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Fundamentals of CT/MRI
Lokendra Yadav
Introduction
 Computed Tomography (CT) was introduced into
clinical practice in 1972 and revolutionized X Ray
imaging by providing high quality images which
reproduced transverse cross sections of the body.
 Tissues are therefore not superimposed on the
image as they are in conventional projections
 The technique offered in particular improved low
contrast resolution for better visualization of soft
tissue, but with relatively high absorbed radiation
dose
Introduction (contd.)
 Computed tomography (CT), originally known as
computed axial tomography (CAT or CT scan) is a
medical imaging method employing tomography
where digital geometry processing is used to generate
a three-dimensional image of the internal structures of
an object from a large series of two-dimensional X-ray
images taken around a single axis of rotation.
 The word "tomography" is derived from the Greek tomos
(slice) and graphia (describing). CT produces a volume
of data which can be manipulated, through a process
known as windowing, in order to demonstrate various
structures based on their ability to block the x-ray
beam.
Evolution of CT
 X-Ray image formation – 2D with super imposition of
tissues
 Conventional Tomography – due to blurring of non
focused tissues
 Computed axial tomography-Images of exquisite
clarity, no superimposition
Definition & Types
ECAT TCAT
• CTCT is a process of creating a cross -sectionalis a process of creating a cross -sectional
tomo- graphic plane or slice of any part of the bodytomo- graphic plane or slice of any part of the body
in which computer is used to make a mathematicalin which computer is used to make a mathematical
reconstruction of a tomo-graph (CT image).reconstruction of a tomo-graph (CT image).
• CT is mainly two typesCT is mainly two types
ECAT (EMISSION TYPE)
 It needs Gamma Camera
 After administration of
radionuclide to patient,
patient becomes temporary
source of emitted radiation,
so it is called ECAT
TCAT (Transmission)
 In this type of CT x-ray
emitted from x-ray tube and
passes through the body of
a patient to a sensitive
recorder so here patient is
acts as transmitter.
 Is generally called CT Scan
 In this x-ray examination
depends upon attenuation
of x-ray beam
BASIC PRINCIPLE:-The Internal Structures of An
Object Can Be Reconstructed From Multiple
Projections Of The Object
 A narrow beam of X ray scans across a
patient in synchrony with a radiation
detector on the opposite side of the
patient.
 Sufficient no. of transmission
measurements are taken at different
orientation of X ray source & detectors,
the distribution of attenuation
coefficients within the layer may be
determined.
 By assigning different levels to different
attenuation coefficients, an image
can be reconstructed with aid of
computer that represent various
structures with diff attenuation
properties.
EVOLUTION OF CT SCAN
Various generations
• First generation - One detector, translation-
rotation Pencil-beam
• Second generation - Multiple detectors, translation-
rotation Small fan-beam
• Third generation - Multiple detectors, rotation-
rotation Large fan-beam
• Fourth generation - Detector ring, source-rotation
Large fan-beam
• Spiral / Helical scanning - Cone-beam geometry
 The first generation of CT scanners employed a
rotate / translate, pencil beam system
FIRST GENERATION
The x-ray tube and a single
detector (per CT slice) translate
across the field of view,
producing a series of parallel
rays. The system then rotates
slightly and translates back
across the field of view,
producing ray measurements at a
different angle. This process is
repeated at 1-degree intervals
over 180 degrees, resulting in the
complete CT data set.
ROTATE/TRANSLATE, PENCIL
First Generation
(Brain Scanner)
 Head was enclosed in water bath b/w X
ray tube & a pair of detectors below .
 A third reference detector intercepted
a portion of the beam before it reached
the patient.
 Patient remain stationary & Gantry
moves through two types of motion: one
is linear & other rotary
 Beam- narrow pencil beam, filtered
with 6mm Al eq.
 Tube - oil cooled stationary anode, focal
spot 2.25 x12mm operated at
120kvp & 33mA
 Each slice of 180 degree rotation took 5
min so total time for clinical study was
approx 25-30 min
The first CT scanner, an
EMI Mark 1, produced
images with 80 x 80 pixel
resolution (3-mm pixels),
and each pair of slices
required approximately
4.5 min-of scan time and
1.5 minutes of
reconstruction time.
The First CT Scanner
Advantages:
 It employed pencil beam geometry which allowed very
efficient scatter reduction.
Limitations
 The detector suffered from significant
amount of “afterglow,”
 It took 4.5 to 5.5 minutes to complete one
scan resulting to limited patient
throughput.
 Only head scan possible.
Advantages & Limitations
 The next incremental
improvement to the
CT scanner was the
incorporation of a
linear array of 30
detectors.
 A relatively narrow
fan angle of 10
degrees was used
SECOND GENERATION
Rotate/Translate, Narrow Fan
Second Generation
(ROTATE-TRANSLATE)
 A fan beam with 20-30 degree
divergence.
 Number of detectors were increased i.e.
up to 30.
 Rotary movement was in arc of 30º &
linear movements were 6 as compare to
EMI scanner
 Scan time for head 10-90 sec. Body
scanning was also possible
 Advantage
 The shortest scan time with a second-
generation scanner was 18 seconds per
slice, 15 times faster than with the first-
generation system.
 Limitations
 more scattered radiation detected than
the pencil beam used in first-generation
CT.
Third Generation:
Rotate/Rotate, Wide Fan Beam
 The mechanically joined x-ray
tube and detector array
rotate together around the
patient without translation.
 The detector array is long
enough so that the fan angle
encompasses the entire width
of the patient.
The translational motion of first- and second-
generation CT scanners was a fundamental
impediment to fast scanning.
Multiple detectors,
rotate-rotate, Large fan-
beam
 Advantages
 The early third-generation scanners could deliver scan times
shorter than 5 seconds.
 Newer systems have scan times of ½ second.
 Limitations
 Third-generation scanners suffered from the significant problem of
ring artifacts.
 Detectors and the associated electronics are expensive, this led
to more expensive CT scanners.
Advantages & Limitations
Fourth-generation CT scanners were designed to
overcome the problem of ring artifacts.
Fourth Generation
Detector ring, Source-
rotation, Large fan-beam
 Based on Rotate-fixed systemBased on Rotate-fixed system
i.e. tube rotates through 360i.e. tube rotates through 360ºº &&
detectors stationarydetectors stationary
 A ring of detectors (1000-2000)A ring of detectors (1000-2000)
surrounds the patient.surrounds the patient.
 Fan shaped beamFan shaped beam
 Scan time very short i.e. 1sec.Scan time very short i.e. 1sec.
DisadvantagesDisadvantages
 High cost because more no ofHigh cost because more no of
detector usedetector use
 More scatter radiationMore scatter radiation
MILLISECOND SCANNER SYSTEM
Multiple X ray Tubes(5th
Gen.)
 First used by Mayo Clinic’s
 They used 28 X-ray tubes position around a
semicircular gantry, aligned with 28 light amplifiers &
TV cameras that are placed behind a single curved
fluorescent screen
 Gantry rotates about 15 revolution per sec
 Data can be acquired in 16 ms.
Disadvantages
 High cost
 Heavy structure mechanical motion difficult
 Developed by Imatron Inc. which was a result of of work by Dr. Douglas &
colleagues during late 1980s
 Commonly referred to CVCT Scanner
Basic components-
 An electron gun 320cm long with its focusing & deflecting coils (electron are
accelerated at 130keV
 4 Tungsten targets rings180cm in dia.
 A ring of detectors arranged in an arc of 210 degree
 The transmitted X ray photons are measured by integrated crystals photo-diode
detector system and digitized by an acquisition system.
 Scan time very less 50-100 msec. because there is no mechanical rotation of
the X ray source and gantry
Fifth Generation:Fifth Generation:
E-Beam CT Stationary/StationaryE-Beam CT Stationary/Stationary
 The gantry had to be stopped after each
slice was acquired, because the detectors
(in third-generation scanners) and the x-ray
tube (in third- and fourth-generation
machines) had to be connected by wires to
the stationary scanner electronics.
 The ribbon cable used to connect the third-
generation detectors with the electronics had to
be carefully rolled out from a cable spool as the
gantry rotated, and then as the gantry stopped
and began to rotate in the opposite direction
the ribbon cable had to be retracted.
LIMITATIONS OF THIRD AND FOURTH
GENERATION CT SCANNERS
HELICAL/SPIRAL CT SCANNER
 Introduced in 1989 by Dr. Kalender
 Spiral CT is made possible by the use of slip ring
technology. Slips rings are an electromechanical
devices that conduct electricity and electrical
signals through ring & brushes from a rotating surface
onto fixed surface & vice-versa.
 Composite brushes are made up of conductive
material (silver graphite)
 Brushes are to be replaced every yr. or during
preventive maintenance.
 3 kind of slip rings are used
 -1st provide high & low voltage to X ray tube
 -2nd
provide low voltage to control system on gantry
 -3rd
transfer signal from rotating detectors array to
DAS
 In the early 1990s, the design
of third- and fourth-generation
scanners evolved to
incorporate slip ring
technology.
 A slip ring is a circular contact
with sliding brushes that allows
the gantry to rotate
continually, untethered by
wires.
 The use of slip-ring technology
eliminated the inertial
limitations at the end of each
slice acquisition, and the
rotating gantry was free to
rotate continuously
throughout the entire patient
examination.
EVOLUTION OF SLIP RING TECHNOLOGY
Helical CT
 Helical CT (also called spiral CT) scanners
acquire data while the table is moving;
 As a result, the x-ray source moves in a helical
pattern around the patient being scanned.
Helical CT (Contd.)
 Helical CT scanners use
either third- or fourth-
generation slip-ring designs.
 the total scan time required to
image the patient is much
shorter (e.g., 30 seconds for
the entire abdomen).
 helical scanning allows the
use of less contrast agent and
increased patient throughput.
 Entire scan can be performed
within a single breath-hold of
the patient, avoiding
inconsistent levels of
inspiration.
Helical CT (Contd.)
 The advent of helical
scanning has
introduced many
different considerations
for data acquisition.
 In order to produce
reconstructions of planar
sections of the patient,
the raw data from the
helical data set are
interpolated to
approximate the
acquisition of planar
reconstruction data.
Advantages of spiral CT
Advantages
 No motion artifacts
 Improved lesion
detection.
 Reduced partial volume
 Multiplanar Imaging
 Improved Pt throughput
 Optimized IV contrast
How
 Removes respiratory
misregistration.
 Reconstruction at
arbitrary intervals.
 Allow reconstruction at
overlapping intervals.
 Scanning time is
reduced.
 Data obtained during
peak of contrast
enhancement.
 When multiple detector arrays are used, the
collimator spacing is wider and therefore more
of the x-rays that are produced by the x-ray
tube are used in producing image data.
 With conventional, single detector array scanners,
opening up the collimator increases the slice
thickness, which is good for improving the utilization
of the x-ray beam but reduces spatial resolution in
the slice thickness dimension.
 With the introduction of multiple detector arrays. the
slice thickness is determined by the detector size and
not by the collimator.
 This represents a major shift in CT technology.
MULTI DETECTOR CT
DEVELOPMENTS IN MULTI DETECTOR CT
 Multi-detector CTs debuted in
1992 when Elscint introduced its
CT Twin, the first dual-slice
scanner.
 The first four-slice scanners were
presented in 1998, followed by
16-slice systems in 2001; 32- and
40-slice scanners followed within
a short period. A 64-slice
scanner was unveiled during
the 2005 annual Radiological
Society of North America
scientific meeting,
 128- and 256-detector scanners
appear to be on the horizon.
 x-ray tube/generator systems.x-ray tube/generator systems.
 x-ray detectors,x-ray detectors,
 computer hardware,computer hardware,
 motor control systems,motor control systems,
 sophisticated reconstruction algorithms.sophisticated reconstruction algorithms.
CT Scanners represent a marriage of diverseCT Scanners represent a marriage of diverse
technologies comprising:technologies comprising:
X-Ray Generators for CT (Contd.)
 In X-ray generators of the ct scanners, low
voltage low frequency alternating current
from the main power supply is converted into
high voltage, high frequency (500- 25000 Hz),
direct current of almost constant potential
supply to X-Ray tube.
 the voltage ripples is less than 1% compared
to 4% from a three phase 12 pulse generator.
 Current CT generators have maximum power
rating of about 60KW that allows KV in the
range of 80-140KVps and tube current in the
range of 100mA-400mA.
COLLIMATORS
 Beam collimation at 2 points,
one close to X ray tube &
other at detectors
 Collimators regulates the
slice thickness
 Each detector has its own
collimators
 In some volume scanner the
beam is collimated through
multiple slits to reduced
scatter produced before
striking the patient, known as
Multi-slit Multi-slice CT
scanner.
DETECTOR TECHNOLOGY
CT detectors capture
the radiation beam
from the patient,
convert it into
electrical signals,
which are
subsequently
converted into
binary coded
information for
onward transmission
to computer system
for further processing
TYPES OF DETECTORS
Three types of detection systems are available for
CT machines:
 Multiple scintillation detectors with photo multiplier tubes
 Multiple scintillation detectors with photo-diodes
 A single multi chamber inert gas (xenon) detectors.
IMAGE RECONSTRUCTION
 In computed tomography, a cross
sectional layer of the body is divided into
tiny blocks
 Each blocks is assigned a no.
proportional to the degree that block
attenuated the X ray beam.
 This block individually called voxel
 The linear attenuation coefficient is used
to quantitative
attenuation
N = Nºe-µx
If the block of material with different
attenuation coefficient placed in the path
then,
N = Nºe-[(µ1+µ2+……+µn)x ]
The values of µ1,µ2,….µn can not be
IMAGE DISPLAY
 A CT imaged displayed is
consist of a matrix of picture
elements called ‘pixels’
 Each pixel represent the linear
attenuation values of X ray at
the point of body .
 Pixel is a 2D display of a voxel
 Matrix used are
 *256x256(over 65000 pixels)
 *512x512(over 260000 pixels)
 *1024x1024(app.1050000
pixels)
CT NUMBER
 It is defined as a relative
comparison of x-ray
attenuation of each voxel
of tissue with an equal
volume of water.
CT no=k(µρ - µω)
µω
To honour Hounsfield CT no.
based on magnification
constant of 1000 are also
called HU (Hounsfield unit)
Windowing is a system where the CT no. range of
interest is spread cover the full grey scale
available on the display system
WINDOW WIDTH –Means total range of CT no.
values selected for gray scale interpretation. It
corresponds to contrast of the image.
WINDOW LEVEL– represents the CT no. selected
for the centre of the range of the no.
displayed on the image. It corresponds to
brightness of image .
WindowingWindowing
Hounsfield Values
WaterWater
AirAir
FatFat
FluidFluid
Soft tissueSoft tissue
CalcificationCalcification
BoneBone
0 HU0 HU
-1000 HU-1000 HU
-20 to - 200 HU-20 to - 200 HU
0 to 15 HU0 to 15 HU
20-60 HU20-60 HU
150-200 HU150-200 HU
1000 HU1000 HU
ADVANCEMENTS
 Detector miniaturization, faster gantry rotation
and enhanced computerization.
 Number of detectors has increased, so has
rotational speed (presently 0.33 s per rotation.).
 Dual-slice scanners permitted either resolution,
speed, volume or power enhancements but
scanners with a minimum of 16/64 slices allow
unlimited improvement in all four areas.
 Applications also includes Cardiac CT, 3DCT, CT
Angiography, CT Fluoroscopy, Virtual
endoscopy and traditional CT.
Advancements of CT
19721972 19801980 19901990 20002000
Minimum scan timeMinimum scan time 300 s300 s 5-10 s5-10 s 1-2 s1-2 s 0.3-1s0.3-1s
Data acquired per 360°Data acquired per 360° 57.6 kB57.6 kB 1 MB1 MB 2MB2MB 42 MB42 MB
Data per spiral sequenceData per spiral sequence -- -- 24-48 MB24-48 MB 200-500 MB200-500 MB
Image matrixImage matrix 808022
25625622
51251222
51251222
Power (generator)Power (generator) 2 kW2 kW 10 kW10 kW 40 kW40 kW 60 kW60 kW
Slice thicknessSlice thickness 13 mm13 mm 2-10 mm2-10 mm 1-10 mm1-10 mm 0.5-5 mm0.5-5 mm
Dual Energy CT Methods
 Dual Source-Siemens
 Energy discriminating Detectors –Philips
 kVp Switching-GE
CONCLUSION
 During the coming years, cone-beam CT with large-area
detectors may allow coverage of entire organs in a single
axial scan
 In the meantime, 64-detector systems are the best available
technology, and some believe a critical point has been
reached:
 The best study obtainable may not be necessary. Thus,
protocols are designed to reasonably bridge the possible
and the necessary.
 Even so, more advanced systems are fast deluging
physicians with incredibly high volumes of CT images.
 The respective technical developments in CT detectors will
have to be reassessed constantly in the future, whereas the
development of detector systems which is equally suited
both for radiography and CT is the need of the day.
47
Introduction
MRI is a computer based cross sectional imaging modality
Which can provide both anatomic as well as physiological
Information non invasively, without the use of ionizing
Radiation .
Definition : MRI is a diagnostic imaging modality in which a
Magnetic resonance , MR active nuclei ,RF pulses and
computer are used to generate the MR images in
transverse, coronal and saggital planes for diagnostic
purpose.
MRI PRINCIPLE and PHYSICS
48Basic of MRI
 Atomic structure
Atom : matter is composed of atoms, which are composed
proton, neutron and electron. having the central nucleus
and orbital electrons
 Atomic number: Sum of the protons and neutron in the
nucleus.
 Mass number: Sum of the proton and neutron in the
nucleus.
Proton spinning on their own axis.
Electron orbiting the nucleus, spin but very less in
comparison to protons.
Nucleus itself spins about its own axis.
49MR active nuclei
 MR active nuclei are characterized by their tendency to
align their axis of rotation to an externally applied
magnetic field.
 According to law of quantum mechanics nuclei with odd
number of protons have a total magnetic moment.
 Some important MR active nuclei.
 HYDROGEN 1
 CARBON 13
 NITROGEN 15
 OXYGEN 17
 FLUORINE 19
 SODIUM 23

PHOSPORUS 31
50HYDROGEN NUCLEUS
 Biological tissues are predominantly made
of
12
C ,16
O , 1
H, and 14
N.
 Hydrogen is the major species that is MR
sensitive.
 Hydrogen is most abundant atom in body.
 The majority of hydrogen is in water (H2O).
2) MR PROTON ALIGNMENT
 Hydrogen is the most abundant element in the human
body. Hydrogen protons align with the magnetic field
when the human body is placed in an MR magnet.
 In a magnetic field, the protons line up in the direction of
the magnetic field, similar to the way a compass lines up
in the earth’s magnetic field.
51
Nucleus of an atom has magnetic properties. When nucleus has an odd
number of protons (or neutrons), there is a magnetization. E.g.
Hydrogen-1 Proton
 Nucleus behaves like a dipole magnet
52
A Single Proton
There is electric chargeThere is electric charge
on the surface of theon the surface of the
proton, thus creating aproton, thus creating a
small current loop andsmall current loop and
generating magneticgenerating magnetic
momentmoment µµ..
Thus proton “magnet” differs from the magnetic bar in that itThus proton “magnet” differs from the magnetic bar in that it
also possesses angular momentum caused by spinning.also possesses angular momentum caused by spinning.
MR PROTON ALIGNMENT
 All the protons pointing in the direction of
the magnetic filed act together to
produce a net magnetization, as if they
were combined into one larger magnet.
 When a patient’s body is placed in a
magnetic field, the hydrogen protons line
up in the direction of that magnetic field.
53
No external magnetic field External magnetic field B0
NET MAGNETIZATION VECTOR
NET MAGNETIZATION VECTOR
An excess of hydrogen nuclei will line up parallel to B0
and create the NMV of the patient. NMV or
longitudinal magnetization along
external magnetic field cannot be measured directly.
for measurement it has to be transverse.
54
Transverse magnetization
 After forming the longitudinal magnetization R .F pulse is sent.
 Precessing protons pick up some energy from R F pulse.
 Some protons go to higher level and starts precessing anti-parallel.
 This results in the reduction of magnitude of longitudinal
magnetization.
 Forces of protons add up to form a new magnetic vector (x-y)
plane
this is called transverse magnetization.
55
56
N
S
The magnetic
vector
direction
size
N
S
4) PRECESSION
A spinning top, which is hit, performs a wobbling type of
motion .
Protons in a strong magnetic field also show this type of
motion, which is called precession.
The precession actually goes very fast, the precession
frequency for hydrogen protons is somewhere around 42.3
MHz in a magnetic field strength of 1 Tesla.
57
58
Larmor equation.
Precession speed of proton can be measured as a
precessional frequency.
It depends upon on magnetic field strength.
According Larmor frequency.
W = r Χ Bo.
Where.
W= PF in MHz.
Bo= strength of M G in Tesla.
r = gyro magnetic ratio.
3) RESONANCE
Resonance is the absorption or emission of energy only at certain
specific frequencies.
Exchange of energy between two systems at a specific frequency is
called resonance. Magnetic resonance corresponds to the
energetic interaction between spins and electromagnetic
radiofrequency (RF).
The resonance frequency, called Larmor frequency (ω0) or
precessional frequency, is proportional to the main magnetic field
strength: ω0 = γ B0.
59
PRECESSIONAL FREQUENCY OF
HYDROGEN AT DIFFERENT MAGNETIC
FIELD STRENGTH
 At 0.5 Tesla -21.28 MHz.
 At 1.0 Tesla -42.57 MHz.
 At 1.5 Tesla -64 MHz.
 At 3 Tesla - 127.71
60
Prerequisite for resonance
Protons resonate if energy delivered by RF waves is-
Delivered at exactly its precessional frequency of
proton.
and 90 degree NMV and B0
61
How to measure longitudinal
magnetization
for the measurement longitudinal magnetization it
has to be transverse.
How it can be transverse.
It can be transverse with the application of R F waves .
62
What are radio frequency waves
 Radio waves are a type
of electromagnetic radiation with
wavelengths in the electromagnetic
spectrum longer than infrared light.
Naturally-occurring radio waves are
produced by lightning, or
by astronomical objects.
63
Effects of radio frequency waves on
protons
R F pulse is sent .
When R F pulse and proton have same frequency protons
pick up some energy from RF pulse and starts wobble this
is called resonance.
64
65
RF Pulse
Radio- wave :Radio- wave :
It is an electro magnetic wave and a short burst ofIt is an electro magnetic wave and a short burst of
pulse which is called RF Pulse. We need a specialpulse which is called RF Pulse. We need a special
(RF) pulse that can exchange energy with protons.(RF) pulse that can exchange energy with protons.
Energy exchange is possible when protons and RFEnergy exchange is possible when protons and RF
wave have same frequency. So energy transformationwave have same frequency. So energy transformation
is possibleis possible
Apply RF pulse at resonance frequency
Protons absorb energy
Protons ‘jump’ to a
higher state
Steps involved during resonance
 Flip angle
 Phase
 MR signal
 FID
 Relaxation
 T1 recovery
66
Flip angle
 The NMV (net magnetization vector)
moves out of
alignment away from BO is called flip
angle .
Magnitude of the flip angle is depends
upon.
Amplitude and duration of RF pulse.
67
68
The flip Angle
69
Phases of magnetic movement
Phase :Phase : NMV move into phase with each other. The phase isNMV move into phase with each other. The phase is
the position of each magnetic moment as the precessionalthe position of each magnetic moment as the precessional
path around Bo. Two types 1) Out of phase 2 ) In phasepath around Bo. Two types 1) Out of phase 2 ) In phase
Out of phase
In phase
70
MR Signal : If a receiver coil is placed in the transverse
plane, a voltage is induced in the receiver coil. When in phase.
Magnetization cuts across the coil and produces Magnetic field
Fluctuation inside the coil. Therefore NMV precess at the
Larmor frequency in transverse plane, a voltage is induced in
the coil. It Constitutes MR Signal
The MR Signal
71
FID : When the RF pulse is switched off the NMV is again
Influenced by Bo and, it tries to realign it. In order to do so
NMV must loss the energy given to it by the RF pulse, as
relaxation occurs, the NMV returns to realign with Bo
Relaxation : During relaxation the NMV gives up absorbed
RF energy and return to Bo. The magnetic movements of
NMV loss transverse magnetization due to dephasing.
Relaxation results :
- The recovery of LM is caused by a process termed T1
recovery
- The decay of TM is caused by a process termed T2 deacy
Result of resonance Contd..Result of resonance Contd..
Free induction decay
 As the magnitude of the transverse
magnetization decreases .so does the
magnitude of the voltage induced in the
receiver coil. This decrease is called
free induction decay.
72
73
FID
Relaxation
 Relaxation – it means recovery of protons
back towards equilibrium after been
disturbed by RF pulse.
Type of relaxation
 Longitudinal relaxation or spin lattice
relaxation.
 Transverse relaxation or spin-spin relaxation
74
75
76
77
Summary
MRI Signal
Longitudinal relaxation (T1)
 When RF pulse is switched off ,protons
starts losing their
energy.
They transfer their energy to surrounding
or lattice hence
it is called spin-lattice relaxation.
78
5) T1 RELAXATION TIMES
 The time it takes for a proton to process back into
alignment with the external magnetic field is called the T1
relaxation time.
 Differences in T1 relaxation times depend on binding of
the proton in different tissues.
 Protons in different types of tissues have different
relaxation times because their elasticity and chemical
bonds are different.
79
80
T2 RELAXATION TIMES
 T2 relaxation time of a tissue is the time it takes for the
protons to lose their phase.
 The T2 relaxation time of a tissue is always shorter
than its T1 relaxation time.
 Protons in a magnetic field also have a second
relaxation time called T2 relaxation time depends on
interactions between the protons in small volume of
tissue.
81
82
T1 AND T2 VALUES FOR VARIOUS ORGANS AT 1T
MAGNETIC FIELD STRENGTH
OrganOrgan T1 (ms)T1 (ms) T2 (ms)T2 (ms)
FatFat
LiverLiver
SpleenSpleen
MuscleMuscle
White matterWhite matter
Gray matterGray matter
CSFCSF
BloodBlood
WaterWater
220220
440440
460460
600600
700700
820820
20002000
800800
25002500
9090
5050
8080
4040
9090
100100
300300
180180
25002500
83
PULSE TIMING PARAMETER
 A pulse sequence is a combination of RF
pulses, signals intervening periods of recovery.
 A pulse sequence consists of several
components two most important are.
the time of repetition (TR).
the time of echo (TE).
84
85
Repetition time-TR
 Time interval between
application of two RF pulses
 Measured in ms
 Determine amount of
relaxation allowed occur
between two RF pulses
 Determine T1 relaxatation
86
Echo time - TE
 Time between application
of RF pulse to peak of signal
induced.
 Measured in ms
 Determine amount of
transverse magnetization
decay allowed to occur
before signal is read.
 TE controls amount of T2
relaxation.
87
Basic Pulse Sequences TR,TE
88
TR & TE - applications
T1T1 PDPD T2T2
TRTR SHORTSHORT LONGLONG LONGLONG
TETE SHORTSHORT SHORTSHORT LONGLONG
 Long TR 2000 ms+
 Short TR 250-700 ms
 Long TE 60 ms+
 Short TE 10-25 ms
89
T1 vs. T2
T1 weighted images
 Short TR & TE
 Black fluid (csf, urine etc)
 White fat
 Anatomical detail
 High SNR
 CE T1 for pathology
T2 weighted images
 Long TR & TE
 White fluid
 Relatively Black fat
 Detect of pathology
 ↑ H2O - ↑ signal
CONTRAST MECHANISM
 Image obtain contrast mainly through the
mechanism of:
 TI recovery
 T2 decay
 Proton or spin density (no of proton per unit
volume of
tissue)
90
91
T1 Recovery in FAT
Occurs due to the nuclei giving up their energy to
surrounding. Slow molecular tumbling in fat allows the
recovery process in FAT is rapid. T1 time of Fat is short
T1 Recovery in fat
92
T1 recovery in water
Occurs due to nuclei giving up the energy acquired
from
the RF excitation to the surrounding lattice. In water
molecular mobility is high. Resulting in less efficient T1
recoverey.T1 recovery of water is longer so T1 time of
water is long
T1 recovery in water
93
T1 contrast : T1 time of fat is shorter than water fat
vector
realigns with Bo faster than water. Longitudinal
components of magnetization of fat is larger than
water
T2 decay in FAT : It occurs as the result of magnetic
fields
of the nuclei interacting each other. Energy
exchange is
more efficient in the hydrogen in fat. The T2 time of fat
is
short (80ms)
T2 decay in fat
94
T2 decay in water :T2 decay in water : Energy exchange in water is less efficientEnergy exchange in water is less efficient
than in fat, T2 time of hydrogen in water is long. T2 time of waterthan in fat, T2 time of hydrogen in water is long. T2 time of water
(200ms)(200ms)
T2 Contrast :T2 Contrast : T2 time of Fat is shorter than that of water.T2 time of Fat is shorter than that of water.
Transverse components of magnetization of fat decays fasterTransverse components of magnetization of fat decays faster
water has high signal, appear bright. on T2 contrast image fatwater has high signal, appear bright. on T2 contrast image fat
has low signal and appears darkhas low signal and appears dark
on T2 contrast imageson T2 contrast images
T2 decay in water
95
Proton density contrast
It is the difference in signal intensity between
tissues of their relative number of protons per
unit
volume. High signal (on brain tissue) Bright on
proton density contrast. Tissue on low proton
density have low signal e.g. Cortical bone –
dark
on proton density image. Proton density is the
basic of MRI contrast
96
MRI EQUIPMENT
 The component of MRI system.
Magnet.
Radio Frequency source.
Image processor.
computer.
Types of magnetism
Para magnetic
Diamagnetic.
Ferromagnetic.
97
7) MR EQUIPMENT 98
Advantages of MRI
 
 MRI does not use ionizing radiation, and is thus
preferred over CT in children and patients requiring
multiple imaging examinations
 MRI has a much greater range of available soft tissue
contrast, depicts anatomy in greater detail, and is
more sensitive and specific for abnormalities within
the brain itself
 MRI scanning can be performed in any imaging
plane without having to physically move the patient
 MRI contrast agents have a considerably smaller risk
of causing potentially lethal allergic reaction
 MRI allows the evaluation of structures that may be
obscured by artifacts from bone in CT images
99
Thank You
100

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Physics of ct mri

  • 2. Introduction  Computed Tomography (CT) was introduced into clinical practice in 1972 and revolutionized X Ray imaging by providing high quality images which reproduced transverse cross sections of the body.  Tissues are therefore not superimposed on the image as they are in conventional projections  The technique offered in particular improved low contrast resolution for better visualization of soft tissue, but with relatively high absorbed radiation dose
  • 3. Introduction (contd.)  Computed tomography (CT), originally known as computed axial tomography (CAT or CT scan) is a medical imaging method employing tomography where digital geometry processing is used to generate a three-dimensional image of the internal structures of an object from a large series of two-dimensional X-ray images taken around a single axis of rotation.  The word "tomography" is derived from the Greek tomos (slice) and graphia (describing). CT produces a volume of data which can be manipulated, through a process known as windowing, in order to demonstrate various structures based on their ability to block the x-ray beam.
  • 4. Evolution of CT  X-Ray image formation – 2D with super imposition of tissues  Conventional Tomography – due to blurring of non focused tissues  Computed axial tomography-Images of exquisite clarity, no superimposition
  • 5. Definition & Types ECAT TCAT • CTCT is a process of creating a cross -sectionalis a process of creating a cross -sectional tomo- graphic plane or slice of any part of the bodytomo- graphic plane or slice of any part of the body in which computer is used to make a mathematicalin which computer is used to make a mathematical reconstruction of a tomo-graph (CT image).reconstruction of a tomo-graph (CT image). • CT is mainly two typesCT is mainly two types
  • 6. ECAT (EMISSION TYPE)  It needs Gamma Camera  After administration of radionuclide to patient, patient becomes temporary source of emitted radiation, so it is called ECAT
  • 7. TCAT (Transmission)  In this type of CT x-ray emitted from x-ray tube and passes through the body of a patient to a sensitive recorder so here patient is acts as transmitter.  Is generally called CT Scan  In this x-ray examination depends upon attenuation of x-ray beam
  • 8. BASIC PRINCIPLE:-The Internal Structures of An Object Can Be Reconstructed From Multiple Projections Of The Object  A narrow beam of X ray scans across a patient in synchrony with a radiation detector on the opposite side of the patient.  Sufficient no. of transmission measurements are taken at different orientation of X ray source & detectors, the distribution of attenuation coefficients within the layer may be determined.  By assigning different levels to different attenuation coefficients, an image can be reconstructed with aid of computer that represent various structures with diff attenuation properties.
  • 9.
  • 10. EVOLUTION OF CT SCAN Various generations • First generation - One detector, translation- rotation Pencil-beam • Second generation - Multiple detectors, translation- rotation Small fan-beam • Third generation - Multiple detectors, rotation- rotation Large fan-beam • Fourth generation - Detector ring, source-rotation Large fan-beam • Spiral / Helical scanning - Cone-beam geometry
  • 11.  The first generation of CT scanners employed a rotate / translate, pencil beam system FIRST GENERATION The x-ray tube and a single detector (per CT slice) translate across the field of view, producing a series of parallel rays. The system then rotates slightly and translates back across the field of view, producing ray measurements at a different angle. This process is repeated at 1-degree intervals over 180 degrees, resulting in the complete CT data set. ROTATE/TRANSLATE, PENCIL
  • 12. First Generation (Brain Scanner)  Head was enclosed in water bath b/w X ray tube & a pair of detectors below .  A third reference detector intercepted a portion of the beam before it reached the patient.  Patient remain stationary & Gantry moves through two types of motion: one is linear & other rotary  Beam- narrow pencil beam, filtered with 6mm Al eq.  Tube - oil cooled stationary anode, focal spot 2.25 x12mm operated at 120kvp & 33mA  Each slice of 180 degree rotation took 5 min so total time for clinical study was approx 25-30 min
  • 13. The first CT scanner, an EMI Mark 1, produced images with 80 x 80 pixel resolution (3-mm pixels), and each pair of slices required approximately 4.5 min-of scan time and 1.5 minutes of reconstruction time. The First CT Scanner
  • 14. Advantages:  It employed pencil beam geometry which allowed very efficient scatter reduction. Limitations  The detector suffered from significant amount of “afterglow,”  It took 4.5 to 5.5 minutes to complete one scan resulting to limited patient throughput.  Only head scan possible. Advantages & Limitations
  • 15.  The next incremental improvement to the CT scanner was the incorporation of a linear array of 30 detectors.  A relatively narrow fan angle of 10 degrees was used SECOND GENERATION Rotate/Translate, Narrow Fan
  • 16. Second Generation (ROTATE-TRANSLATE)  A fan beam with 20-30 degree divergence.  Number of detectors were increased i.e. up to 30.  Rotary movement was in arc of 30º & linear movements were 6 as compare to EMI scanner  Scan time for head 10-90 sec. Body scanning was also possible  Advantage  The shortest scan time with a second- generation scanner was 18 seconds per slice, 15 times faster than with the first- generation system.  Limitations  more scattered radiation detected than the pencil beam used in first-generation CT.
  • 17.
  • 18. Third Generation: Rotate/Rotate, Wide Fan Beam  The mechanically joined x-ray tube and detector array rotate together around the patient without translation.  The detector array is long enough so that the fan angle encompasses the entire width of the patient. The translational motion of first- and second- generation CT scanners was a fundamental impediment to fast scanning. Multiple detectors, rotate-rotate, Large fan- beam
  • 19.  Advantages  The early third-generation scanners could deliver scan times shorter than 5 seconds.  Newer systems have scan times of ½ second.  Limitations  Third-generation scanners suffered from the significant problem of ring artifacts.  Detectors and the associated electronics are expensive, this led to more expensive CT scanners. Advantages & Limitations
  • 20. Fourth-generation CT scanners were designed to overcome the problem of ring artifacts. Fourth Generation Detector ring, Source- rotation, Large fan-beam  Based on Rotate-fixed systemBased on Rotate-fixed system i.e. tube rotates through 360i.e. tube rotates through 360ºº && detectors stationarydetectors stationary  A ring of detectors (1000-2000)A ring of detectors (1000-2000) surrounds the patient.surrounds the patient.  Fan shaped beamFan shaped beam  Scan time very short i.e. 1sec.Scan time very short i.e. 1sec. DisadvantagesDisadvantages  High cost because more no ofHigh cost because more no of detector usedetector use  More scatter radiationMore scatter radiation
  • 21. MILLISECOND SCANNER SYSTEM Multiple X ray Tubes(5th Gen.)  First used by Mayo Clinic’s  They used 28 X-ray tubes position around a semicircular gantry, aligned with 28 light amplifiers & TV cameras that are placed behind a single curved fluorescent screen  Gantry rotates about 15 revolution per sec  Data can be acquired in 16 ms. Disadvantages  High cost  Heavy structure mechanical motion difficult
  • 22.  Developed by Imatron Inc. which was a result of of work by Dr. Douglas & colleagues during late 1980s  Commonly referred to CVCT Scanner Basic components-  An electron gun 320cm long with its focusing & deflecting coils (electron are accelerated at 130keV  4 Tungsten targets rings180cm in dia.  A ring of detectors arranged in an arc of 210 degree  The transmitted X ray photons are measured by integrated crystals photo-diode detector system and digitized by an acquisition system.  Scan time very less 50-100 msec. because there is no mechanical rotation of the X ray source and gantry Fifth Generation:Fifth Generation: E-Beam CT Stationary/StationaryE-Beam CT Stationary/Stationary
  • 23.  The gantry had to be stopped after each slice was acquired, because the detectors (in third-generation scanners) and the x-ray tube (in third- and fourth-generation machines) had to be connected by wires to the stationary scanner electronics.  The ribbon cable used to connect the third- generation detectors with the electronics had to be carefully rolled out from a cable spool as the gantry rotated, and then as the gantry stopped and began to rotate in the opposite direction the ribbon cable had to be retracted. LIMITATIONS OF THIRD AND FOURTH GENERATION CT SCANNERS
  • 24. HELICAL/SPIRAL CT SCANNER  Introduced in 1989 by Dr. Kalender  Spiral CT is made possible by the use of slip ring technology. Slips rings are an electromechanical devices that conduct electricity and electrical signals through ring & brushes from a rotating surface onto fixed surface & vice-versa.  Composite brushes are made up of conductive material (silver graphite)  Brushes are to be replaced every yr. or during preventive maintenance.  3 kind of slip rings are used  -1st provide high & low voltage to X ray tube  -2nd provide low voltage to control system on gantry  -3rd transfer signal from rotating detectors array to DAS
  • 25.  In the early 1990s, the design of third- and fourth-generation scanners evolved to incorporate slip ring technology.  A slip ring is a circular contact with sliding brushes that allows the gantry to rotate continually, untethered by wires.  The use of slip-ring technology eliminated the inertial limitations at the end of each slice acquisition, and the rotating gantry was free to rotate continuously throughout the entire patient examination. EVOLUTION OF SLIP RING TECHNOLOGY
  • 26. Helical CT  Helical CT (also called spiral CT) scanners acquire data while the table is moving;  As a result, the x-ray source moves in a helical pattern around the patient being scanned.
  • 27.
  • 28. Helical CT (Contd.)  Helical CT scanners use either third- or fourth- generation slip-ring designs.  the total scan time required to image the patient is much shorter (e.g., 30 seconds for the entire abdomen).  helical scanning allows the use of less contrast agent and increased patient throughput.  Entire scan can be performed within a single breath-hold of the patient, avoiding inconsistent levels of inspiration.
  • 29. Helical CT (Contd.)  The advent of helical scanning has introduced many different considerations for data acquisition.  In order to produce reconstructions of planar sections of the patient, the raw data from the helical data set are interpolated to approximate the acquisition of planar reconstruction data.
  • 30. Advantages of spiral CT Advantages  No motion artifacts  Improved lesion detection.  Reduced partial volume  Multiplanar Imaging  Improved Pt throughput  Optimized IV contrast How  Removes respiratory misregistration.  Reconstruction at arbitrary intervals.  Allow reconstruction at overlapping intervals.  Scanning time is reduced.  Data obtained during peak of contrast enhancement.
  • 31.  When multiple detector arrays are used, the collimator spacing is wider and therefore more of the x-rays that are produced by the x-ray tube are used in producing image data.  With conventional, single detector array scanners, opening up the collimator increases the slice thickness, which is good for improving the utilization of the x-ray beam but reduces spatial resolution in the slice thickness dimension.  With the introduction of multiple detector arrays. the slice thickness is determined by the detector size and not by the collimator.  This represents a major shift in CT technology. MULTI DETECTOR CT
  • 32. DEVELOPMENTS IN MULTI DETECTOR CT  Multi-detector CTs debuted in 1992 when Elscint introduced its CT Twin, the first dual-slice scanner.  The first four-slice scanners were presented in 1998, followed by 16-slice systems in 2001; 32- and 40-slice scanners followed within a short period. A 64-slice scanner was unveiled during the 2005 annual Radiological Society of North America scientific meeting,  128- and 256-detector scanners appear to be on the horizon.
  • 33.  x-ray tube/generator systems.x-ray tube/generator systems.  x-ray detectors,x-ray detectors,  computer hardware,computer hardware,  motor control systems,motor control systems,  sophisticated reconstruction algorithms.sophisticated reconstruction algorithms. CT Scanners represent a marriage of diverseCT Scanners represent a marriage of diverse technologies comprising:technologies comprising:
  • 34. X-Ray Generators for CT (Contd.)  In X-ray generators of the ct scanners, low voltage low frequency alternating current from the main power supply is converted into high voltage, high frequency (500- 25000 Hz), direct current of almost constant potential supply to X-Ray tube.  the voltage ripples is less than 1% compared to 4% from a three phase 12 pulse generator.  Current CT generators have maximum power rating of about 60KW that allows KV in the range of 80-140KVps and tube current in the range of 100mA-400mA.
  • 35. COLLIMATORS  Beam collimation at 2 points, one close to X ray tube & other at detectors  Collimators regulates the slice thickness  Each detector has its own collimators  In some volume scanner the beam is collimated through multiple slits to reduced scatter produced before striking the patient, known as Multi-slit Multi-slice CT scanner.
  • 36. DETECTOR TECHNOLOGY CT detectors capture the radiation beam from the patient, convert it into electrical signals, which are subsequently converted into binary coded information for onward transmission to computer system for further processing
  • 37. TYPES OF DETECTORS Three types of detection systems are available for CT machines:  Multiple scintillation detectors with photo multiplier tubes  Multiple scintillation detectors with photo-diodes  A single multi chamber inert gas (xenon) detectors.
  • 38. IMAGE RECONSTRUCTION  In computed tomography, a cross sectional layer of the body is divided into tiny blocks  Each blocks is assigned a no. proportional to the degree that block attenuated the X ray beam.  This block individually called voxel  The linear attenuation coefficient is used to quantitative attenuation N = Nºe-µx If the block of material with different attenuation coefficient placed in the path then, N = Nºe-[(µ1+µ2+……+µn)x ] The values of µ1,µ2,….µn can not be
  • 39. IMAGE DISPLAY  A CT imaged displayed is consist of a matrix of picture elements called ‘pixels’  Each pixel represent the linear attenuation values of X ray at the point of body .  Pixel is a 2D display of a voxel  Matrix used are  *256x256(over 65000 pixels)  *512x512(over 260000 pixels)  *1024x1024(app.1050000 pixels)
  • 40. CT NUMBER  It is defined as a relative comparison of x-ray attenuation of each voxel of tissue with an equal volume of water. CT no=k(µρ - µω) µω To honour Hounsfield CT no. based on magnification constant of 1000 are also called HU (Hounsfield unit)
  • 41. Windowing is a system where the CT no. range of interest is spread cover the full grey scale available on the display system WINDOW WIDTH –Means total range of CT no. values selected for gray scale interpretation. It corresponds to contrast of the image. WINDOW LEVEL– represents the CT no. selected for the centre of the range of the no. displayed on the image. It corresponds to brightness of image . WindowingWindowing
  • 42. Hounsfield Values WaterWater AirAir FatFat FluidFluid Soft tissueSoft tissue CalcificationCalcification BoneBone 0 HU0 HU -1000 HU-1000 HU -20 to - 200 HU-20 to - 200 HU 0 to 15 HU0 to 15 HU 20-60 HU20-60 HU 150-200 HU150-200 HU 1000 HU1000 HU
  • 43. ADVANCEMENTS  Detector miniaturization, faster gantry rotation and enhanced computerization.  Number of detectors has increased, so has rotational speed (presently 0.33 s per rotation.).  Dual-slice scanners permitted either resolution, speed, volume or power enhancements but scanners with a minimum of 16/64 slices allow unlimited improvement in all four areas.  Applications also includes Cardiac CT, 3DCT, CT Angiography, CT Fluoroscopy, Virtual endoscopy and traditional CT.
  • 44. Advancements of CT 19721972 19801980 19901990 20002000 Minimum scan timeMinimum scan time 300 s300 s 5-10 s5-10 s 1-2 s1-2 s 0.3-1s0.3-1s Data acquired per 360°Data acquired per 360° 57.6 kB57.6 kB 1 MB1 MB 2MB2MB 42 MB42 MB Data per spiral sequenceData per spiral sequence -- -- 24-48 MB24-48 MB 200-500 MB200-500 MB Image matrixImage matrix 808022 25625622 51251222 51251222 Power (generator)Power (generator) 2 kW2 kW 10 kW10 kW 40 kW40 kW 60 kW60 kW Slice thicknessSlice thickness 13 mm13 mm 2-10 mm2-10 mm 1-10 mm1-10 mm 0.5-5 mm0.5-5 mm
  • 45. Dual Energy CT Methods  Dual Source-Siemens  Energy discriminating Detectors –Philips  kVp Switching-GE
  • 46. CONCLUSION  During the coming years, cone-beam CT with large-area detectors may allow coverage of entire organs in a single axial scan  In the meantime, 64-detector systems are the best available technology, and some believe a critical point has been reached:  The best study obtainable may not be necessary. Thus, protocols are designed to reasonably bridge the possible and the necessary.  Even so, more advanced systems are fast deluging physicians with incredibly high volumes of CT images.  The respective technical developments in CT detectors will have to be reassessed constantly in the future, whereas the development of detector systems which is equally suited both for radiography and CT is the need of the day.
  • 47. 47 Introduction MRI is a computer based cross sectional imaging modality Which can provide both anatomic as well as physiological Information non invasively, without the use of ionizing Radiation . Definition : MRI is a diagnostic imaging modality in which a Magnetic resonance , MR active nuclei ,RF pulses and computer are used to generate the MR images in transverse, coronal and saggital planes for diagnostic purpose. MRI PRINCIPLE and PHYSICS
  • 48. 48Basic of MRI  Atomic structure Atom : matter is composed of atoms, which are composed proton, neutron and electron. having the central nucleus and orbital electrons  Atomic number: Sum of the protons and neutron in the nucleus.  Mass number: Sum of the proton and neutron in the nucleus. Proton spinning on their own axis. Electron orbiting the nucleus, spin but very less in comparison to protons. Nucleus itself spins about its own axis.
  • 49. 49MR active nuclei  MR active nuclei are characterized by their tendency to align their axis of rotation to an externally applied magnetic field.  According to law of quantum mechanics nuclei with odd number of protons have a total magnetic moment.  Some important MR active nuclei.  HYDROGEN 1  CARBON 13  NITROGEN 15  OXYGEN 17  FLUORINE 19  SODIUM 23  PHOSPORUS 31
  • 50. 50HYDROGEN NUCLEUS  Biological tissues are predominantly made of 12 C ,16 O , 1 H, and 14 N.  Hydrogen is the major species that is MR sensitive.  Hydrogen is most abundant atom in body.  The majority of hydrogen is in water (H2O).
  • 51. 2) MR PROTON ALIGNMENT  Hydrogen is the most abundant element in the human body. Hydrogen protons align with the magnetic field when the human body is placed in an MR magnet.  In a magnetic field, the protons line up in the direction of the magnetic field, similar to the way a compass lines up in the earth’s magnetic field. 51 Nucleus of an atom has magnetic properties. When nucleus has an odd number of protons (or neutrons), there is a magnetization. E.g. Hydrogen-1 Proton  Nucleus behaves like a dipole magnet
  • 52. 52 A Single Proton There is electric chargeThere is electric charge on the surface of theon the surface of the proton, thus creating aproton, thus creating a small current loop andsmall current loop and generating magneticgenerating magnetic momentmoment µµ.. Thus proton “magnet” differs from the magnetic bar in that itThus proton “magnet” differs from the magnetic bar in that it also possesses angular momentum caused by spinning.also possesses angular momentum caused by spinning.
  • 53. MR PROTON ALIGNMENT  All the protons pointing in the direction of the magnetic filed act together to produce a net magnetization, as if they were combined into one larger magnet.  When a patient’s body is placed in a magnetic field, the hydrogen protons line up in the direction of that magnetic field. 53 No external magnetic field External magnetic field B0
  • 54. NET MAGNETIZATION VECTOR NET MAGNETIZATION VECTOR An excess of hydrogen nuclei will line up parallel to B0 and create the NMV of the patient. NMV or longitudinal magnetization along external magnetic field cannot be measured directly. for measurement it has to be transverse. 54
  • 55. Transverse magnetization  After forming the longitudinal magnetization R .F pulse is sent.  Precessing protons pick up some energy from R F pulse.  Some protons go to higher level and starts precessing anti-parallel.  This results in the reduction of magnitude of longitudinal magnetization.  Forces of protons add up to form a new magnetic vector (x-y) plane this is called transverse magnetization. 55
  • 57. 4) PRECESSION A spinning top, which is hit, performs a wobbling type of motion . Protons in a strong magnetic field also show this type of motion, which is called precession. The precession actually goes very fast, the precession frequency for hydrogen protons is somewhere around 42.3 MHz in a magnetic field strength of 1 Tesla. 57
  • 58. 58 Larmor equation. Precession speed of proton can be measured as a precessional frequency. It depends upon on magnetic field strength. According Larmor frequency. W = r Χ Bo. Where. W= PF in MHz. Bo= strength of M G in Tesla. r = gyro magnetic ratio.
  • 59. 3) RESONANCE Resonance is the absorption or emission of energy only at certain specific frequencies. Exchange of energy between two systems at a specific frequency is called resonance. Magnetic resonance corresponds to the energetic interaction between spins and electromagnetic radiofrequency (RF). The resonance frequency, called Larmor frequency (ω0) or precessional frequency, is proportional to the main magnetic field strength: ω0 = γ B0. 59
  • 60. PRECESSIONAL FREQUENCY OF HYDROGEN AT DIFFERENT MAGNETIC FIELD STRENGTH  At 0.5 Tesla -21.28 MHz.  At 1.0 Tesla -42.57 MHz.  At 1.5 Tesla -64 MHz.  At 3 Tesla - 127.71 60
  • 61. Prerequisite for resonance Protons resonate if energy delivered by RF waves is- Delivered at exactly its precessional frequency of proton. and 90 degree NMV and B0 61
  • 62. How to measure longitudinal magnetization for the measurement longitudinal magnetization it has to be transverse. How it can be transverse. It can be transverse with the application of R F waves . 62
  • 63. What are radio frequency waves  Radio waves are a type of electromagnetic radiation with wavelengths in the electromagnetic spectrum longer than infrared light. Naturally-occurring radio waves are produced by lightning, or by astronomical objects. 63
  • 64. Effects of radio frequency waves on protons R F pulse is sent . When R F pulse and proton have same frequency protons pick up some energy from RF pulse and starts wobble this is called resonance. 64
  • 65. 65 RF Pulse Radio- wave :Radio- wave : It is an electro magnetic wave and a short burst ofIt is an electro magnetic wave and a short burst of pulse which is called RF Pulse. We need a specialpulse which is called RF Pulse. We need a special (RF) pulse that can exchange energy with protons.(RF) pulse that can exchange energy with protons. Energy exchange is possible when protons and RFEnergy exchange is possible when protons and RF wave have same frequency. So energy transformationwave have same frequency. So energy transformation is possibleis possible Apply RF pulse at resonance frequency Protons absorb energy Protons ‘jump’ to a higher state
  • 66. Steps involved during resonance  Flip angle  Phase  MR signal  FID  Relaxation  T1 recovery 66
  • 67. Flip angle  The NMV (net magnetization vector) moves out of alignment away from BO is called flip angle . Magnitude of the flip angle is depends upon. Amplitude and duration of RF pulse. 67
  • 69. 69 Phases of magnetic movement Phase :Phase : NMV move into phase with each other. The phase isNMV move into phase with each other. The phase is the position of each magnetic moment as the precessionalthe position of each magnetic moment as the precessional path around Bo. Two types 1) Out of phase 2 ) In phasepath around Bo. Two types 1) Out of phase 2 ) In phase Out of phase In phase
  • 70. 70 MR Signal : If a receiver coil is placed in the transverse plane, a voltage is induced in the receiver coil. When in phase. Magnetization cuts across the coil and produces Magnetic field Fluctuation inside the coil. Therefore NMV precess at the Larmor frequency in transverse plane, a voltage is induced in the coil. It Constitutes MR Signal The MR Signal
  • 71. 71 FID : When the RF pulse is switched off the NMV is again Influenced by Bo and, it tries to realign it. In order to do so NMV must loss the energy given to it by the RF pulse, as relaxation occurs, the NMV returns to realign with Bo Relaxation : During relaxation the NMV gives up absorbed RF energy and return to Bo. The magnetic movements of NMV loss transverse magnetization due to dephasing. Relaxation results : - The recovery of LM is caused by a process termed T1 recovery - The decay of TM is caused by a process termed T2 deacy Result of resonance Contd..Result of resonance Contd..
  • 72. Free induction decay  As the magnitude of the transverse magnetization decreases .so does the magnitude of the voltage induced in the receiver coil. This decrease is called free induction decay. 72
  • 74. Relaxation  Relaxation – it means recovery of protons back towards equilibrium after been disturbed by RF pulse. Type of relaxation  Longitudinal relaxation or spin lattice relaxation.  Transverse relaxation or spin-spin relaxation 74
  • 75. 75
  • 76. 76
  • 78. Longitudinal relaxation (T1)  When RF pulse is switched off ,protons starts losing their energy. They transfer their energy to surrounding or lattice hence it is called spin-lattice relaxation. 78
  • 79. 5) T1 RELAXATION TIMES  The time it takes for a proton to process back into alignment with the external magnetic field is called the T1 relaxation time.  Differences in T1 relaxation times depend on binding of the proton in different tissues.  Protons in different types of tissues have different relaxation times because their elasticity and chemical bonds are different. 79
  • 80. 80
  • 81. T2 RELAXATION TIMES  T2 relaxation time of a tissue is the time it takes for the protons to lose their phase.  The T2 relaxation time of a tissue is always shorter than its T1 relaxation time.  Protons in a magnetic field also have a second relaxation time called T2 relaxation time depends on interactions between the protons in small volume of tissue. 81
  • 82. 82
  • 83. T1 AND T2 VALUES FOR VARIOUS ORGANS AT 1T MAGNETIC FIELD STRENGTH OrganOrgan T1 (ms)T1 (ms) T2 (ms)T2 (ms) FatFat LiverLiver SpleenSpleen MuscleMuscle White matterWhite matter Gray matterGray matter CSFCSF BloodBlood WaterWater 220220 440440 460460 600600 700700 820820 20002000 800800 25002500 9090 5050 8080 4040 9090 100100 300300 180180 25002500 83
  • 84. PULSE TIMING PARAMETER  A pulse sequence is a combination of RF pulses, signals intervening periods of recovery.  A pulse sequence consists of several components two most important are. the time of repetition (TR). the time of echo (TE). 84
  • 85. 85 Repetition time-TR  Time interval between application of two RF pulses  Measured in ms  Determine amount of relaxation allowed occur between two RF pulses  Determine T1 relaxatation
  • 86. 86 Echo time - TE  Time between application of RF pulse to peak of signal induced.  Measured in ms  Determine amount of transverse magnetization decay allowed to occur before signal is read.  TE controls amount of T2 relaxation.
  • 88. 88 TR & TE - applications T1T1 PDPD T2T2 TRTR SHORTSHORT LONGLONG LONGLONG TETE SHORTSHORT SHORTSHORT LONGLONG  Long TR 2000 ms+  Short TR 250-700 ms  Long TE 60 ms+  Short TE 10-25 ms
  • 89. 89 T1 vs. T2 T1 weighted images  Short TR & TE  Black fluid (csf, urine etc)  White fat  Anatomical detail  High SNR  CE T1 for pathology T2 weighted images  Long TR & TE  White fluid  Relatively Black fat  Detect of pathology  ↑ H2O - ↑ signal
  • 90. CONTRAST MECHANISM  Image obtain contrast mainly through the mechanism of:  TI recovery  T2 decay  Proton or spin density (no of proton per unit volume of tissue) 90
  • 91. 91 T1 Recovery in FAT Occurs due to the nuclei giving up their energy to surrounding. Slow molecular tumbling in fat allows the recovery process in FAT is rapid. T1 time of Fat is short T1 Recovery in fat
  • 92. 92 T1 recovery in water Occurs due to nuclei giving up the energy acquired from the RF excitation to the surrounding lattice. In water molecular mobility is high. Resulting in less efficient T1 recoverey.T1 recovery of water is longer so T1 time of water is long T1 recovery in water
  • 93. 93 T1 contrast : T1 time of fat is shorter than water fat vector realigns with Bo faster than water. Longitudinal components of magnetization of fat is larger than water T2 decay in FAT : It occurs as the result of magnetic fields of the nuclei interacting each other. Energy exchange is more efficient in the hydrogen in fat. The T2 time of fat is short (80ms) T2 decay in fat
  • 94. 94 T2 decay in water :T2 decay in water : Energy exchange in water is less efficientEnergy exchange in water is less efficient than in fat, T2 time of hydrogen in water is long. T2 time of waterthan in fat, T2 time of hydrogen in water is long. T2 time of water (200ms)(200ms) T2 Contrast :T2 Contrast : T2 time of Fat is shorter than that of water.T2 time of Fat is shorter than that of water. Transverse components of magnetization of fat decays fasterTransverse components of magnetization of fat decays faster water has high signal, appear bright. on T2 contrast image fatwater has high signal, appear bright. on T2 contrast image fat has low signal and appears darkhas low signal and appears dark on T2 contrast imageson T2 contrast images T2 decay in water
  • 95. 95 Proton density contrast It is the difference in signal intensity between tissues of their relative number of protons per unit volume. High signal (on brain tissue) Bright on proton density contrast. Tissue on low proton density have low signal e.g. Cortical bone – dark on proton density image. Proton density is the basic of MRI contrast
  • 96. 96
  • 97. MRI EQUIPMENT  The component of MRI system. Magnet. Radio Frequency source. Image processor. computer. Types of magnetism Para magnetic Diamagnetic. Ferromagnetic. 97
  • 99. Advantages of MRI    MRI does not use ionizing radiation, and is thus preferred over CT in children and patients requiring multiple imaging examinations  MRI has a much greater range of available soft tissue contrast, depicts anatomy in greater detail, and is more sensitive and specific for abnormalities within the brain itself  MRI scanning can be performed in any imaging plane without having to physically move the patient  MRI contrast agents have a considerably smaller risk of causing potentially lethal allergic reaction  MRI allows the evaluation of structures that may be obscured by artifacts from bone in CT images 99