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(fMRI) Functional magnetic resonance imaging is a technique used to determine the dynamic brain function, often based on echo planar imaging, but can also be performed by using contrast agents and observing their first pass e ffects through brain tissue. Functional magnetic resonance imaging allows insights in a dysfunctional brain as well as into the basic workings of the brain.
The in functional brain MRI most frequently used e ffect to assess brain function is the blood oxygenation level dependent contrast ( BOLD) e ffect, in which differential changes in brain perfusion and their resultant e ffect on the regional distribution of oxy- to deoxyhaemoglobin are observable because of the di fferent 'intrinsic contrast media' e ffects of the two haemoglobin forms. Increased brain activity causes an increased demand for oxygen, and the vascular system actually overcompensates for this, increasing the amount of oxygenated haemoglobin. Because deoxygenated haemoglobin attenuates the MR signal, the vascular response leads to a signal increase that is related to the neural activity.
Functional imaging relates body function or thought to specific locations where the neural activity is taking place. The brain is scanned at low resolution but at a fast rate (typically once every 2-3 seconds). Structural MRI together with fMRI provides an anatomical baseline and best spatial resolution.
Interactions can also be seen from the motor cortex to the cerebellum or basal ganglia in the case of a movement disorder such as ataxia. For example: by a finger movement the briefly increase in the blood circulation of the appropriate part of the brain controlling that movement, can be measured. | |  | | | | | | | Further Reading: | | Basics:
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(IVIM) Spins moving in fluids with di fferent velocities and possibly in di fferent directions.
This is being found to a small degree in all tissues as a result of capillary perfusion or diffusion. Important velocity changes occur as one moves from the vessel wall towards the center of the vessel.
Hence, spins (to a variable degree) have di fferent velocities within a single imaging voxel.
This e ffect can be measured using special pulse sequences such as in diffusion imaging or diffusion weighed imaging. When the velocity di fferences are marked, as occurs in larger blood vessels, e ffects due to IVIM are visible in standard MR images and give rise to flow related dephasing. The e ffects are more visible when longer echo times are used. | |  | | • View the DATABASE results for 'Intravoxel Incoherent Motion' (3).
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It is important to remember when working around a superconducting magnet that the magnetic field is always on. Under usual working conditions the field is never turned off. Attention must be paid to keep all ferromagnetic items at an adequate distance from the magnet. Ferromagnetic objects which came accidentally under the influence of these strong magnets can injure or kill individuals in or nearby the magnet, or can seriously damage every hardware, the magnet itself, the cooling system, etc..
See MRI resources Accidents.
The doors leading to a magnet room should be closed at all times except when entering or exiting the room. Every person working in or entering the magnet room or adjacent rooms with a magnetic field has to be instructed about the dangers. This should include the patient, intensive-care staff, and maintenance-, service- and cleaning personnel, etc..
The 5 Gauss limit defines the 'safe' level of static magnetic field exposure. The value of the absorbed dose is fixed by the authorities to avoid heating of the patient's tissue and is defined by the specific absorption rate.
Leads or wires that are used in the magnet bore during imaging procedures, should not form large-radius wire loops. Leg-to-leg and leg-to-arm skin contact should be prevented in order to avoid the risk of burning due to the generation of high current loops if the legs or arms are allowed to touch. The patient's skin should not be in contact with the inner bore of the magnet.
The outflow from cryogens like liquid helium is improbable during normal operation and not a real danger for patients.
The safety of MRI contrast agents is tested in drug trials and they have a high compatibility with very few side e ffects. The variations of the side e ffects and possible contraindications are similar to X-ray contrast medium, but very rare. In general, an adverse reaction increases with the quantity of the MRI contrast medium and also with the osmolarity of the compound.
See also 5 Gauss Fringe Field, 5 Gauss Line, Cardiac Risks, Cardiac Stent, dB/dt, Legal Requirements, Low Field MRI, Magnetohydrodynamic Effect, MR Compatibility, MR Guided Interventions, Claustrophobia, MRI Risks and Shielding. | | | | | | | | | • View the DATABASE results for 'MRI Safety' (42).
| | | • View the NEWS results for 'MRI Safety' (13).
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Quick Overview Please note that there are di fferent common names for this artifact.
DESCRIPTION
Striped ghosts with a shift of half the field of view
Machine imperfection-based artifacts manifest themselves due to the fact that the odd k-space lines are acquired in a di fferent direction than the even k-space lines. Slight di fferences in timing result in shifts of the echo in the acquisition window. By the shift theorem, such shifts in the time domain data then produce linear phase di fferences in the frequency domain data.
Without correction, such phase di fferences in every second line produce striped ghosts with a shift of half the field of view, so-called Nyquist ghosts. Shifts in the applied magnetic field can also produce similar (but constant in amplitude) ghosts.
This artifact is commonly seen in an EPI image and can arise from both, hardware and sample imperfections.
A further source of machine-based artifact arises from the need to acquire the signal as quickly as possible. For this reason the EPI signal is often acquired during times when the gradients are being switched. Such sampling e ffectively means that the k-space sampling is not uniform, resulting in ringing artifacts in the image.
Image Guidance
Such artifacts can be minimized by careful setup of the spectrometer and/or correction of the data. For this reasons reference data are often collected, either as a separate scan or embedded in the imaging data.
The non-uniform sampling can be removed by knowing the form of the gradient switching. It is possible to regrid the data onto a uniform k-space grid. | |  | | • View the DATABASE results for 'Machine Imperfection Artifact' (2).
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( 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 di fferent 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 a ffect the sensitivity of the images to flow with di fferent velocities or directions, turbulent flow and vessel size.
This are the three main types of MRA:
All angiographic techniques di fferentially 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 e ffect 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 a ffects the PCA images.
Indications to perform a magnetic resonance angiography ( MRA):
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Detection of aneurysms and dissections
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Evaluation of the vessel anatomy, including variants
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Blockage by a blood clot or stenosis of the blood vessel caused by plaques (the buildup of fat and calcium deposits)
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. | | | | | | | | | | | • View the DATABASE results for 'Magnetic Resonance Angiography MRA' (3).
| | | • View the NEWS results for 'Magnetic Resonance Angiography MRA' (10).
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