MRI physics involves the interactions between radio waves and hydrogen nuclei in tissues under strong magnetic fields. There are several pulse sequences used in MRI. Spin echo sequences involve a 90 degree excitation pulse followed by a 180 degree rephasing pulse. This produces T1, T2, or proton density weighted images. Gradient echo sequences use gradient fields instead of 180 degree pulses for rephasing. They have shorter acquisition times than spin echo. Inversion recovery sequences begin with an inversion pulse to null the signal from specific tissues like fat or CSF. This allows conditions with high water content like tumors or inflammation to be visualized clearly.
Brain Tumor Extraction from T1- Weighted MRI using Co-clustering and Level Se...CSCJournals
The aim of the paper is to propose effective technique for tumor extraction from T1-weighted magnetic resonance brain images with combination of co-clustering and level set methods. The co-clustering is the effective region based segmentation technique for the brain tumor extraction but have a drawback at the boundary of tumors. While, the level set without re-initialization which is good edge based segmentation technique but have some drawbacks in providing initial contour. Therefore, in this paper the region based co-clustering and edge-based level set method are combined through initially extracting tumor using co-clustering and then providing the initial contour to level set method, which help in cancelling the drawbacks of co-clustering and level set method. The data set of five patients, where one slice is selected from each data set is used to analyze the performance of the proposed method. The quality metrics analysis of the proposed method is proved much better as compared to level set without re-initialization method.
SWI , high susceptibility for blood products, iron depositions, and calcifications
makes susceptibility-weighted imaging an important additional sequence for the diagnostic
workup of pediatric brain pathologic abnormalities. Compared with conventional MRI
sequences, susceptibility-weighted imaging may show lesions in better detail or with higher
sensitivity
A pulse sequence is a sequence of events, which are
needed to acquire MRI images. These events are: RF
pulses, gradient switches and signal collecting.
A pulse sequence is a sequence of events, which we need to acquire MRI images.
Basic pulse sequences
1. Spin echo sequence(SE)
2. Gradient echo sequence(GRE)
3. Inversion Recovery Sequence(IR)
4. Echo Planar Imaging(EPI)
The gradient echo pulse sequence is the simplest type of MRI sequence.
The major purposes behind the gradient technique is a significant reduction in scan time. Small variable flip angle are employed , usually less than 90 degrees. which in turn allow very short repetition time thus decreasing the scan time.
Gradient echo pulse sequence differ from spin echo pulse sequence . There is no 180 degree pulse in GRE. T2 relaxation in GRE is called as T2* relaxation. Gradient can be used to either dephase or rephase the magnetic moments of nuclei.
MRI spin echo sequences are a fundamental imaging technique in magnetic resonance imaging (MRI). They work by manipulating the spin of hydrogen nuclei in the body's tissues to create detailed images. In a spin echo sequence: Spin echo sequences are versatile and used in various MRI applications, including anatomical imaging, quantitative measurements, and lesion characterization. They can produce T1-weighted and T2-weighted images, depending on the specific sequence parameters chosen, offering valuable diagnostic information in medical imaging.
MRI PHYSICS PART 3 Susceptibility-weighted images BY GKM .pptxGulshan Verma
Susceptibility-weighted imaging (SWI) is based on a fully flow compensated, high-resolution, 3D gradient echo method by integrating both magnitude and phase information.
It was previously referred to as high resolution blood oxygen level– dependent (BOLD) venography (HRBV), but because of its broader application than evaluating venous structures, it is now referred to as SWI.
Susceptibility-weighted imaging (SWI) allows detection and characterization of tissue components based on differences in their susceptibilities.
SWI sequences are typically acquired in 3D (rather than 2D) mode,
Allowing thinner slices, and Use Smaller voxel sizes,
Flow compensation in all three directions is used to reduce artifacts,
Parallel imaging is employed to reduce imaging time.
Either single or multiple echoes may be acquired in a given TR interval.
A key feature of SWI is that magnitude and phase information are independently processed/displayed as well as combined for diagnostic purposes
Mri spin echo pulse sequences its variations andYashawant Yadav
MRI spin echo pulse sequences its variation and applications , in this slide collection principle of spine echo pulse sequences is described with physic behind it ,, this slide also coves the inverse recovery pulse sequences and types ,,,, image weighting and parameters are explained .. hope it may be help ful.
Here I discussed about the concept,types, types of images obtained, the advantages and disadvantages of MRI shortly...anyone who wants to know about MRI just go through it. I just prepared it in very simple language for the convenience of the readers all over the world. Thank you.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
5. Resonance
Resonance is an energy transition that occurs when an object is subjected to a frequency the
same as its own. In MR, resonance is induced by applying a radiofrequency (RF) pulse:
• at the same frequency as the precessing hydrogen nuclei;
• at 90° to B0.
6.
7.
8.
9.
10. T1 recovery
The T1 time is defined as the time it takes for 63% of the longitudinal
magnetization to recover. The period of time during which this occurs is the
time between one excitation pulse and the next or the TR.
11. T1 recovery in fat
• T1 relaxation occurs as a result of nuclei exchanging the energy given to them by the RF pulse
to their surrounding environment. The efficiencyof this process determines the T1 time of the
tissue in which they are situated.
• Owing to the fact that fat is able to absorb energy quickly the T1 time of fat is very short, i.e.
nuclei dispose of their energy to the surrounding fat tissue and return to B0 in a short time.
T1 recovery in water
• Water is very inefficient at receiving energy from nuclei. The T1 time of water is therefore
quite long, i.e. nuclei take a lot longer to dispose of their energy to the surrounding water tissue
andreturn to B0.
12. • The TR controls how much of the NMV in fat or water has recovered before the application of
the next RF pulse.
13. T2 decay
T2 decay is caused by the exchange of energy from one nucleus to another. It is called spin–spin
energy transfer. It occurs as a result of the intrinsic magnetic fields of the nuclei interacting with
each other. This energy exchange produces a loss of phase coherence or dephasing, and results
in decay of the NMV in the transverse plane. T2 decay time is the time it takes for
63% of the transverse magnetization to be lost due to dephasing, i.e. 37% remains. The period
of time over which this occurs is the time between the excitation pulse and the MR signal or the
TE. The TE therefore determines how much T2 decay occurs in a particular tissue.
14. Short TEs do not permit full dephasing in either fat or water so their transverse components are
similar. There is little contrast difference between fat and water due to differences in T2 decay
using short TEs.
Long TEs allow dephasing of the transverse components in fat and water. There is a contrast
difference between fat and water due to differences in T2 decay times when using long TEs.
15. T1 weighting
A TR is selected that is short enough to ensure that the NMV in neither
fat nor water has had time to relax back to B0 before the application of
the next excitation pulse. If the TR is long, the NMV in both fat and
water recovers and their respective T1 relaxation times can no longer be
distinguished. A T1 weighted image is an image whose contrast is
predominantly due to the differences in T1 recovery times of tissues.
In T1 weighted images, tissues with short T1 relaxation times such as fat, are bright
(high signal), because they recover most of their longitudinal magnetization during the
TR and therefore more magnetization is available to be flipped into the transverse
plane by the next RF pulse.
Tissues with long T1 relaxation times such as water, are
dark (low signal) because they do not recover much of
their longitudinal magnetization during the TR and
therefore less magnetization is available to be flipped
into the transverse plane by the next RF pulse.
16. T2 weighting
A TE is selected that is long enough to ensure that the NMV in both fat and water have
time to decay. If the TE is too short, the NMV in neither fat nor water has had time to
decay and their respective T2 times cannot be distinguished. A T2 weighted image is
an image whose contrast is predominantly due to the differences in T2 recovery times
of tissues.
For T2 weighting the
differences between
the T2 times of tissues
is exaggerated,
therefore the TE must
be long. T1 effects are
diminished by selecting
a long TR.
• Tissues with a short T2 decay time such as fat are dark (low signal) because they
lose most of their coherent transverse magnetization during the TE period.
• Tissues with a long T2 decay time such as water are bright (high signal), because
they retain most of their transverse coherence during the TE period.
• T2 weighted images best demonstrate pathology as most pathology has an increased
water content and is therefore bright on T2 weighted images.
17.
18. Proton density weighting
In a PD weighted image differences in the proton densities (number of hydrogen
protons in the tissue) must be demonstrated. To achieve this both T1 and T2 effects
are diminished. T1 effects are reduced by selecting a long TR and T2 effects are
diminished by selecting a short TE.
• Tissues with a low proton density are dark (low signal) because the low number of protons
result in a small component of transverse magnetization.
• Tissues with a high proton density are bright (high signal) because the high number of protons
result in a large component of transverse magnetization.
19. Conventional spin echo pulse
sequence (SE)
Conventional spin echo pulse sequences are used to produce T1, T2 or proton density weighted
images and are one of the most basic pulse sequences used in MRI. In a spin echo pulse
sequence there is a 90° excitation pulse followed by a 180° rephasing pulse followed by an
Echo.
22. Fast or turbo spin echo (FSE/ TSE)
• FSE employs a train of 180° rephasing pulses, each one producing a spin echo. This train of
spin echoes is called an echo train. The number of 180° RF pulses and resultant echoes is called
the echo train length (ETL) or turbo factor. The spacing between each echo is called the
echo spacing.
• After each rephasing, a phase encoding step is performed and data from the resultant echo
are stored in K space . Therefore several lines of K space are filled with every TR instead of one
line as in conventional spin echo. As K space is filled more rapidly, the scan time decreases.
Uses
FSE produces T1, T2 or proton density scans
in a fraction of the time of Conventional
spin echo. Because the scan times are reduced,
matrix size can be increased to improve spatial
resolution. FSE is usually used for brains, spines,
joints, extremities and the pelvis
23.
24. Inversion recovery (IR)
• Inversion recovery is a spin echo sequence that begins with a 180° inverting pulse. This inverts
the NMV through 180°.
• When the pulse is removed the NMV begins to relax back to B0. A 90° pulse is then applied at
time interval TI (time from inversion) after the 180° inverting pulse.
• A further 180° RF pulse is applied which rephases spins in the transverse plane and produces
an echo at time TE after the excitation pulse.
25.
26.
27. STIR (short TI inversion recovery)
It uses short TIs such as 100– 180 ms, depending on field strength . TIs of this magnitude
place the 90° excitation pulse at the time that NMV of fat is passing exactly through the
transverse plane. At this point (called the null point) there is no longitudinal component in fat.
Therefore the 90° excitation pulse produces no transverse component in fat and therefore no
signal. In this way a fat suppressed image results .
FLAIR (fluid attenuated inversion recovery)
It uses long TIs such as 1700–2200 ms, to null the signal from CSF in exactly the same way as the
STIR sequence . Because CSF has a long T1 recovery time, the TI must be longer to correspond
with its null point.
28.
29. Gradient echo pulse sequences ( FFE / GRE /GE)
Gradient echo pulse sequences are sequences that use a gradient to reduce magnetic
homogeneity effects, as opposed to a 180° RF pulse used in spin echo sequences.
The gradient echo sequence differs from the spin echo sequence in regard to:
• the flip angle usually below 90°
• the absence of a 180° RF rephasing pulse
A flip angle lower than 90° (partial flip angle) decreases the amount of magnetization tipped
into the transverse plane. The consequence of a low-flip angle excitation is a faster recovery of
longitudinal magnetization that allows shorter TR/TE and decreases scan time.
30. • After the RF pulse is withdrawn, the FID is immediately produced as a result of
inhomogeneities in the magnetic field. T2* dephasing therefore occurs before T1 and T2
processes have had time to develop.
• The magnetic moments within the
transverse component of magnetization
dephase and are then rephased by a
gradient.
• A gradient causes a change in the
magnetic field strength that changes the
precessional frequency and phase of spins.
This effect rephases the magnetic moments
so that a signal is received by the coil that
contains T1 and T2 information. This signal
is called a gradient echo.
31. In a gradient echo pulse sequence ,rephasing is performed by the frequency encoding
gradient .
• The nuclei are dephased with a negative gradient pulse. The negative gradient slows
down the slow nuclei even further and speeds up the fast ones. This accelerates the
dephasing process.
• The gradient polarity is then reversed to positive. The positive gradient speeds up the
slow nuclei and slows down the fast ones. The nuclei rephase and produce a gradient echo.
32. T1 weighting (GRE/FFE/GE)
• The TR must not permit nuclei in the majority of tissues to recover to the longitudinal axis
prior to the repetition of the next RF excitation pulse. Therefore the TR must be short.
• The flip angle must shift the majority of the NMV towards the transverse plane
to produce saturation. The flip angle must be large.
• Use a TE to produce minimum T2* effects. The TE should limit the amount of dephasing that
occurs before the echo is regenerated. Therefore the TE must be short.
T2* weighting (GRE/FFE/GE)
• The TE should permit maximum dephasing to occur before the signal is generated to produce
maximum T2* effects. The TE must be long.
• The flip angle must shift only a minimum of the NMV towards the transverse plane. Small flip
angles ensure that the majority of the net magnetization components remain in the longitudinal
axis to prevent saturation. The flip angle must be small.
• The TR must be long enough to prevent saturation but can be reduced without producing
significant saturation because of the small flip angle.
Proton density weighting(GRE/FFE/GE)
Select TR and flip angle to produce minimum T1 effects and a TE to
produce minimum T2*/T2 effects. As a result proton density predominates.
• The flip angle must be small.
• The TR must be long to minimize saturation and T1 effects as well.
• The TE must be short to minimize the T2*/T2 effects.
33. Advantages of Gradient echo (GRE / FFE)
sequences
1. To detect haemorrhage, calcification
2. Abdominal breath hold studies
3. 3 D imaging
4. Time of flight (TOF) or inflow
angiography