A rephasing or refocusing, which occurs when constant velocity spins return to the same starting phase they had directly after the initial exciting RF pulse, as a result of the application of an even number of gradient pulses. This may also result from the application of multiple gradient echo pulses following the RF pulse. The even echo rephasing phenomenon is one of the flow effects observed in MR imaging.

Flow phenomena are intrinsic processes in the human body. Organs like the heart, the brain or the kidneys need large amounts of blood and the blood flow varies depending on their degree of activity. Magnetic resonance imaging has a high sensitivity to flow and offers accurate, reproducible, and noninvasive methods for the quantification of flow. MRI flow measurements yield information of blood supply of of various vessels and tissues as well as cerebro spinal fluid movement.
Flow can be measured and visualized with different pulse sequences (e.g. phase contrast sequence, cine sequence, time of flight angiography) or contrast enhanced MRI methods (e.g. perfusion imaging, arterial spin labeling).
The blood volume per time (flow) is measured in: cm3/s or ml/min. The blood flow-velocity decreases gradually dependent on the vessel diameter, from approximately 50 cm per second in arteries with a diameter of around 6 mm like the carotids, to 0.3 cm per second in the small arterioles.

Different flow types in human body:
See also Flow Effects, Flow Artifact, Flow Quantification, Flow Related Enhancement, Flow Encoding, Flow Void, Cerebro Spinal Fluid Pulsation Artifact, Cardiovascular Imaging and Cardiac MRI.

Quantification relies on inflow effects or on spin phase effects and therefore on quantifying the phase shifts of moving tissues relative to stationary tissues.
With properly designed pulse sequences (see phase contrast sequence) the pixel by pixel phase represents a map of the velocities measured in the imaging plane. Spin phase effect-based flow quantification schemes use pulse sequences specifically designed so that the phase angle in a pixel obtained upon measuring the signal is proportional to the velocity. As the relation of the phase angle to the velocity is defined by the gradient amplitudes and the gradient switch-on times, which are known, velocity can be determined quantitatively on a pixel-by-pixel basis. Once, this velocity is known, the flow in a vessel can be determined by multiplying the pixel area with the pixel velocity. Summing this quantity for all pixels inside a vessel results in a flow volume, which is measured, e.g. in ml/sec.
Flow related enhancement-based flow quantification techniques (entry phenomena) work because spins in a section perpendicular to the vessel of interest are labeled with some radio frequency RF pulse. Positional readout of the tagged spins some time T later will show the distance D they have traveled.
For constant flow, the velocity v is obtained by dividing the distance D by the time T : v = D/T. Variations of this basic principle have been proposed to measure flow, but the standard methods to measure velocity and flow use the spin phase effect.
Cardiac MRI sequences are used to encode images with velocity information. These pulse sequences permit quantification of flow-related physiologic data, such as blood flow in the aorta or pulmonary arteries and the peak velocity across stenotic valves.

(GMR) The application of strategic gradient pulses can compensate the objectionable spin phase effects of flow motion. That means the reducing of flow effects, e.g. gradient moment nulling of the first order of flow. The simplest velocity-compensated pulse sequence is the symmetrical second echo of a spin echo pulse sequence.
Gradient field changes can be configured in such a way that during an echo the magnetization signal vectors for all pixels have zero phase angle independent of velocities, accelerations etc. of the measured tissue. E.g. the adjustment to zero at the time TE of the net moments of the amplitude of the waveform of the magnetic field gradients with time. The zeroth moment is the area under the curve, the first moment is the 'center of gravity' etc. The aim is to minimize the phase shifts acquired by the transverse magnetization of excited nuclei moving along the gradients (including the effect of refocusing RF pulses), particularly for the reduction of image artifacts due to motion.
Also called Flow Compensation (FC), Motion Artifact Suppression Technique (MAST), Flow motion compression (STILL), Gradient Rephasing (GR), Shimadzu Motion Artifact Reduction Technique (SMART).

From Philips Medical Systems;
The Intera Achieva CV is focused on cardiovascular imaging research and development, generating technology on the cutting edge for modern clinical needs, like easy coronary artery imaging, the evaluation of flow effects in vessels and peripheral angiography with optimal resolution per station.