15 research outputs found
New MR sequences in daily practice: susceptibility weighted imaging. A pictorial essay
Background Susceptibility-weighted imaging (SWI) is a
relatively new magnetic resonance (MR) technique that
exploits the magnetic susceptibility differences of various
tissues, such as blood, iron and calcification, as a new
source of contrast enhancement. This pictorial review is
aimed at illustrating and discussing its main clinical
applications.
Methods SWI is based on high-resolution, threedimensional
(3D), fully velocity-compensated gradientecho
sequences using both magnitude and phase images.
A phase mask obtained from the MR phase images is
multiplied with magnitude images in order to increase the
visualisation of the smaller veins and other sources of
susceptibility effects, which are displayed at best after postprocessing
of the 3D dataset with the minimal intensity
projection (minIP) algorithm.
Results SWI is very useful in detecting cerebral microbleeds
in ageing and occult low-flow vascular malformations,
in characterising brain tumours and degenerative diseases of the brain, and in recognizing calcifications in
various pathological conditions. The phase images are
especially useful in differentiating between paramagnetic
susceptibility effects of blood and diamagnetic effects of
calcium. SWI can also be used to evaluate changes in iron
content in different neurodegenerative disorders.
Conclusion SWI is useful in differentiating and characterising
diverse brain disorders