood flow). Another limitation of mfMRI is caused by the fact that after
exercise begins, it takes about 2 Ð 3
minutes for the signal to reach a plateau. Even more inconvenient is the fact that it takes 30 Ð 45
minutes for the signal intensity to recover after exercise. This means that it is not sensitive to
the timing of muscle activations and deactivations during an activity.
In
diffusion MRI, gradients are applied on each side of a refocusing RF
pulse. The first gradient disrupts
the magnetic phases of the protons, and the second one restores the phases of
all stationary protons. The
restoration of signal is incomplete for protons that have moved (diffused)
during the elapsed time, however.
Diffusion MRI can, of course, be used to measure diffusion coefficients. Because the cellular diffusion of water
corresponds to cell geometry in muscle, diffusion MRI can also be used to make
inferences about muscle architecture.
It is a much lengthier measurement than other ways of evaluating muscle
architecture, however.
If your institution has
electronic subscriptions to these journals, you can follow the links to go to
the journal home page and downloads current articles:
Journal of Magnetic Resonance Imaging
Magnetic Resonance in Medicine
Magnetic Resonance Materials in Physics, Biology, and
Medicine
You will also find MRI papers
in applied physiology journals.
Websites:
The International Society for Magnetic Resonance in
Medicine maintains an extensive
list of MRI tutorial and educational websites.
The spectroscopyNOW.com website has
information about MRI and many other spectroscopic methods.
Books:
Questions and Answers in MRI by Allan Elster and
Jonathan Burdette.
Magnetic Resonance Imaging by David Stark and
William Bradley.
Back to the About the Technologies We
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