(SAR) The Specific Absorption Rate is defined as the RF power absorbed per unit of mass of an object, and is measured in watts per kilogram (W/kg).
The SAR describes the potential for heating of the patient's tissue due to the application of the RF energy necessary to produce the MR signal. Inhomogeneity of the RF field leads to a local exposure where most of the absorbed energy is applied to one body region rather than the entire person, leading to the concept of a local SAR. Hot spots may occur in the exposed tissue, to avoid or at least minimize effects of such theoretical complications, the frequency and the power of the radio frequency irradiation should be kept at the lowest possible level. Averaging over the whole body leads to the global SAR.
It increases with field strength, radio frequency power and duty cycle, transmitter-coil type and body size. The doubling of the field strength from 1.5 Tesla (1.5T) to 3 Tesla (3T) leads to a quadrupling of SAR. In high and ultrahigh fields, some of the multipleecho, multiple-slice pulse sequences may create a higher SAR than recommended by the agencies. SAR can be reduced by lower flip angle and longer repetition times, which could potentially affect image contrast.
Normally no threatening increase in temperature could be shown. Even in high magnetic fields, the local temperature increases not more than 1°C. 2.1°C is the highest measured increase in skin temperature. Eddy currents may heat up implants and thus may cause local heating.
FDA SAR limits:
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Whole body: 4W/kg/15-minute exposure averaged;
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Head: 3W/kg/10-minute exposure averaged;
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Head or torso: 8W/kg/5 minute exposure per gram of tissue;
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Extremities: 12W/kg/5 minute exposure per gram of tissue.
IEC (International Electrotechnical Commission) SAR limits of some European countries:
All limits are averaged over 6 minutes.
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Level 0 (normal operating mode): Whole body 2W/kg; Head 3.2W/kg; Head or Torso (local) 10W/kg;
Extremities (local) 20W/kg;
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Level I (first level controlled operating mode): Whole body 4W/kg; Head 3.2W/kg; Head or Torso (local) 10W/kg; Extremities (local) 20W/kg;
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Level II (second level controlled operating mode): All values are over Level I values.
(For more details: IEC 60601-2-33 (2002))
In most countries standard MRI systems are limited to a maximum SAR of 4 W/kg, so most scanning in level II is impossible.
For Level I, in addition to routine monitoring, particular caution must be exercised for patients who are sensitive to temperature increases or to RF energy.
For Japan different SAR limits are valid.
(TOF) The time of flight angiography is used for the imaging of vessels. Usually the sequence type is a gradient echosequences with short TR, acquired with slices perpendicular to the direction of blood flow.
The source of diverse flow effects is the difference between the unsaturated and presaturated spins and creates a bright vascular image without the invasive use of contrast media. Flowing blood moves unsaturated spins from outside the slice into the imaging plane. These completely relaxed spins have full equilibriummagnetization and produce (when entering the imaging plane) a much higher signal than stationary spins if a gradient echo sequence is generated. This flow related enhancement is also referred to as entry slice phenomenon, or inflow enhancement.
Performing a presaturationslab on one side parallel to the slice can selectively destroy the MR signal from the in-flowing blood from this side of the slice. This allows the technique to be flow direction sensitive and to separate arteriograms or venograms. When the local magnetization of moving blood is selectively altered in a region, e.g. by selective excitation, it carries the altered magnetization with it when it moves, thus tagging the selected region for times on the order of the relaxation times.
For maximum flow signal, a complete new part of blood has to enter the slice every repetition (TR) period, which makes time of flight angiography sensitive to flow-velocity. The choice of TR and slice thickness should be appropriate to the expected flow-velocities because even small changes in slice thickness influences the performance of the TOF sequence.
The use of sequential 2 dimensional Fourier transformation (2DFT) slices, 3DFT slabs, or multiple 3D slabs (chunks) are depending on the coverage required and the range of flow-velocities.
3D TOF MRA is routinely used for evaluating the Circle of Willis.
A set of k-space lines collected in a specified order but not constituting a complete coverage of k-space, thus can be used in conjunction with all ultrafast MRI techniques.
Several segmental acquisitions may need to be run for complete coverage of k-space.
If these lines are recorded for a single rather than multiple images, imaging time can be shortened considerably maintaining an acceptable temporal resolution.
For example, rapidly acquiring eight k-space lines per segment after each trigger until 128 lines of k-space are acquired in 16 triggers, thus makes image acquisition of multiplecardiac phases or anatomical slices possible in a breath-hold.