Basic Pulse Sequences II - Spin Echoes. TE=12ms TE=47ms TE=106ms TE=153ms UCLA. Radiology

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TE TR 90 180 90 Basic Pulse Sequences II - Spin Echoes TE=12ms TE=47ms TE=106ms TE=153ms TE=235ms

Lecture #6 Summary B1(t) RF TR RF t ~M (1) (0 )= ~ M 0 = 2 4 0 0 M 0 3 5 Initial Condition ~M (1) (0 + )=RF ~ M (1) (0 ) Forced Precession ~M (2) (0 )=E(T 1,T 2,TR) ~ M (1) (0 + ) Free Precession ~M (2) (0 + )=RF ~ M (2) (0 )

Inversion Recovery RF 180 0 TI RF 90 0 TD RF 180 0 TI RF 90 0 Relax Relax Relax TR (180 o TI 90 o TD) N

A fid / I (~r) / (~r) IR Contrast 1 2e TI/T 1 + e TR/T 1 1 2e TI/T1(~r) + e TR/T 1(~r) Eqn. 7.21 The final image is the product of ρ(r) and f(t1(r)). The final image contrast is controlled by TI and TR.

IR Signal Nulling Effect Target T1 TI null = h ln 2 ln 1+exp TR/T0 1 i T 0 1 TI null = [ln 2] T 0 1,ifTR! 1 I (~r) = 0, if T 1 (~r) =T 0 1 (~r)

SR vs. IR M 0 M z (t) Saturation Recovery Inversion Recovery M 0

Inversion Pulse - Applications Greater T1 contrast than SR T1 species nulling/attenuation FLAIR (Fluid Attenuated Inversion Recovery) STIR (Short Tau Inversion Recovery) IR is better than SR for generating contrast when: ρ(a)=ρ(b) and T2(A)=T2(B) AND T1(A) and T1(B) are slightly different Quantitative T1 mapping I (~r) / (~r) 1 2e TI/T1(~r) + e TR/T 1(~r) Eqn. 7.21 The final image is the product of ρ(r) and f(t1(r)). The final image contrast is controlled by TI and TR.

STIR Pulse Sequence 180 TR 180 B1(t) TI TE t Fat CSF Mz(t) t Short Tau Inversion Recovery (STIR) is used to null fat.

STIR Images T2-Weighted STIR http://www.svuhradiology.ie/wp-content/uploads/2015/04/stirmetscombo.jpg

FLAIR Pulse Sequence 180 TR 180 B1(t) TI t Fat CSF Mz(t) t FLuid Attenuated Inversion Recovery (STIR) is used to CSF.

FLAIR Images FLAIR can distinguish fat from CSF. CSF? Images courtesy of Balaji Anvekar http://www.neuroradiologycases.com/2011/11/intracranial-lipoma.html

FLAIR Images Long T2 is bright on T2w. T2 Short T1 is bright on T1w. T1 Long T1 is dark on FLAIR. FLAIR Lesion has long T2 and intermediate T1. Not fat. Not CSF. Cerebral hydatid. http://www.neuroradiologycases.com/2011_08_01_archive.html

Lecture #6 Learning Objectives Appreciate the definition of image contrast. Explain what a T1 or T2-weighted image is. Describe what a pulse sequence is. Understand the saturation recovery pulse sequence and the saturation condition. Describe the inversion recovery sequence. Distinguish between STIR and FLAIR.

Off-Resonance

Isochromats Isochromat - Group of nuclear spins with the same resonant frequency Ideally all spins in a system have the same resonance frequency Multiple isochromats arise from: B0 inhomogeneity (heterogeneity!) Chemical shift effects Magnetic susceptibility differences Gradients } Sources of Off-resonance

Isochromats

Isochromats

B0 Inhomogeneity

Spin Dephasing Intravoxel spin dephasing from: Off-resonance B0 inhomogeneity Chemical shift effects Susceptibility differences (macro and micro) Blood products (iron) Blood oxygenation levels Applied gradients Strong gradients produce more spin dephasing... leads to: Loss of spin phase coherence Usually within a voxel Leads to a decreased echo amplitude. Minimized by: Field shimming Susceptibility manipulation Refocusing pulses

Intravoxel Spin Dephasing Homogenous Intravoxel Field Inhomogenous Intravoxel Field My My Coil Mx Coil Mx Spin Coherence Spin Dephasing Signal loss from spin dephasing and T2*.

Chemical Shift

Chemical Shift Nuclear (eg 1 H) spins surrounded by different chemical environments Orbiting electrons shield the nucleus Referenced against tetramethylsilane Assigned a chemical shift of zero tetramethylsilane water -3.35ppm ~3.35ppm fat Larmor frequency CH2 is 214Hz lower at 1.5T

Chemical Shift water water +3.35ppm fat fat +3.35ppm Chemists frequency frequency Physicists CH 2 =3.35ppm CH2 is 214Hz lower at 1.5T

Chemical Shift http://wwwchem.csustan.edu/tutorials/nmrtable.htm

Chemical Shift Artifact Normal Spins x Off-Resonant Spin x Frequency is linearly related to spatial position.

Chemical Shift Artifact Readout BW = ± 4kHz Low Bandwidth Large Fat-Water Shift High SNR BW = ± 8kHz BW = ± 16kHz High Bandwidth Small Fat-Water Shift Low SNR

Magnetic Susceptibility

Magnetic Susceptibility (χ) Ability of a substance to become magnetized ( ) Susceptibility - slightly decreases the magnetic field Its magnetization is oppositely directed (+) Susceptibility - slightly increases the magnetic field Its magnetization is parallel with the main field Temperature [ C] Pressure [atm] χ [m 3 kg -1 ] Vacuum Any 0 0 Water 20 1 9.04 10 6 O2 20 0.209 3.73 10 7 N2 20 0.781 5.06 10 9

Magnetic Susceptibility Diamagnetic - A substance with a small negative magnetic susceptibility Oxyhemoglobin has a diamagnetism similar to tissue Paramagnetic - A substance with a small but positive magnetic susceptibility. Deoxyhemoglobin more paramagnetic than tissue Ferromagnetic - A substance that has a large positive magnetic susceptibility. Iron particles Large susceptibility gradients at: Tissue-Air interfaces Around metallic implants Can cause large image artifacts

Magnetic Susceptibility Image from Malcolm Levitt

Metal Artifacts 2D FSE of a shoulder. 3D FSE of a knee. Koch KM et al. Imaging near metal with a MAVRIC-SEMAC hybrid. Magn Reson Med 2011;65(1):71-82 [PMID 20981709].

Susceptibility Weighted Imaging (SWI) Multiple microbleeds in cerebral amyloid angiopathy (CAA). A and B, T1-weighted (A) and T2-weighted (B) images do not reveal significant abnormalities except for the lesion in the left temporoparietal area. C, MRA shows normal brain vascular structure. D, SWI demonstrates, in addition to hemorrhage in the left temporoparietal region, multiple microbleeds distributed along the gray/white matter interface in the whole brain, strongly suggesting CAA. Mittal S et al. Susceptibility-weighted imaging: technical aspects and clinical applications, part 2. AJNR Am J Neuroradiol 2009;30(2):232-252.

Free Induction Decay

Free Induction Decay (FID) Free Signal arises from precession of bulk magnetization about B0 after perturbation Induction Signal is induced in a coil (Faraday s Law) Decay Decreases in amplitude over time Characteristics: Amplitude maximum at t=0 Decay rate depends on: T2, T2 *, and spectral distribution (T2**) Pixel-level sources of off-resonance Spin-level sources of off-resonance

Free Induction Decay (FID) 90 RF t Some T2** signal losses are reversible. V(t) t M x = M 0 sin e t T 2 e i!t

Free Induction Decay (FID) 90 RF t Some T2** signal losses are reversible. V(t) t M xy = M 0 sin e t T 2

Off-resonance Without Relaxation Single Isochromat without Relaxation 1.0 1.0 M x 0.8 M y 0.8 100 Isochromats without Relaxation Spectral Distribution M x M y 0.6 M z 0.6 M z Magnetization [a.u.] 0.4 0.2 0.0 0.2 0.4 Magnetization [a.u.] 0.4 0.2 0.0 0.2 0.4 0.6 0.6 0.8 0.8 1.0 Time [µs] 1.0 Time [µs] Single Isochromat with Relaxation 1.0 M x 0.8 M y 1.0 0.8 100 Isochromats with Relaxation Spectral Distribution M x M y 0.6 M z 0.6 M z Magnetization [a.u.] 0.4 0.2 0.0 0.2 0.4 Magnetization [a.u.] 0.4 0.2 0.0 0.2 0.4 0.6 0.6 0.8 0.8 1.0 Time [µs] 1.0 Time [µs] Source Code: PAM_FrP_woR_wOFF_LF.m

Signal Decay T2 T2 * T2 ** Irreversible spin-spin interactions T2 plus Spin de-phasing due to spin-level off-resonance Reversible T2 * plus Spin de-phasing due to voxel-level off-resonance External field imperfections Reversible

T2 * Relaxation Intravoxel Spin Dephasing Spin-spin (T2) dephasing combined with... Off-resonance B0 inhomogeneity Typically a few PPM over 30-50cm» 1PPM = 640Hz = 1.5µT Susceptibility differences (macro and micro) Induce small field perturbations, therefore dephasing Chemical shift effects Off-resonance can be rephased with a spin echo Not with a gradient echo! T2* < T2

T2 * Relaxation 1 = 1 T 2 + B 0 T 2 Irreversible Losses Reversible Losses

T2 versus T2 * T2 Decay T2 * Decay My My Coil Mx Coil Mx Signal loss from spin-spin interaction. Signal loss from spin-spin interaction and off-resonance dephasing and T2*. Signal loss from spin dephasing and T2*.

Range of Off-Resonances B0 <4ppm over 50cm DSV ~0.008ppm within a 1mm voxel ~0.5Hz for 1 H at 1.5T within a 1mm voxel Susceptibility -5.06ppb for N2 and 0.37ppm for O2 ~70.5ppb for air (0.8*(-5.06e-9)+0.2*(3.73e-7)) ~4.5Hz for air at 1.5T Chemical shift ~3.4ppm for fat Gradients ~217 Hz for 1 H at 1.5T within a voxel 5G/cm or 0.5G/mm 2128Hz for 1 H across a 1mm voxel

Free Induction Decay Used for ultrashort echo time imaging of very short T2 species Positive contrast for bone, ligament, tendon, cartilage, meniscus, etc. Spin echoes and gradient echoes are methods that extend the usability of the FID signal

UTE Pulse Sequence Robson MD, Bydder GM. NMR Biomed 2006;19(7):765-780 [PMID 17075960].

Ultra Short TE (UTE) Images TE=30µs Tendons have a very short T2. TE=2.3ms FIG. 7. 3D UTE dual-echo data of the right ankle. (a) FID image at TE 30µs showing high signal from almost all tissues. The arrows indicate the Achilles tendon (AT). (b) Echo acquired at TE 2.3 ms. (c) Difference image highlighting short-t2 components. (d f) Curved (nonplanar) reformatted views of the 3D difference image data set. The course of several tendons can be followed through the complex anatomy of the ankle. (d) Extensor hallucis longus tendon (EHLT). (e) Tibialis anterior tendon (TAT). (f) Flexor digitorum longus tendon (FDLT) crossing the flexor hallucis longus tendon (FHLT); the tibialis posterior tendon (TPT) is also visible. Rahmer J, Bornert P, Groen J, Bos C. Magn Reson Med 2006;55(5): 1075-1082 [PMID 16538604].

Echoes

Why echoes? Free Induction Decay Signal decays rapidly T2 Spin-spin interaction Spectral (frequency) distribution Micro-scale B-field heterogeneity (T2*) Macro-scale B-field heterogeneity (T2**) Imaging requires certain delays Slice-selective rephasing Phase encoding Read-out pre-phasing Echoes let us buy some time

What are echoes? Two-sided NMR signals First half from re-focusing Second half from de-phasing Radiofrequency Echoes Arise from multiple RF-pulses Gradient Echoes Arise from magnetic field gradient reversal it is easier to generate an echo than to ignore it in multiple-pulse MR experiments --Liang & Lauterbur, Page 114

Spin Echo Imaging

Advantages Spin Echo Insensitive to off-resonance All spins within voxel rephased B0 inhomogeneity Intravoxel Chemical shift signal loss Susceptibility Great for T1, T2, ρ contrast Not T2* High SNR Disadvantages TR can be long Leads to long scan time SAR can be high Lots of 90s and 180s Leads to patient heating

Free Induction Decay 90 RF T2* and gradients (not shown) lead to rapid FID dephasing. Signal FID We can refocus the signal with a refocusing RF pulse.

Refocusing Pulses Typically, 180 RF Pulse Provides optimally refocused MXY Largest spin echo signal Refocus spin dephasing due to imaging gradients local magnetic field inhomogeneity magnetic susceptibility variation chemical shift

Refocusing Pulses

Hard Refocusing Pulses RF = 2 4 c 2 +s 2 c c s c s c s s c s c s c s 2 +c 2 c c s s s c s c 3 5 RF =RF 0 = 2 4 1 0 0 0 1 0 0 0 1 32 54 M x M y M z 3 RF5 =RF /2 = 2 4 1 0 0 0 1 0 0 0 1 3 5 My M (n) xy (0 ) Mx M (n) xy (0 + ) My M (n) xy (0 ) Mx M (n) xy (0 + )

Spin Echo 90 180 RF T2* and gradients (not shown) lead to rapid FID dephasing. Reversible components rephase. T2* and gradients lead to subsequent dephasing. Signal FID Spin Echo Record by computer.

Spin Echo 90 180 TR RF TE Signal FID Spin Echo Record by computer.

Spin Echo 90 180 TR RF Signal e t T 2 TE e t T 2 FID Spin Echo How do you adjust the TR? How do you adjust the TE?

Spin Echo - Refocusing http://en.wikipedia.org/wiki/file:hahnecho_gwm.gif

Spin Echo RF 90 0 RF 180 0 RF 90 0 RF 180 0 TE TR To The Board...

M (4) z 0 A Echo / (0 )=M 0 z Spin Echo Contrast 1 2e (TR TE/2)/T 1 + e TR/T 1 This becomes the initial condition for the subsequent TR. 1 2e (TR TE/2)/T 1 + e TR/T 1 If TE TR,then Eqn. 7.24 e TE/T 2 This the signal at time-point #3 for the second TR. Eqn. 7.25 A Echo / 1 e TR/T 1 e TE/T 2 Eqn. 7.26 This the signal at time-point #3 for the second TR when TE<<TR.

Spin Echo Contrast Spin Echo Parameters TE TR Spin Density Short Long T1-Weighted Short Intermediate T2-Weighted Intermediate Long A Echo / 1 e TR/T 1 e TE/T 2 Long TR Minimizes This Term Limits T1 signal contribution. Long TE Emphasizes This Term Adds T2 contrast. Short T1 Maximizes This Term Leads to T1 weighting. Long T2 Maximizes This Term Long T2 is bright on T2-weighted images.

Spin Echo Contrast Spin Echo Parameters TE TR Spin Density Short Long T1-Weighted Short Intermediate T2-Weighted Intermediate Long ρ T2 Long TR T1 Short Short TE Images Courtesy of Mark Cohen Long

Spin Echo - Contrast http://en.wikipedia.org/wiki/file:hahnecho_gwm.gif

Spin Echo TE TR 90 180 90 Excitation Pulse Refocusing Pulse Echo Excitation Pulse TE=12ms Short TE and Long TR is proton density weighted. Spin Echo: TR=6500ms (ETL=12)

Spin Echo TE TR 90 180 90 Excitation Pulse Refocusing Pulse Echo Excitation Pulse TE=12ms TE=47ms Delaying the 180 refocusing pulse delays the TE. Spin Echo: TR=6500ms (ETL=12)

Spin Echo TE TR 90 180 90 Excitation Pulse Refocusing Pulse Echo Excitation Pulse TE=12ms TE=47ms TE=106ms Longer TEs produce more T2-weighting. Spin Echo: TR=6500ms (ETL=12)

Spin Echo TE TR 90 180 90 Excitation Pulse Refocusing Pulse Echo TE=12ms TE=47ms TE=106ms TE=153ms Longer TEs produce more T2-weighting. Spin Echo: TR=6500ms (ETL=12)

Spin Echo TE TR 90 180 90 Excitation Pulse Refocusing Pulse Echo Excitation Pulse TE=12ms TE=47ms TE=106ms TE=153ms TE=235ms Long T2 is bright on T2-weighted (long TE) images. Spin Echo: TR=6500ms (ETL=12)

Thanks Daniel B. Ennis, Ph.D. ennis@ucla.edu 310.206.0713 (Office) http://ennis.bol.ucla.edu Peter V. Ueberroth Bldg. Suite 1417, Room C 10945 Le Conte Avenue