In-phase and out-of-phase sequences
Citation, DOI, disclosures and article data
Citation:
Di Muzio B, Saber M, Bickle I, et al. In-phase and out-of-phase sequences. Reference article, Radiopaedia.org (Accessed on 30 Mar 2025) https://doi.org/10.53347/rID-42534
rID:
42534
Article created:
Disclosures:
At the time the article was created Bruno Di Muzio had no recorded disclosures.
View Bruno Di Muzio's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Mohamed Saber had no recorded disclosures.
View Mohamed Saber's current disclosures
Revisions:
18 times, by
13 contributors -
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Synonyms:
- In-phase and out-of-phase sequences
- In-phase/out-of-phase
- IP and OOP
- IP/OOP
- IP-OOP
- In-phase and out-of-phase
- Opposed-phase
- Chemical shift cancellation artifact
- Opposed-phase imaging
- in and out of phase
In-phase (IP) and out-of-phase (OOP) sequences correspond to paired MRI gradient echo (GRE) sequences obtained with the same repetition time (TR) but with two different echo time (TE) values.
Applications
The main application of the IP-OOP sequences is to identify pathological (microscopic) fat content of tissues in the abdomen by showing signal intensities drop on the OOP images compared to the IP images. Loss of signal intensity between the in-phase and out-of-phase MR images indicates fat. Examples where IP-OOP sequences are useful include 1,2:
- fatty liver and focal fatty sparing/infiltration
- fat-rich adrenal lesions:
- adrenal adenoma (helping differentiate it from carcinomas and metastases)
- adrenal myelolipoma
- lipid-poor angiomyolipoma
- renal cell carcinoma (RCC)
- thymic hyperplasia
- osteoporotic versus neoplastic vertebral wedging: neoplastic lesions display persistence high signals on opposed-phase 3,4
- vertebral metastases: metastatic lesions don't show loss of signal in out-of-phase sequence
- hemochromatosis of the liver 5
- intrahepatic pneumobilia 5
- metallic objects: by the effect of susceptibility artifact (e.g cholecystectomy clips)
References
- 1. Ramalho M, Herédia V, de Campos RO et-al. In-phase and out-of-phase gradient-echo imaging in abdominal studies: intra-individual comparison of three different techniques. Acta Radiol. 2012;53 (4): 441-9. doi:10.1258/ar.2012.110695 - Pubmed citation
- 2. Shetty AS, Sipe AL, Zulfiqar M et-al In-Phase and Opposed-Phase Imaging: Applications of Chemical Shift and Magnetic Susceptibility in the Chest and Abdomen. (2019) Radiographics : a review publication of the Radiological Society of North America, Inc. 39 (1): 115-135. doi:10.1148/rg.2019180043 - Pubmed
- 3. Mary Y. Tadros, Amir L. Louka. Discrimination between benign and malignant in vertebral marrow lesions with diffusion weighted MRI and chemical shift. The Egyptian Journal of Radiology and Nuclear Medicine, 47(2), 557-569. https://doi.org/10.1016/j.ejrnm.2016.02.007 - Sciencedirect
- 4. Erly, W., Oh, E., & Outwater, E. The utility of in-phase/opposed-phase imaging in differentiating malignancy from acute benign compression fractures of the spine. (2006) American Journal of Neuroradiology, 27(6), 1183-1188. AJNR
- 5. Merkle EM, Nelson RC. Dual gradient-echo in-phase and opposed-phase hepatic MR imaging: a useful tool for evaluating more than fatty infiltration or fatty sparing. (2006) Radiographics : a review publication of the Radiological Society of North America, Inc. 26 (5): 1409-18. doi:10.1148/rg.265055711 - Pubmed
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Articles:
- Epithelioid angiomyolipoma of kidney
- Thoracic spine protocol (MRI)
- Adrenal metastasis
- Adrenal glands protocol (MRI)
- Pancreatic ductal adenocarcinoma
- Lumbar spine protocol (MRI)
- Perinephric myxoid pseudotumour of fat
- Focal fatty sparing of the liver
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- Adrenal adenoma
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- Medical abbreviations and acronyms (I)
- Aggressive vertebral haemangioma
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- Metabolic dysfunction associated steatotic liver disease
- Haemochromatosis (pancreatic manifestations)
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- Medical abbreviations and acronyms (O)
Cases:
- Adrenal adenoma
- Red sausage
- Disc extrusion - interval growth
- Hepatic adenoma
- Adrenal adenoma
- Lipid-rich adrenal adenoma
- Solid pseudopapillary neoplasm of the pancreas
- Fatty liver
- Adrenal adenoma (chemical shift imaging)
- Renal angiomyolipoma
- Angiomyolipoma
- Acute pancreatitis with incidental pancreatic lipoma
- Renal angiomyolipoma
- Haemochromatosis
- Focal fatty change
- Adrenal adenoma
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