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Fat suppression is the process of utilizing specific MRI parameters to remove the deleterious effects of fat from the resulting images , e.g. with STIR, FAT SAT sequences, water selective (PROSET WATS - water only selection, also FATS - fat only selection possible) excitation techniques, or pulse sequences based on the Dixon method.
Spin magnetization can be modulated by using special RF pulses. CHESS or its variations like SPIR, SPAIR ( Spectral Selection Attenuated Inversion Recovery) and FAT SAT use frequency selective excitation pulses, which produce fat saturation.
Fat suppression techniques are nearly used in all body parts and belong to every standard MRI protocol of joints like knee, shoulder, hips, etc.
Image Guidance
Imaging of, e.g. the foot can induce bad fat suppression with SPIR/FAT SAT due to the asymmetric volume of this body part. The volume of the foot alters the magnetic field to a different degree than the smaller volume of the lower leg affecting the protons there. There is only a small band of tissue where the fat protons are precessing at the frequency expected, resulting in frequency selective fat saturation working only in that area. This can be corrected by volume shimming or creating a more symmetrical volume being imaged with water bags.
Even with their longer scan time and motion sensitivity, STIR (short T1/tau inversion recovery) sequences are often the better choice to suppress fat. STIR images are also preferred because of the decreased sensitivity to field inhomogeneities, permitting larger fields of views when compared to fat suppressed images and the ability to image away from the isocenter. See also Knee MRI.
Sequences based on Dixon turbo spin echo ( fast spin echo) can deliver a significant better fat suppression than conventional TSE/FSE imaging.
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Ultrasound imaging is the primary fetal monitoring modality during pregnancy, nevertheless fetal MRI is increasingly used to image anatomical regions and structures difficult to see with sonography. Given its long record of safety, utility, and cost-effectiveness, ultrasound will remain the modality of first choice in fetal screening. However, MRI is beginning to fill a niche in situations where ultrasound does not provide enough information to diagnose abnormalities before the baby's birth. Magnetic resonance imaging of the fetus provides multiplanar views also in sub-optimal positions, better characterization of anatomic details of e.g. the fetal brain, and information for planning the mode of delivery and airway management at birth.
Indications:
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Examinations of the placenta
Modern fetal MRI requires no sedatives or muscle relaxants to control fetal movement. Ultrafast MRI techniques (e.g., single shot techniques like Half Fourier Acquisition Single shot Turbo spin Echo HASTE) enable images to be acquired in less than one second to eliminate fetal motion. Such technology has led to increased usage of fetal MRI, which can lead to earlier diagnosis of conditions affecting the baby and has proven useful in planning fetal surgery and designing postnatal treatments. As MR technology continues to improve, more advances in the prenatal diagnosis and treatment of fetal abnormalities are to expect. More advances in in-utero interventions are likely as well. Eventually, fetal MRI may replace even some prenatal tests that require invasive procedures such as amniocentesis.
For Ultrasound Imaging (USI) see Fetal Ultrasound at Medical-Ultrasound-Imaging.com. | | | | | | • View the DATABASE results for 'Fetal MRI' (5).
| | | • View the NEWS results for 'Fetal MRI' (2).
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Advances in medical imaging enable visualization of white matter tracts in fetuses Wednesday, 12 May 2021 by www.eurekalert.or | | |
Fetal CMR Detects Congenital Heart Defects, Changes Treatment Decisions Monday, 29 March 2021 by www.diagnosticimaging.com | | |
MRI scans more precisely define and detect some abnormalities in unborn babies Friday, 12 March 2021 by www.eurekalert.org | | |
Ultrasound and Magnetic Resonance Imaging of Agenesis of the Corpus Callosum in Fetuses: Frontal Horns and Cavum Septi Pellucidi Are Clues to Earlier Diagnosis Monday, 29 June 2020 by pubmed.ncbi.nlm.nih.gov | | |
MRI helps predict preterm birth Tuesday, 15 March 2016 by www.eurekalert.org | | |
3-T MRI advancing on ultrasound for imaging fetal abnormalities Monday, 20 April 2015 by www.eurekalert.org | | |
Babies benefit from pioneering 'miniature' MRI scanner in Sheffield Friday, 24 January 2014 by www.telegraph.co.uk | | |
Ultrasensitive Detector Pinpoints Big Problem in Tiny Fetal Heart Tuesday, 6 April 2010 by www.sciencedaily.com | | |
Real-time MRI helps doctors assess beating heart in fetus Thursday, 29 September 2005 by www.eurekalert.org |
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Quick Over viewPlease note that there are different common names for this artifact.
REASON
Movement of body fluids
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.
Image Guidance
| | | | | | • View the DATABASE results for 'Flow Artifact' (6).
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| | | | • View the DATABASE results for 'Fractional Echo' (2).
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RARE Monday, 3 December 2012 by www2.warwick.ac.uk |
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(Gd) Gadolinium is a Lanthanide element that is paramagnetic in its trivalent state.
This paramagnetic substance is used for MR imaging because of the effect of strongly decreasing the T1 relaxation times of the tissues to which gadolinium has access. When injected during magnetic resonance imaging, gadolinium will tend to change signal intensities by shortening the T1 time in its surroundings.
The relaxivity of gadolinium is an important measure of its efficacy, which is dependent on the chemical properties of the complex. The gadolinium ion cannot be used in its chloride, sulfate, or acetate forms because of poor tolerance and low solubility in water in the neutral pH range. Although toxic by itself, gadolinium can be given safely in a chelated form such as DTPA, that still retains much of its strong effect on relaxation times ( relaxivity).
See also Dotarem®, Gadovist®, MultiHance®, Omniscan®, OptiMARK®, and Contrast Agents, the info sheet gives an over view and more in-dept information about different types of MRI contrast agents. | | | | | | • View the DATABASE results for 'Gadolinium' (66).
| | | • View the NEWS results for 'Gadolinium' (17).
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