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Fat SuppressionForum -
related threads
 
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
    
SlidersSliders Overview

 
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• Related Searches:
    • Spectral Presaturation Inversion Recovery
    • Short T1 Inversion Recovery
    • Water Fat Shift
    • Shoulder MRI
    • Knee MRI
 
Further Reading:
  Basics:
Techniques of Fat Suppression(.pdf)
   by cds.ismrm.org    
  News & More:
Enhanced Fast GRadient Echo 3-Dimensional (efgre3D) or THRIVE
   by www.mri.tju.edu    
Ultrashort echo time (UTE) MRI of the spine in thalassaemia
February 2004   by bjr.birjournals.org    
MRI Resources 
IR - Corporations - Brain MRI - MRI Technician and Technologist Jobs - Absorption and Emission - Manufacturers
 
Infinion 1.5TPanorama 0.2InfoSheet: - Devices -
Intro, 
Types of Magnets, 
Overview, 
etc.MRI Resource Directory:
 - Devices -
 
From Philips Medical Systems; www.medical.philips.com/main/products/mri/products/infinion1.5t/features/ Philips Infinion 1.5 T is designed to maximize the efficiency and quality of patient care. Developed with the patient in mind, the Infinion is the shortest and most open 1.5T scanner available. The unique 'ultra short' 1.4 m magnet assures patient comfort and acceptance without compromising image quality and clinical performance.
Device Information and Specification
CLINICAL APPLICATION
Whole body
CONFIGURATION
Ultra short bore
Head, head / neck, integrated C-spine, L/T spine array, small large GP coils, body flex array, torso pelvis array, breast array, endocavitary, shoulder array, lower extremity, hand / wrist, cardiac, PV array
SYNCHRONIZATION
ECG/peripheral, respiratory gating
PULSE SEQUENCES
SE, TSE, SS TSE, EPI, IR, STIR, FLAIR, FFE, TFE, T1 TFE, T2 TFE, Presat, Fatsat, MTC, Diff-opt., Angiography: PCA, MCA, TOF
IMAGING MODES
Single slice, single volume, multi slice, multi volume
TR
3.1 msec minimum
TE
0.9 msec minimum
SINGLE/MULTI SLICE
80 images/sec std.; up to320 opt.@256
FOV
0.4 - 56 cm
2D: 0.3 mm; 3D: 0.2 mm
1024 x 1024
MEASURING MATRIX
8 x 8 to 1024 x 1024
PIXEL INTENSITY
256 gray scale
BORE DIAMETER
or W x H
60 cm diameter (patient)
MAGNET WEIGHT
4100 kg w/cryogen's
H*W*D
233 (lead fitted) x 198 x 140 cm
POWER REQUIREMENTS
400/480 V
COOLING SYSTEM TYPE
Closed loop, chilled water
CRYOGEN USE
0.06 L/hr helium
STRENGTH
30 mT/m
5-GAUSS FRINGE FIELD
3.0 m / 5.0 m
Passive/active
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• View the DATABASE results for 'Infinion 1.5T™' (2).Open this link in a new window

MRI Resources 
MRI Accidents - Distributors - MRI Training Courses - Spectroscopy - Image Quality - PACS
 
Knee MRI
 
Knee MRI, with its high soft tissue contrast is one of the main imaging tools to depict knee joint pathology. MRI allows accurate imaging of intra-articular structures such as ligaments, cartilage, menisci, bone marrow, synovium, and adjacent soft tissue.
Knee exams require a dedicated extremity coil, providing a homogenous imaging volume and high SNR to ensure best signal coverage. A complete knee MR examination includes for example sagittal and coronal T1 weighted, and proton density weighted pulse sequences +/- fat saturation, or STIR sequences. For high spatial resolution, maximal 4 mm thick slices with at least an in plane resolution of 0.75 mm and small gap are recommended. To depict the anterior cruciate ligament clearly, the sagittal plane has to be rotated 10 - 20° externally (parallel to the medial border of the femoral condyle). Retropatellar cartilage can bee seen for example in axial T2 weighted gradient echo sequences with Fatsat. However, the choice of the pulse sequences is depended of the diagnostic question, the used scanner, and preference of the operator.
Diagnostic quality in knee imaging is possible with field strengths ranging from 0.2 to 3T. With low field strengths more signal averages must be measured, resulting in increased scan times to provide equivalent quality as high field strengths.
More diagnostic information of meniscal tears and chondral defects can be obtained by direct magnetic resonance arthrography, which is done by introducing a dilute solution of gadolinium in saline (1:1000) into the joint capsule. The knee is then scanned in all three planes using T1W sequences with fat suppression. For indirect arthrography, the contrast is given i.v. and similar scans are started 20 min. after injection and exercise of the knee.
Frequent indications of MRI scans in musculoskeletal knee diseases are:
e.g., meniscal degeneration and tears, ligament injuries, osteochondral fractures, osteochondritis dissecans, avascular bone necrosis and rheumatoid arthritis.

See also Imaging of the Extremities and STIR.
 
Images, Movies, Sliders:
 Sagittal Knee MRI Images T1 Weighted  Open this link in a new window
      

 Anatomic MRI of the Knee 2  Open this link in a new window
    
SlidersSliders Overview

 Knee MRI Coronal Pd Spir 001  Open this link in a new window
 Sagittal Knee MRI Images STIR  Open this link in a new window
      

 Axial Knee MRI Images T2 Weighted  Open this link in a new window
 Anatomic MRI of the Knee 1  Open this link in a new window
    
SlidersSliders Overview

 
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• View the DATABASE results for 'Knee MRI' (4).Open this link in a new window


• View the NEWS results for 'Knee MRI' (4).Open this link in a new window.
 
Further Reading:
  Basics:
Musculoskeletal MRI at 3.0 T: Relaxation Times and Image Contrast
Sunday, 1 August 2004   by www.ajronline.org    
Knee, Anterior Cruciate Ligament Injuries (MRI)
Tuesday, 28 March 2006   by www.emedicine.com    
  News & More:
NSAIDs May Worsen Arthritis Inflammation
Monday, 21 November 2022   by www.itnonline.com    
A Knee MRI in Half the Time? It's Possible
Thursday, 8 April 2021   by www.diagnosticimaging.com    
Seniors, patients, astronauts will all benefit from new USask research on bone health
Saturday, 27 February 2021   by www.yorktonthisweek.com    
3D mapping algorithm reads knee MRIs for new arthritis treatments
Thursday, 11 June 2020   by www.healthimaging.com    
MRI T2 Mapping of the Knee Providing Synthetic Morphologic Images: Comparison to Conventional Turbo Spin-Echo MRI
Tuesday, 1 October 2019   by pubs.rsna.org    
Researcher uses MRI to measure joint's geometry and role in severe knee injury
Tuesday, 23 September 2014   by medicalxpress.com    
Abnormalities on MRI predict knee replacement
Monday, 9 March 2015   by medicalxpress.com    
Searchterm 't1 stir' was also found in the following service: 
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Quadrupole ArtifactInfoSheet: - Artifacts - 
Case Studies, 
Reduction Index, 
etc.MRI Resource Directory:
 - Artifacts -
 
Quick Overview
Artifact Information
NAME
Quadrupole artifact
DESCRIPTION
Signal loss, intensity variations
REASON
B1 disturbance
HELP
Fat suppression (SPIR or FatSat) is very critical to the magnetic field homogeneity. Eddy currents in the patient results in B1 disturbance from left to right and from anterior to posterior. The artifact is seen as signal intensity variations with SPIR, like a signal intensity loss diagonal in the image. The short T1 inversion recovery (STIR) sequence is due to another type of fat suppression insensitive to this artifact.
mri safety guidance
Image Guidance
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MRI Resources 
Contrast Agents - Liver Imaging - Bioinformatics - Spine MRI - Diffusion Weighted Imaging - Services and Supplies
 
Black Blood MRAForum -
related threadsInfoSheet: - Sequences - 
Intro, 
Overview, 
Types of, 
etc.MRI Resource Directory:
 - Cardiovascular Imaging -
 
With this magnetic resonance angiography technique flowing blood appears dark.
MR black blood techniques have been developed for cardiovascular imaging to improve segmentation of myocardium from the blood pool. Black blood MRA techniques decrease the signal from blood with reference to the myocardium and make it easier to perform cardiac chamber segmentation.
ECG gated spin echo sequences with presaturation pulses for magnetization preparation will show strong intravascular signal loss due to flow effects when appropriate imaging conditions including spatial presaturation are used. The sequence use the flow void effect as blood passes rapidly through the selected slice.
For dark blood preparation, a pair of nonselective and selective 180° inversion pulses are used, followed by a long inversion time to null signal from inflowing blood. A second selective inversion pulse can also be applied with short inversion time to null the fat signal. These in cardiac imaging used black blood techniques are referred to as double inversion recovery T1 measurement turbo spin echo or fast spin echo, and double-inversion recovery STIR.
 
Images, Movies, Sliders:
 Normal Dual Inversion Fast Spin-echo  Open this link in a new window
      

Courtesy of  Robert R. Edelman

 
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• View the DATABASE results for 'Black Blood MRA' (6).Open this link in a new window

MRI Resources 
Journals - Lung Imaging - Quality Advice - Safety Products - Anatomy - Examinations
 
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