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Quick Overview
DESCRIPTION
Loss of signal of flowing blood
Image Guidance
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Postprocessing techniques for artery vein separation by segmentation of the entire vessel structures from the background with different approaches.
Phase contrast imaging can also be used to differentiate arteries and
veins based on flow-velocity or flow direction.
The fact that arterial and venous flows are in opposite directions also has the advantage to separate the vessels in time of flight angiography. | | | | | | | Further Reading: | News & More:
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Brain imaging, magnetic resonance imaging of the head or skull, cranial magnetic resonance tomography (MRT), neurological MRI - they describe all the same radiological imaging technique for medical diagnostic.
Magnetic resonance imaging of the human brain includes the anatomic description and the detection of lesions. Special techniques like diffusion weighted imaging, functional magnetic resonance imaging ( fMRI) and spectroscopy provide also information about the function and chemical metabolites of the brain.
MRI provides detailed pictures of brain and nerve tissues in multiple planes without obstruction by overlying bones. Brain MRI is the procedure of choice for most brain disorders. It provides clear images of the brainstem and posterior brain, which are difficult to view on a CT scan. It is also useful for the diagnosis of demyelinating disorders (disorders such as multiple sclerosis (MS) that cause destruction of the myelin sheath of the nerve).
With this noninvasive procedure also the evaluation of blood flow and the flow of cerebrospinal fluid (CSF) is possible. Different MRA methods, also without contrast agents can show a venous or arterial angiogram. MRI can distinguish tumors, inflammatory lesions, and other pathologies from the normal brain anatomy. However, MRI scans are also used instead other methods to avoid the dangers of interventional procedures like angiography (DSA - digital subtraction angiography) as well as of repeated exposure to radiation as required for computed tomography (CT) and other X-ray examinations.
A ( birdcage) bird cage coil achieves uniform excitation and reception and is commonly used to study the brain. Usually a brain MRI procedure includes FLAIR, T2 weighted and T1 weighted sequences in two or three planes. See also Fetal MRI, Fluid Attenuation Inversion Recovery ( FLAIR), Perfusion Imaging and High Field MRI. See also Arterial Spin Labeling. | | | | | | | | • View the DATABASE results for 'Brain MRI' (14).
| | | • View the NEWS results for 'Brain MRI' (32).
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News & More:
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MRI Reveals Significant Brain Abnormalities Post-COVID Monday, 21 November 2022 by neurosciencenews.com | | |
Combining genetics and brain MRI can aid in predicting chances of Alzheimer's disease Wednesday, 29 June 2022 by www.sciencedaily.com | | |
Roundup: How Even Mild COVID Can Affect the Brain; This Many Daily Steps Improves Longevity; and More Friday, 11 March 2022 by baptisthealth.net | | |
A low-cost and shielding-free ultra-low-field brain MRI scanner Tuesday, 14 December 2021 by www.nature.com | | |
Large International Study Reveals Spectrum of COVID-19 Brain Complications Tuesday, 9 November 2021 by www.itnonline.com | | |
Brain MRI-Based Subtypes of MS Predict Disability Progression, Treatment Response Thursday, 13 May 2021 by www.neurologyadvisor.com | | |
New MRI method improves detection of disease changes in the brain's network Thursday, 11 June 2020 by www.compute.dtu.dk | | |
New NeuroCOVIDÂť Classification System Uses MRI to Categorize Patients Friday, 12 June 2020 by www.diagnosticimaging.com | | |
New MRI technique can 'see' molecular changes in the brain Thursday, 5 September 2019 by medicalxpress.com | | |
Talking therapy or medication for depression: Brain scan may help suggest better treatment Monday, 27 March 2017 by www.newsnation.in | | |
MRI identifies brain abnormalities in chronic fatigue syndrome patients Wednesday, 29 October 2014 by www.eurekalert.org | | |
MRIs Useful in Tracking Depression in MS Patients Tuesday, 1 July 2014 by www.hcplive.com | | |
Contrast agent linked with brain abnormalities on MRI Tuesday, 17 December 2013 by www.sciencecodex.com | | |
MRIs Reveal Signs of Brain Injuries Not Seen in CT Scans Tuesday, 18 December 2012 by www.sciencedaily.com | | |
Iron Deposits in the Brain May Be Early Indicator of MS Wednesday, 13 November 2013 by www.healthline.com | | |
Migraine Sufferers Have Thicker Brain Cortex Tuesday, 20 November 2007 by www.medicalnewstoday.com |
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A large network of interconnecting blood vessels at the base of the brain that when visualized resembles a circle, the arteries effectively act as anastomoses for each other. This means that if any one of the communicating arteries becomes blocked, blood can flow from another part of the circle to ensure that blood flow is not compromised.
The circle of Willis is formed by both the internal carotid arteries, entering the brain from each side and the basilar artery, entering posteriorly. The connection of the vertebral arteries forms the basilar artery. The basilar artery divides into the right and left posterior cerebral arteries.
The internal carotid arteries trifurcate into the anterior cerebral artery, middle cerebral artery, and posterior communicating artery.
The two anterior cerebral arteries are joined together anteriorly by the anterior communicating artery. The posterior communicating arteries join the posterior cerebral arteries, completing the circle of Willis. The time of flight angiography MRI technique allows imaging of the circle of Willis without the need of a contrast medium (best results with high field MRI). A cerebrovasular contrast enhanced magnetic resonance angiography ( MRA) depicts the circle of Willis in addition to the vessels of the neck (carotid and vertebral arteries) with one bolus injection of a contrast agent.
For Ultrasound Imaging (USI) see Cerebrovascular Ultrasonography at Medical-Ultrasound-Imaging.com. | | | | | | • View the DATABASE results for 'Circle of Willis' (5).
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(CE MRA) Contrast enhanced MR angiography is based on the T1 values of blood, the surrounding tissue, and paramagnetic contrast agent.
T1-shortening contrast agents reduces the T1 value of the blood (approximately to 50 msec, shorter than that of the surrounding tissues) and allow the visualization of blood vessels, as the images are no longer dependent primarily on the in flow effect of the blood.
Contrast enhanced MRA is performed with a short TR to have low signal (due to the longer T1) from the stationary tissue, short scan time to facilitate breath hold imaging, short TE to minimize T2* effects and a bolus injection of a sufficient dose of a gadolinium chelate.
Images of the region of interest are performed with 3D spoiled gradient echo pulse sequences. The enhancement is maximized by timing the contrast agent injection such that the period of maximum arterial concentration corresponds to the k-space acquisition. Different techniques are used to ensure optimal contrast of the arteries e.g., bolus timing, automatic bolus detection, bolus tracking, care bolus.
A high resolution with near isotropic voxels and minimal pulsatility and misregistration artifacts should be striven for. The postprocessing with the maximum intensity projection ( MIP) enables different views of the 3D data set.
Unlike conventional MRA techniques based on velocity dependent in flow or phase shift techniques, contrast enhanced MRA exploits the
gadolinium induced T1-shortening effects. CE MRA reduces or eliminates most of the artifacts of time of flight angiography or phase contrast angiography. Advantages are the possibility of in plane imaging of the blood vessels, which allows to examine large parts in a short time and high resolution scans in one breath hold.
CE MRA has found a wide acceptance in the clinical routine, caused by the
advantages:
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3D MRA can be acquired in any plane, which means that
greater vessel coverage can be obtained at high
resolution with fewer slices (aorta, peripheral vessels);
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the possibility to perform a time resolved examination
(similarly to conventional angiography);
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no use of ionizing radiation; paramagnetic agents have a beneficial safety.
| | | | | | • View the DATABASE results for 'Contrast Enhanced Magnetic Resonance Angiography' (14).
| | | • View the NEWS results for 'Contrast Enhanced Magnetic Resonance Angiography' (2).
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