Cardiac MRI consists of using MRI to study heart anatomy, physiology, and pathology.
In comparison to other techniques, cardiac MRI offers:
improved soft tissue definition
protocol can be tailored to likely differential diagnoses
a large number of sequences are available
Contrast enhanced MR angiography (MRA) is a technique involving 3D spoiled gradient-echo (GE) sequences, with administration of gadolinium-based contrast agents (GBCA). It can be used to assess vascular structures of almost any part of the body. Its key features are:
T1 weighted spoiled gradien...
Diastolic pseudogating appears as periodic bright and dark signal in arteries such as the aorta as one progresses through a series of images. Synchronization of the cardiac cycle and the pulse sequence results in high signal in the artery during diastole when blood is relatively stationary and l...
Doppler angle corrects for the usual clinical situation when an ultrasound beam is not parallel to the Doppler signal.
For instance, if one wants to evaluate an artery, the best angle for evaluation would be at zero degrees (parallel to the vessel). The strongest signal and best waveforms would...
Doppler waveforms are often misinterpreted and/or overlooked. They can provide great deal of information if carefully understood.
The three basic arterial waveforms are 1,2:
forward flow in systole
reverse flow in late systole / early dia...
Maximum Intensity Projection (MIP) consists of projecting the voxel with the highest attenuation value on every view throughout the volume onto a 2D image 1.
Such an algorithm is rather simple: for each XY coordinate, only the pixel with the highest Hounsfield number along the Z-axis is represe...
Phase contrast imaging is an MRI technique that can be used to visualise moving fluid. It is typically used for MR venography as a non-IV-contrast requiring technique.
Spins that are moving in the same direction as a magnetic field gradient develop a phase shift that is proportional to the vel...
The portosystemic shunt ratio is a measure performed using ultrasound to quantify the abnormal flow of portal venous blood that is shunted away from the hepatic sinusoidal circulation in the context of a congenital portosystemic shunt 1.
The ratio is determined using the following e...
Power Doppler is a technique that uses the amplitude of Doppler signal to detect moving matter. Power Doppler:
is independent of velocity and direction of flow, so there is no possibility of signal aliasing
is independent of angle, allowing detection of smaller velocities than colour Doppler, ...
Pulsatile portal venous flow pattern can result from both physiological and pathological causes.
Usually, mild pulsatility or in rare situations even marked pulsatility has been described, particularly in thin subjects with a venous pulsatility index of >0.5 with an inverse correlation to body ...
Tc-99m labelled RBC is one of the technetium radiopharmaceuticals used in the assessment of GI bleeding.
photon energy: 140 KeV
physical half life: 6 hours
biological half life:
normal distribution: heart, vessels, spleen
threshold for detection is 0....
Time of flight angiography (TOF) is an MRI technique to visualize flow within vessels, without the need to administer contrast. It is based on the phenomenon of flow-related enhancement of spins entering into an imaging slice. As a result of being unsaturated, these spins give more signal that s...