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 'Flow Related Enhancement' 
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Flow Related Enhancement
 
(FRE) Flow related enhancement could be seen most for blood flow, but also for other liquids with some MR imaging techniques, as an increase in intensity due to the washout of saturated spins. FRE provides positive contrast ("bright blood") of vascular details in time of flight MRA as well as the physiologic characterization of blood flow.
If stationary spins within the scanned region experience only an incomplete T1 relaxation between the repeated radio frequency (RF) excitations, this results in fewer signal of the stationary tissue (compared to inflowing blood with completely relaxed spins). The degree of the flow related enhancement is proportional to the blood flow velocity and the used repetition time. The use of flow compensation (gradient moment nulling) improves the FRE especially in gradient echo sequences.
 
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Conventional MRI and MR Angiography of Stroke
2012   by www.mc.vanderbilt.edu    
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Entry Slice Phenomenon (Artifact)InfoSheet: - Artifacts - 
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Quick Overview
Artifact Information
NAME
Entry slice phenomenon
DESCRIPTION
Bright signals in blood vessels at the first slice
REASON
Unsaturated spins
The entry slice phenomenon arise in MRI when blood with unsaturated spins flows in the observed slice(s). These spins will emit a strong signal, because of their unsaturated status (flow related enhancement). The number of slices affected depends on the flow velocity and the slice thickness; the direction of flow determines which slices are affected. Time of Flight MRA is based on this entry slice phenomenon.

See also Flow Compensation, Flow Related Enhancement, Artifact Overview and Artifacts Reduction Index.
 
Images, Movies, Sliders:
 TOF-MRA Circle of Willis Inverted MIP  Open this link in a new window
    

 
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Further Reading:
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Troubleshooting the ACR MRI Accreditation Phantom Tests
   by www.aapm.org    
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Flow ArtifactInfoSheet: - Artifacts - 
Case Studies, 
Reduction Index, 
etc.MRI Resource Directory:
 - Artifacts -
 
Quick Overview
Please note that there are different common names for this artifact.
Artifact Information
DESCRIPTION
Vascular ghosts (ghosting artifact), anomalous intensities in images
REASON
Movement of body fluids
HELP
Flow compensation, presaturation, triggering
Flow effects in MRI produce a range of artifacts, e.g. intravascular signal void by time of flight effects; turbulent dephasing and first echo dephasing, caused by flowing blood.
Through movement of the hydrogen nuclei (e.g. blood flow), there is a location change between the time these nuclei experience a radio frequency pulse and the time the emitted signal is received (because the repetition time is asynchronous with the pulsatile flow).
The blood flow occasionally produces intravascular high signal intensities due to flow related enhancement, even echo rephasing and diastolic pseudogating. The pulsatile laminar flow within vessels often produces a complex multilayered band that usually propagates outside the head in the phase encoded direction. Blood flow artifacts should be considered as a special subgroup of motion artifacts.
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Image Guidance
Artifacts can be reduced by reduction of phase shifts with flow compensation (gradient moment nulling), suppression of the blood signal with saturation pulses parallel to the slices, synchronization of the imaging sequence with the heart cycle (cardiac triggering) or can be flipped 90° by swapping the phase//frequency encoding directions.

See also Flow Related Enhancement and Flow Effects.
 
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• View the DATABASE results for 'Flow Artifact' (6).Open this link in a new window

 
Further Reading:
  News & More:
MRI measure of blood flow over atherosclerotic plaque may detect dangerous plaque
Friday, 5 April 2013   by www.sciencecodex.com    
Advanced Visualization Techniques Could Change the Paradigm for Diagnosis and Treatment of Heart Disease
Thursday, 31 May 2012   by www.sciencedaily.com    
MRI Resources 
MRI Reimbursement - Non-English - MRI Training Courses - Absorption and Emission - Image Quality - Case Studies
 
FlowForum -
related threads
 
Flow phenomena are intrinsic processes in the human body. Organs like the heart, the brain or the kidneys need large amounts of blood and the blood flow varies depending on their degree of activity. Magnetic resonance imaging has a high sensitivity to flow and offers accurate, reproducible, and noninvasive methods for the quantification of flow. MRI flow measurements yield information of blood supply of of various vessels and tissues as well as cerebro spinal fluid movement.
Flow can be measured and visualized with different pulse sequences (e.g. phase contrast sequence, cine sequence, time of flight angiography) or contrast enhanced MRI methods (e.g. perfusion imaging, arterial spin labeling).
The blood volume per time (flow) is measured in: cm3/s or ml/min. The blood flow-velocity decreases gradually dependent on the vessel diameter, from approximately 50 cm per second in arteries with a diameter of around 6 mm like the carotids, to 0.3 cm per second in the small arterioles.

Different flow types in human body:
Behaves like stationary tissue, the signal intensity depends on T1, T2 and PD = Stagnant flow
Flow with consistent velocities across a vessel = Laminar flow
Laminar flow passes through a stricture or stenosis (in the center fast flow, near the walls the flow spirals) = Vortex flow
Flow at different velocities that fluctuates = Turbulent flow

See also Flow Effects, Flow Artifact, Flow Quantification, Flow Related Enhancement, Flow Encoding, Flow Void, Cerebro Spinal Fluid Pulsation Artifact, Cardiovascular Imaging and Cardiac MRI.
 
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Courtesy of  Robert R. Edelman
 TOF-MRA Circle of Willis Inverted MIP  Open this link in a new window
    

 Circle of Willis, Time of Flight, MIP  Open this link in a new window
    
SlidersSliders Overview

 
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• View the DATABASE results for 'Flow' (113).Open this link in a new window


• View the NEWS results for 'Flow' (7).Open this link in a new window.
 
Further Reading:
  News & More:
The super-fast MRI scan that could revolutionise heart failure diagnosis
Wednesday, 21 September 2022   by www.eurekalert.org    
MRI Resources 
MR Myelography - Blood Flow Imaging - Distributors - Devices - RIS - Spectroscopy
 
Flow Effects
 
Motion of material being imaged, particularly flowing blood, can result in many possible effects in the images.
Fast moving blood produces flow voids, blood flowing in to the outer slices of an imaging volume produces high signals (flow related enhancement, entry slice phenomenon), pulsatile flow creates ghost images of the vessel extending across the image in the phase encoding direction (image misregistration).
Flow-related dephasing occurring when spin isochromats are moving with different velocities in an external gradient field G so that they acquire different phases. When these phases vary by more then 180° within a voxel, substantial spin dephasing results leading to considerable intravascular signal loss.
These effects can be understood as caused by time of flight effects (washout or washin due to motion of nuclei between two consecutive spatially selective RF excitations, repeated in times on the order of, or shorter than the relaxation times of blood) or phase shifts (delay between phase encoding and frequency encoding) that can be acquired by excited spins moving along magnetic field gradients.
The inconsistency of the signal resulting from pulsatile flow can lead to artifacts in the image. The flow effects can also be exploited for MR angiography or flow measurements.

See also Flow Artifact.
 
Images, Movies, Sliders:
 Anatomic MRI of the Knee 1  Open this link in a new window
    
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 Anatomic MRI of the Neck  Open this link in a new window
    
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 PCA-MRA 3D Brain Venography Colored MIP  Open this link in a new window
    

 TOF-MRA Circle of Willis Inverted MIP  Open this link in a new window
    

 
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• View the DATABASE results for 'Flow Effects' (16).Open this link in a new window

 
Further Reading:
  News & More:
Magnetic resonance flow velocity and temperature mapping of a shape memory polymer foam device
Thursday, 31 December 2009   by 7thspace.com    
MRI measure of blood flow over atherosclerotic plaque may detect dangerous plaque
Friday, 5 April 2013   by www.sciencecodex.com    
MRI Resources 
Crystallography - Case Studies - Manufacturers - Portals - Brain MRI - Spine MRI
 
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