2. INTRODUCTON
A pulse sequence is a sequence of events, which are
needed to acquire MRI images. These events are: RF
pulses, gradient switches and signal collecting.
The way in which the RF coil & gradient fields are
turned on & off is called pulse sequences.
What kind of image contrast we want to see and kind
of pathology we want to detect is determined by the
pulse sequence used.
3. The basic MRI pulse sequences are
Spin echo pulse sequence
Gradient echo pulse sequence
4. BASIC PARAMETERS
TR (Repetition time) :- It is the time
from the application of one RF pulse
to the application of next RF & is
measured in milliseconds (ms).( usually
time between two (90 degree pulses)
5.
6. TE (Echo Time) :- It is the time from the
application of the RF pulse to the
peak of the signal induced in the coil
& is also measured in milliseconds
(ms). TE is the time interval between
the beginning of transverse relaxation
following excitation and when the
magnetization is measured to produce
image contrast (Echo event)
7.
8. TI (Time from Inversion) : It is the time from the
application of the 180 degree inverting pulse to the 90
degree excitation pulse.
11. The average time per slice is significantly reduced using multiple
slice acquisition methods. Several slices within the tissue volume
are selectively excited during a TR interval to fully utilize the
(dead) time waiting for longitudinal recovery in a specific slice .
The total number of slices is a function ofTR, TE, and machine
limitations:
Total no of slices =
TR/(TE+C)
where C is a constant dependent on the MR equipment capabilities
(computer speed, gradient capabilities, RF cycling, etc.).
Long TR acquisitions such as proton density and T2-weighted
sequences provide a greater number of slices than T1 weighted
sequences with a short TR. The chief trade-off is a loss of tissue
contrast due to cross-excitation of adjacent slices, causing
undesired spin saturation.
12.
13. SPIN ECHO
It has at least two RF pulses, an excitation pulse and
one or more 180° refocusing pulses that generate the
spin echo.
Utilizes 90 degree excitation pulse to flip the NMV into
transverse plane.NMV precesses in the Transverse
Plane induces voltage in the receiver coil.
When the 90 degree RF pulse is removed an FID signal
is produced, T2 * dephasing occurs immediately & the
signal decays.
A 180 degree RF pulse is then used to compensate
this dephasing.
14. The 180 degree RF pulse flips these individual magnetic moments
through 180 degree.
They are still in the T P ,but now the magnetic moments that form
the trailing edge before the 180 degree pulse, form the leading
edge.
Conversely, previously formed leading edge becomes trailing
edge. So the trailing edge begins to catch up with the leading edge
after specific time both edges superimposed.
At this instant –transverse magnetisation is in phase –max. signal
induced in the coil which is called spin echo.
The spin echo now contains T1 and T2 information as T2* decay is
reduced.
22. Advantages
Good image quality
Very versatile
True T2 weighting
Available on all systems
Gold standard for image contrast and
weighting
Disadvantage
Long scan times
23.
24. GRADIENT ECHO
The gradient echo pulse sequence is the simplest type of
MRI sequence.
The major purpose behind the gradient technique is a
significant reduction in scan time
Small flip angle are employed, which in turn allow very
short repetition time thus decreasing the scan time.
The gradient echo is generated by the frequency encode
gradient, except that it is used twice in succession and in
opposite direction : it is used in reverse at first to enforce
transverse dephasement of spinning protons and then
right after , it is used as a readout gradient to realign the
dephased protons and hence acquired signals.
25. There is absence of 180 degree RF pulse in gradient
echo sequence
Does not compensate for T2* effect
Increased sensitivity to T2* effect as there is lack of 180
degree refocusing pulse
31. Advantages:
Fast imaging
Low RF deposits
Dynamic scan possibility
Low flip angle
Disadvantages:
Low signal
Difficult to generate T2 contrast
Sensitive to Bo inhomogenities
Sensitive to susceptibility effects
T2* related artifacts
32.
33.
34. INVERSION RECOVERY
In inversion recovery first 180 degree RF pulse is applied
which flip the magnetization vector in 180 degree i.e. –Z
direction.
There is no magnetization in the x-y plane yet
After the 180 degree pulse there is only T1 recovery
going on because there is no component in the x-y plane
and therefore no T2 relaxation
The T1 relaxation process would take place twice as long
as when the net magnetization would have been flipped
to x-y plane.
T1 relaxation is allowed to happen for certain time, known
as the inversion time (TI) after that normal SE sequence is
applied
35. • After a time TI , we apply the 90 degree pulse which flips the
longitudinal magnetization into the x-y plane the contrast on the
image depends on the amounts of longitudinal recovery of each
vector
• If the excitation pulse is applied after the NMV has relaxed back
through the transverse plane , the contrast will depend on the
amount of longitudinal relaxation of each vector (like in spin echo)
• The resultant image is highly T1 weighted as the 180 degree pulse
causes full saturation ensuring a large contrast between tissues.T1
WEIGHTIN
G
36.
37. If the 90 degree excitation pulse is not applied until
the NMV had reached full recovery , a proton density
weighted image results, as both fat and water have
fully relaxed
PD
WEIGHTING
38.
39. PATHOLOGY WEIGHTING
Results an image that is predominantly T1W but where
pathological processes appear brighter.
It is achieved when TE is increased to give tissue with
long T2 a bright signal.
TI 400-800ms.
TE 70ms+
TR 2000ms+
43. FLAIR
Fluid attenuated inversion recovery (FLAIR)is an special
inversion recovery sequence with long TI to remove the
effect of fluids from the resultant images
The signal from CSF is nulled by selecting TI
corresponding to the time of recovery of CSF from180
degree to the transverse plane and there is no
longitudinal magnetisetion present in CSF . When the 90
degree excitation pulse is applied the CSF vector is
flipped into full saturation. So signal from CSF is nulled (
as no transverse comp)
It is used to suppress the CSF signal in T2 & proton
density images. So pathology adjacent to the CSF is seen
more clearly
A TI of 1700-2200 ms achieves CSF suppression
44. This type of sequence is particularly useful in the
detection of subtle changes at the periphery of the
hemispheres and in the periventricular region close to
CSF.
The usefulness of FLAIR sequences has been evaluated
in diseases of the central nervous system such as :
infarction
multiple sclerosis
subarachnoid hemorrhage
head injuries, and others.
47. STIR
Short Tau Inversion Recovery is an IR pulse sequence
that uses a short TI that corresponding to the time it
takes fat to recover from full inversion to transverse
plane.
It is used to achieve suppression of fat in T1 weighted
image
Inversion time is calculated as TI=T1ln2
For fat the inversion time is approximately 140ms at
1.5T
50. FAST SPIN ECHO
Fast spin echo (FSE) is a much faster version of
conventional spin echo. In spin echo sequences, one
phase encoding only is performed during each TR .
The scan time is a function of TR, NEX and phase
encodings.
One of the ways of speeding up a conventional
sequence is to reduce the number of phase encoding
steps. However this normally results in a loss of
resolution.
FSE overcomes this by still performing the same
number of phase encodings, thereby maintaining
resolution, but more than one phase encoding is
performed per TR, reducing the scan time.
51. FSE employs a train of 180° rephasing pulses, each one
producing a spin echo. This train of spin echoes is
called an echo train. The number of 180° RF pulses
and resultant echoes is called the echo train
length(ETL) or turbo factor. The spacing between
each echo is called the echo spacing.
After each rephasing, a phase encoding step is
performed and data from the resultant echo are stored
in K space . Therefore several lines of K space are filled
every TR instead of one line as in conventional spin
echo. As K space is filled more rapidly, the scan time
decreases.
52. Typically 2, 4, 8 or 16, 180° RF pulses are applied
during every TR. As 2, 4, 8 or 16 phase encodings are
also performed during each TR, the scan time is
reduced to 1/2, 1/4, 1/8 or 1/16 of the original scan
time. The higher the turbo factor the shorter the scan
time.
56. Advantages:
Short scan times
High resolution imaging
Increased T2 weighting
Excellent contrast betn tissues & still fluids
Very fast: useful for moving organs.
Low sensitivity to magnetic susceptibility artifacts
Disadvantages:
Some flow artefacts increased
Incompatible with some imaging options
Some contrast interpretation problems
Image blurring possible
fat remains bright in t2 weighted image.
58. SINGLE SHOT FSE
This is the combination of FSE with partial Fourier
technique.
Half of lines of k-space are acquired in one TR and the
other half are interpolated.
Reduction in imaging time as all of the image data is
acquired in one TR.
However it’s disadvantage is SNR is low.
59. 3D FSE
It is achieved by the excitation of slab as opposed to
single slice.
Helps in Acquisition of high resolution T2W image.
Single breath-hold volume acquisition of the liver and
for MRCP.
Less susceptibility artefact than conventional 3D
gradient echo.
60. CSE V/S FSE
Fat remains bright on T2W image in FSE.
Muscle appear darker on FSE than CSE
Multiple 180 degree pulses reduce the magnetic
susceptibility effect in FSE
Artefact from metal implant is significantly reduced
using fast SE.
The TR of fast SE is much longer than CSE.
61. STEADY STATE
Stage where the TR is shorter than the T1 and T2 times
of the tissue.
Flip angles of 30 degree- 45 degree and TR of 20-50
ms achieves this state
No times for the transverse magnetization to decay
before the pulse sequence is achieved so there is
coexistence of both longitudinal and transverse
magnetization
62.
63. Residual transverse
magnetisetion
The transverse magnetization produced as a result of
previous excitations is called the residual transverse
magnetization(RTM)
The RTM affects the contrast as it results in tissues with
long T2 times appearing bright on the image
Gradient echo sequence are classified whether the
RTM is in phase(coherent) or out of phase(incoherent)
RTM is kept coherent by a processes know as
rewinding
64. Rewinding
It is the process by residual transverse magnetization is
kept coherent
Achieved by reversing the slope of the phase encoding
gradient after readout
Results in RTM rephasing so that it is in phase at the
beginning of the next repetition
This allows rtm to build up so that tissues with a long
T2 produce high signal
67. REFERENCES
MRI in Practice : Catherine Westbrook and Carolyn
Kaut.
MRI Made Easy :Prof. Dr. Hans H. Schild
The Essentials of Medical Imaging : Jerrold T. Bushberg
Contrast mechanism and pulse sequences : Allen W.
Song
MRI pulse sequences : Jerry Allison
The average acquisition time per slice in a single-slice spin echo sequence is clinically
unacceptable.
A small flip angle (α) minimizes T1-weighting. This is because a small flip angle only changes the steady-state longitudinal magnetization of various tissues slightly. Hence they are only slightly differentiated based on their intrinsic T1 properties. So at low flip angles, [H] and T2* effects predominate. Conversely, as α → 90º, T1-weighting increases.
Because low flip angles are used, there is some retention of the original longitudinal magnetisation as opposed to the 90° pulse used in spin echo, which completely eliminates the longitudinal magnetisation. As a result, the build up time for longitudinal magnetisation is significantly reduced for the subsequent pulses , allowing faster image acquisition in GE.
108
In the Fast Advanced Spin Echo (FASE) sequence an ETL of 212 is used. This already results in ultra short scan times.
On top of that Half Fourier Imaging is used. The combination of 212 echoes and HFI results in scan times, which are only a fraction of a regular SE sequence.
Each echo of this 212 ETL sequence fills one line in k-space. This fills k-space for slightly more than 50%. The rest of k-space is filled with zeroes (no data). The stunning bit is that you need only one repetition to create an image.
Fourth point : chance of missing small hemorrhage , calcification