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Chapter 10

10-01
Introduction

10-02
Main Contrast Factors in MR Imaging

10-03
The Basic Processes

Repetition Time (TR)
Echo Time (TE)
10-04
Multiecho Sequences

Rapid Spin Echo
10-05
Signal Inversion:
TI – the Inversion Time

10-06
Fat and Water Suppression

10-07
Gradient Echo Sequences

FA – the Flip Angle
10-08
Static Field Strength and Contrast


10-08 Static Field Strength and Contrast

Table 10-01 lists a large number of factors influencing contrast. Among the main contrast parameters are the relaxation times T1 and T2. If they change, contrast also changes.

T1 is strongly field-dependent. Therefore, at given pulse sequence pa­ra­me­ters, contrast changes with field strength. The way these changes occur is nearly impossible to predict because it is extremely difficult to extrapolate the T1 values of a particular tissue acquired at one field strength to another: T1 is de­ter­mi­ned by several factors which vary at different fields. Within today's routine imaging range (low, medium, and high fields up to 2 Tesla), T2 is more or less constant; however, when moving into ultra-high fields (> 2 T), T2 shows some shortening, even more so T2*.

The best method to examine these features of relaxation at low, medium, and – partly – high fields, is relaxometry, the study of the behavior of longitudinal and transversal nuclear relaxation and of their dependence on internal and external parameters. Among these parameters are mo­le­cu­lar and supramolecular structures, temperature, viscosity, pH, magnetic field strength, and paramagnetic and ferromagnetic agents. Field-cycling relaxometry deals with the relaxation behavior and its changes with the strength of the mag­ne­tic field [⇒ Rinck 1988]. It requires special, purpose-built machines, field cyc­ling relaxometers.

Figure 10-16 depicts the T1 relaxation times (T1 dispersions) of white and gray matter of an adult brain versus field strength. They both increase with field, but with a different ratio to each other. When comparing the contrast behavior of different tissues within the imaging range of MR fields, one finds that pure T1-contrast increases from low fields and reaches a peak in medium fields between 0.4 and 0.9 Tesla; then it decreases again in high and ultra-high fields (Figure 10-17). The relevance of this finding for clinical imaging is of limited importance because pure T1 images are not used; however, when interacting with other contrast influencing factors, e.g. at ultra-high fields, any loss of contrast is unfortunate.

Cross relaxation phenomena can lead to quadrupolar dips in the T1-dispersion plot. They are dependent on field strength and temperature (see Figure 04-23).

Usually, clinical images (i.e., T1-, T2- or intermediately weighted) possess suf­fi­ci­ent contrast even at high and ultra-high fields if parameters and pulse sequences are cho­sen properly and not only one of the major contrast factors influences contrast [⇒ Chen; ⇒ Fischer; ⇒ Hoult].



Figure 10-16:
T1 relaxation time values of gray and white matter versus field strength. The measurements up to 1.5 Tesla were performed on a NMRD relaxometer with fresh human brain samples. The advantages of relaxometric measurements of ex vivo samples are the extreme high accuray of the measurements, the selection of tissue that looks homogeneous with the ability to reject mixed tissue samples, and the detailed histology available after the measurements (⇒ Fischer 1989, 1990, ⇒ Rinck 1988) The values relating to fields higher than 1.5 T were acquired in vivo on whole-body MR machines with modified Look-Locker sequences; they were fitted. Details of these techniques are given in Chapter 4.



Figure 10-17:
Approximation of pure-T1 contrast between gray and white matter: Contrast is relatively poor at very low fields. It climbs to a small peak in low/medium fields (left image at 0.5 T, right image at 1.5 T). The source of the raw data is described in the caption of Figure 10-16.


T1 dispersion curves of different tissues do not necessily run parallel to each other, but can cross each other. For heavily T1-weighted images of any pulse sequence, this feature becomes important because it means that diseases cannot be de­tec­ted at certain fields with T1- weigh­ted sequences. Multiple sclerosis plaques, for instance, have a similar sig­nal intensity as their sur­roun­ding tissue at medium and high fields when imaged with a heavily T1-weighted pulse sequences. Contrast exists only at ultra-low fields (which are not used in MRI) and diagnostic pulse se­quen­ce pa­ra­me­ters have to be adjusted towards T2-weighted sequences.

When comparing MR images acquired at different field strength, it is important to keep in mind that T1 grows with field strength. This increase is the reason why images taken with the same pulse pa­ra­me­ters, but at different fields, change their contrast appearance. Thus, they can­not be directly compared with each other, as the image comparison of Figure 10-18 shows.

Figure 10-18:
The image series on the left side was taken at 0.5 Tesla, the one to the right at 1.5 Tesla at a re­pe­ti­tion time TR = 2000 ms. Compare how contrast changes and differs between the two field strengths using the same imaging parameters.

Simulation software: MR Image Expert®

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