(MRA) Magnetic resonance angiography is a medical imaging technique to visualize blood filled structures, including arteries, veins and the heart chambers. This MRI technique creates soft tissue contrast between blood vessels and surrounding tissues primarily created by flow, rather than displaying the vessel lumen. There are bright blood and black blood MRA techniques, named according to the appearance of the blood vessels. With this different MRA techniques both, the blood flow and the condition of the blood vessel walls can be seen. Flow effects in MRI can produce a range of artifacts. MRA takes advantage of these artifacts to create predictable image contrast due to the nature of flow.
Technical parameters of the MRA sequence greatly affect the sensitivity of the images to flow with different velocities or directions, turbulent flow and vessel size.
This are the three main types of MRA:
All angiographic techniques differentially enhance vascular MR signal. The names of the bright blood techniques TOF and PCA reflect the physical properties of flowing blood that were exploited to make the vessels appear bright. Contrast enhanced magnetic resonance angiography creates the angiographic effect by using an intravenously administered MR contrast agent to selectively shorten the T1 of blood and thereby cause the vessels to appear bright on T1 weighted images.
MRA images optimally display areas of constant blood flow-velocity, but there are many situations where the flow within a voxel has non-uniform speed or direction. In a diseased vessel these patterns are even more complex. Similar loss of streamline flow occurs at all vessel junctions and stenoses, and in regions of mural thrombosis. It results in a loss of signal, due to the loss of phase coherence between spins in the voxel.
This signal loss, usually only noticeable distal to a stenosis, used to be an obvious characteristic of MRA images. It is minimized by using small voxels and the shortest possible TE. Signal loss from disorganized flow is most noticeable in TOF imaging but also affects the PCA images.
Indications to perform a magnetic resonance angiography (MRA):
Conventional angiography or computerized tomography angiography (CT angiography) may be needed after MRA if a problem (such as an aneurysm) is present or if surgery is being considered.

See also Magnetic Resonance Imaging MRI.

Pulse sequences, designed to be insensitive to flow, e.g. at every even echo, a spin echo sequence is not flow sensitive. Velocity compensation is achieved by using gradients, which are either symmetrical around a 180° pulse and switched on twice as is the case for motion compensated spin echo pulse sequences, or two antisymmetrical gradient lobes without 180° pulse, which is the way to produce a velocity compensated gradient echo pulse sequence.
The signal of the second echo (and all other even echoes) is independent of the velocity of the object. Thus, velocity-based motion effects stemming from the entire voxel or from spins within a voxel (intravoxel incoherent motion) are suppressed with such pulse sequences.
If higher order motion is relevant, as it may be in turbulent jets across valves, acceleration and jerk effects can also be compensated for by the use of appropriate combinations of gradient- and radio frequency pulses.
With the increasingly stronger gradients, echo times in MR systems can be shortened to the point at which effects other than velocity effects hardly ever become relevant.

This happens whenever a structure is only partly within the imaging section, pixel or voxel. The consequence is that the signals of the structure and the adjacent or surrounding structures present in the section, pixel or voxel are averaged.
As a result erroneous pixel or voxel signal values result. This can lead to diagnostic misinterpretations.

See also Partial Volume Artifact.

The process of locating a MR signal by altering the phase of spins in one dimension with a pulsed magnetic field gradient along that dimension prior to the acquisition of the signal.
If a gradient field is briefly switched on and then off again at the beginning of the pulse sequence right after the radio frequency pulse, the magnetization of the external voxels will either precess faster or slower relative to those of the central voxels.
During readout of the signal, the phase of the xy-magnetization vector in different columns will thus systematically differ. When the x- or y- component of the signal is plotted as a function of the phase encoding step number n and thus of time n TR, it varies sinusoidally, fast at the left and right edges and slow at the center of the image. Voxels at the image edges along the phase encoding direction are thus characterized by a higher 'frequency' of rotation of their magnetization vectors than those towards the center.
As each signal component has experienced a different phase encoding gradient pulse, its exact spatial reconstruction can be specifically and precisely located by the Fourier transformation analysis. Spatial resolution is directly related to the number of phase encoding levels (gradients) used. The phase encoding direction can be chosen, e.g. whenever oblique MR images are acquired or when exchanging frequency and phase encoding directions to control wrap around artifacts.

Process by which regions of tissue are selectively sampled to produce spectra from defined volumes in space. These methods may be employed to sample a single region in space (single voxel method) or multiple regions simultaneously (multivoxel methods). The spatial selectivity can be achieved by a variety of methods including surface coils, surface coils in conjunction with RF gradient methods, or RF pulses in combination with switched magnetic field gradients, for example, volume-selective excitation. An indirect method of achieving spatial selectivity is the destruction of coherence of the magnetization in regions that lie outside the region of interest. A variety of spatial encoding schemes have been employed for multivoxel localization. See Chemical shift imaging.