MRI pulse sequence

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MRI Pulse Sequence

A typical spin echo pulse sequence diagram

An MRI pulse sequence is a programmed set of changing magnetic gradients and radiofrequency pulses used in magnetic resonance imaging (MRI) to generate a specific type of image. These sequences are crucial for determining the contrast and quality of the MRI images, allowing for the visualization of different tissues and pathologies.

Basic Concepts

MRI pulse sequences are designed to exploit the different relaxation properties of tissues. The two main types of relaxation are T1 relaxation and T2 relaxation. The choice of pulse sequence affects the weighting of the image, which can be T1-weighted, T2-weighted, or proton density-weighted.

T1-Weighted Imaging

Comparison of T1, T2, and PD-weighted images

T1-weighted images are produced by using short repetition time (TR) and echo time (TE). These images are useful for visualizing anatomical detail and are particularly good at showing fat and other tissues with short T1 relaxation times.

T2-Weighted Imaging

T2-weighted images are generated with longer TR and TE. These images are excellent for detecting fluid and edema, as they highlight tissues with longer T2 relaxation times, such as cerebrospinal fluid.

Proton Density-Weighted Imaging

Proton density (PD) imaging is achieved by using long TR and short TE, which minimizes T1 and T2 effects, allowing for the visualization of the density of hydrogen protons in tissues.

Common Pulse Sequences

Several standard pulse sequences are used in clinical MRI, each with specific applications and advantages.

Spin Echo Sequences

Spin echo sequences are the most basic and widely used MRI sequences. They consist of a 90-degree RF pulse followed by a 180-degree refocusing pulse, which helps to correct for inhomogeneities in the magnetic field.

Gradient Echo Sequences

Diagram of a gradient echo sequence

Gradient echo sequences use variable flip angles and do not include a 180-degree refocusing pulse. They are faster than spin echo sequences and are used in applications such as functional MRI and angiography.

Inversion Recovery Sequences

Inversion recovery sequences begin with a 180-degree inversion pulse, followed by a delay and then a standard spin echo sequence. This technique is used to nullify specific tissues, such as fat, in STIR (Short TI Inversion Recovery) sequences.

Advanced Techniques

Diffusion-Weighted Imaging

Illustration of diffusion tensor imaging

Diffusion-weighted imaging (DWI) is sensitive to the random motion of water molecules and is particularly useful in the detection of acute stroke.

Echo Planar Imaging

Echo planar imaging (EPI) is a fast imaging technique that captures an entire image in a single shot. It is commonly used in functional MRI and diffusion MRI.

Applications

MRI pulse sequences are tailored to specific clinical questions. For example, T1-weighted sequences are often used for anatomical studies, while T2-weighted sequences are preferred for detecting pathology such as tumors or inflammation.

Proton density MRI of synovial chondromatosis of the knee

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Contributors: Prab R. Tumpati, MD