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Fat SuppressionForum -
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Fat suppression is the process of utilizing specific MRI parameters to remove the deleterious effects of fat from the resulting images , e.g. with STIR, FAT SAT sequences, water selective (PROSET WATS - water only selection, also FATS - fat only selection possible) excitation techniques, or pulse sequences based on the Dixon method.
Spin magnetization can be modulated by using special RF pulses. CHESS or its variations like SPIR, SPAIR (Spectral Selection Attenuated Inversion Recovery) and FAT SAT use frequency selective excitation pulses, which produce fat saturation.
Fat suppression techniques are nearly used in all body parts and belong to every standard MRI protocol of joints like knee, shoulder, hips, etc.
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Imaging of, e.g. the foot can induce bad fat suppression with SPIR/FAT SAT due to the asymmetric volume of this body part. The volume of the foot alters the magnetic field to a different degree than the smaller volume of the lower leg affecting the protons there. There is only a small band of tissue where the fat protons are precessing at the frequency expected, resulting in frequency selective fat saturation working only in that area. This can be corrected by volume shimming or creating a more symmetrical volume being imaged with water bags.
Even with their longer scan time and motion sensitivity, STIR (short T1/tau inversion recovery) sequences are often the better choice to suppress fat. STIR images are also preferred because of the decreased sensitivity to field inhomogeneities, permitting larger fields of views when compared to fat suppressed images and the ability to image away from the isocenter.
See also Knee MRI.
Sequences based on Dixon turbo spin echo (fast spin echo) can deliver a significant better fat suppression than conventional TSE/FSE imaging.
 
Images, Movies, Sliders:
 Shoulder Axial T2 FatSat FRFSE  Open this link in a new window
    

Courtesy of  Robert R. Edelman
 MRI Orbita T2 FatSat  Open this link in a new window
    
 Knee MRI Sagittal STIR 001  Open this link in a new window
 MRI - Anatomic Imaging of the Ankle 3  Open this link in a new window
    
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    • Spectral Presaturation Inversion Recovery
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  Basics:
Techniques of Fat Suppression(.pdf)
   by cds.ismrm.org    
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Enhanced Fast GRadient Echo 3-Dimensional (efgre3D) or THRIVE
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Ultrashort echo time (UTE) MRI of the spine in thalassaemia
February 2004   by bjr.birjournals.org    
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