Rad Tech's Guide to MRI

Basic Physics, Instrumentation, and Quality Control

William H. Faulkner, Euclid Seeram

• Editorial: Wiley-Blackwell
• Año: 2020
• ISBN:
  9781119509509
• Edición: 2
• Categoría: Medicine
• Categoría: Medical Technology & Supplies

The second edition of Rad Tech's Guide to MRI provides practicing and training technologists with a succinct overview of magnetic resonance imaging (MRI). Designed for quick reference and examination preparation, this pocket-size guide covers the fundamental principles of electromagnetism, MRI equipment, data acquisition and processing, image quality and artifacts, MR Angiography, Diffusion/Perfusion, and more.

Written by an expert practitioner and educator, this handy reference guide:

• Provides essential MRI knowledge in a single portable, easy-to-read guide
• Covers instrumentation and MRI hardware components, including gradient and radio-frequency subsystems
• Provides techniques to handle flow imaging issues and improve the quality of MRIs
• Explains the essential physics underpinning MRI technology

Rad Tech's Guide to MRI is a must-have resource for student radiographers, especially those preparing for the American Registry of Radiation Technologist (ARRT) exams, as well as practicing radiology technologists looking for a quick reference guide.

1
Hardware Overview

Instrumentation: Magnets

To obtain a magnetic resonance(MR) signal from tissues, a large static magnetic field is required. The primary purpose of the static magnetic field (known as the B₀ field) is to magnetize the tissue. The magnet technology utilized is either referred to as: Permanent, Resistive or Superconductive. Regardless of the style or type of magnet used, the B₀ field must be stable and homogeneous, particularly in the central area of the magnet (isocenter) which is where the anatomy to be imaged should be placed.

• The vertical field magnet design uses two magnets, one above the patient and one below the patient.
• The frame, which supports the magnets, also serves to “return” the magnetic field.
• Generally, vertical magnets have a reduced fringe field compared with conventional horizontal field magnets.
• The “open design” of these systems is often marketed as being less confining to the patient who may be anxious or claustrophobic.
• “Open MRI” is marketing terminology and has no basis or meaning in science.
• The radio‐frequency (RF) transmit coil and gradient coils for vertical field magnets (discussed in more detail later) are flat coils located on the “face” of the magnets.
• The receiver or surface coils used with vertical field magnets are solenoid in design.
• For vertical field magnets, field strength and homogeneity can be increased by reducing the gap between the two magnets. The disadvantage to reducing the gap is the obvious reduction in patient area.

Regardless of whether the field is vertical or horizontal, there are three primary types of technology utilized tor MRI system magnets: permanent, resistive, and superconducting.

Permanent Magnets

• MRI systems based on permanent magnet technology use materials which are, as the name implies, permanently magnetized to produce the main external magnetic field (B_O).
• Increasing the amount of material used increases the field strength, in addition to size and weight.
• Permanent magnets generally have field strengths of 0.06 to 0.35 Tesla.
• Generally, vertical field permanent magnets have a relatively small fringe field.
• Because of the small fringe field, permanent magnets are often easy to sight, though their weight can be an issue.
• Permanent magnets are sensitive to ambient room temperature.
• Changes in scan room temperature can cause the field strength to vary several gauss per degree.
• Because changes in field strength result in changes in resonant frequency, image quality can vary if the field drifts significantly.

Resistive Magnets

• Resistive magnets are generally used in either a vertical or transverse field system.
• Larger resistive magnet‐based systems can have field strengths up to 0.6 Tesla.
• Whenever electrical current is applied to a wire, a magnetic field is induced around the wire.
• To produce a static field (i.e. not alternating), direct current is required.
• Resistive systems generally also contain an iron core around which the wire is wound.
• Increasing the amount of current or turns of wire increases the field strength and results in heat in the wire.
• Resistive magnets require a constant current to maintain the static field.
• Cooling of the coils is also required as the by‐product of electrical resistance is heat.
• Resistive magnets can easily be turned off when not in use (permanent and superconductive magnets cannot be turned off).
• The earliest type of magnets used in MRI were resistive.
• Resistive magnets can also be temperature‐sensitive.

Superconductive Magnets

• Superconductive magnets are similar to resistive magnets because they use direct current actively applied to a coil of wire to produce the static magnetic field.
• The main difference is that the coils are immersed in liquid helium (cryogen) to remove the resistance.
• When the temperature of any conductor is reduced, electrical resistance decreases.
• Without the resistance, the electrical current can flow within a closed circuit without external power being applied (i.e. no voltage is needed for current to flow).
• The flow of electrical current without resistance is known as superconductivity.
• Most superconductive magnets are solenoid in design and thus, result in a horizontal magnetic field.
• Recent innovations in magnet design allow for vertical field systems using superconductive magnets.
• Superconductive magnets are capable of achieving higher field strengths compared to permanent and resistive magnet technology.
• Small‐bore horizontal magnets used to image small animals and tissue samples can have field strengths of 10 Tesla or higher.
• Superconductive magnets currently approved for use by the FDA (US) in clinical settings include field strengths from 1.0 Tesla to 7.0 Tesla.
• Higher field strengths produce greater fringe fields.
• To reshape and/or reduce the fringe field for siting purposes, magnetic shielding is employed.
• Passive magnetic shielding uses metal (iron) in the scan room walls.
• Active magnetic shielding uses additional coils as part of the magnet design.
• Helium is not stable as a liquid. The temperature of liquid helium is 4 Kelvin. In order to maintain that temperature, it must be kept in a vacuum. Helium will boil at 4.2 K. If the temperature within the vessel containing the magnet coils and liquid helium rises only slightly, or if the vacuum were to be lost, then the liquid helium will boil and expand at a ratio of approximately 1:750.
• The resultant helium gas will burst through a pressure‐sensitive containment system and should vent outside the scan room through a duct system attached to the magnet.
• In the absence of the supercooled environment, the current in the magnet coils will experience resistance, and the static field will be lost.
• This sudden and violent loss of superconductivity is referred to as a quench.
• The major advantage of superconducting technology is high field strength, which results in inherently high signal‐to‐noise ratio (SNR).
• The high SNR can be “traded” for rapid scan times and increased spatial resolution.
• The major disadvantage of superconducting technology is the high cost associated with acquisition, siting, and maintenance.

B₀ Homogeneity

Regardless of the type or style of magnet used for an MR system, the magnetic field must be as homogeneous as possi...