Shortâ TR, Coherent, Gradient Echo Imaging

When a spin system is repeatedly disturbed by a fast repetition of RF pulses, the transverse magnetization after each new RF pulse approaches a steadyâ state value which is smaller than the thermal equilibrium value. The spin system takes a finite number of pulses before this steadyâ state is reached in a time that depends on both the T1 of the tissue and the flip angle of the RF pulse. The focus of this unit is on understanding the buildâ up of the magnetization to steadyâ state and the practical implementation of the simplest forms of imaging in the steadyâ state. Sequences utilizing a steadyâ state approach can be broadly classified as steadyâ state coherent (SSC) and steadyâ state incoherent (SSI) sequences. The SSC behavior is the subject of this unit.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/145400/1/cpmib0502.pd

Contrast enhancement of short T2 tissues using ultrashort TE (UTE) pulse sequences

AIM: To review the effects of contrast administration on tissues with short T2s using a pulse ultrashort echo time (UTE) sequence. MATERIALS AND METHODS: Pulse sequences were implemented with echo times of 0.08 ms and three later gradient echoes. A fat-suppression option was used and later echo images were subtracted from the first echo image. Contrast enhancement with gadodiamide (0.3 mmol/kg) was used for serial studies in a volunteer. The images of 10 patients were reviewed for evidence of contrast enhancement in short T2 tissues. RESULTS: Contrast enhancement was seen in normal meninges, falx, tendons, ligaments, menisci, periosteum and cortical bone. In addition more extensive enhancement than with conventional pulse sequences was seen in meningeal disease, intervertebral disc disease, periligamentous scar tissue and periosteum after fracture. Subtraction of an image taken with a longer TE from the first image was of value in differentiating enhancement in short T2 tissues from that in long T2 tissues or blood. CONCLUSION: Contrast enhancement can be identified in tissues with short T2s using UTE pulse sequences in health and disease

Phosphorus-31 brain MR spectroscopy in women during and after pregnancy compared with nonpregnant control subjects

BACKGROUND AND PURPOSE: A reversible decrease in brain size has been demonstrated during normal pregnancy that is maximal at term and returns to normal after many months. The purpose of this longitudinal study was to use phosphorus-31 MR spectroscopy to determine if metabolic changes explain this physiologic event. METHODS: Pregnant women (n = 12) were examined at term and up to 6 months after delivery. Nonpregnant control subjects (n = 7) were imaged twice (a month apart) to exclude hormone effects. Brain 31P MR spectra were acquired at 1.5 T, and intracellular pH was calculated from the chemical shift between phosphocreatine and inorganic phosphate resonances. Statistical analysis was performed by using an analysis of variance. RESULTS: We found no statistically significant differences in the relative levels of metabolite associated with cerebral bioenergetics and cell membrane metabolism between pregnant women and nonpregnant women. However, a significant increase in cerebral pH was observed in pregnant women at 6 weeks after delivery compared with control subjects (7.074 ± 0.063 vs 7.017 ± 0.041; P < .05). pH returned to normal by 6 months after delivery (7.014 ± 0.010). CONCLUSION: Changes in brain size associated with pregnancy appear to be associated with an increase in intracellular pH after delivery. The observed alkalosis may reflect altered cellular metabolism. These persistent brain perturbations associated with pregnancy indicate that, when postpartum physiologic and pharmacologic changes are measured, long-term effects may be expected in central nervous system processing