Huang Susie Y, Seethamraju Ravi T, Patel Pritesh, Hahn Peter F, Kirsch John E, Guimaraes Alexander R
From the Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 (S.Y.H., P.F.H., A.R.G.); Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, Mass (S.Y.H., A.R.G.);Department of Radiology, University of Chicago, Chicago, Ill (P.P.); and Siemens Healthcare USA, Malvern, Pa (R.T.S., J.E.K.).
Radiographics. 2015 Sep-Oct;35(5):1439-60. doi: 10.1148/rg.2015140289. Epub 2015 Jul 24.
Body magnetic resonance (MR) imaging is challenging because of the complex interaction of multiple factors, including motion arising from respiration and bowel peristalsis, susceptibility effects secondary to bowel gas, and the need to cover a large field of view. The combination of these factors makes body MR imaging more prone to artifacts, compared with imaging of other anatomic regions. Understanding the basic MR physics underlying artifacts is crucial to recognizing the trade-offs involved in mitigating artifacts and improving image quality. Artifacts can be classified into three main groups: (a) artifacts related to magnetic field imperfections, including the static magnetic field, the radiofrequency (RF) field, and gradient fields; (b) artifacts related to motion; and (c) artifacts arising from methods used to sample the MR signal. Static magnetic field homogeneity is essential for many MR techniques, such as fat saturation and balanced steady-state free precession. Susceptibility effects become more pronounced at higher field strengths and can be ameliorated by using spin-echo sequences when possible, increasing the receiver bandwidth, and aligning the phase-encoding gradient with the strongest susceptibility gradients, among other strategies. Nonuniformities in the RF transmit field, including dielectric effects, can be minimized by applying dielectric pads or imaging at lower field strength. Motion artifacts can be overcome through respiratory synchronization, alternative k-space sampling schemes, and parallel imaging. Aliasing and truncation artifacts derive from limitations in digital sampling of the MR signal and can be rectified by adjusting the sampling parameters. Understanding the causes of artifacts and their possible solutions will enable practitioners of body MR imaging to meet the challenges of novel pulse sequence design, parallel imaging, and increasing field strength.
由于多种因素的复杂相互作用,全身磁共振(MR)成像颇具挑战性,这些因素包括呼吸和肠道蠕动引起的运动、肠道气体导致的磁化率效应以及覆盖大视野的需求。与其他解剖区域的成像相比,这些因素的综合作用使得全身MR成像更容易出现伪影。了解伪影背后的基本MR物理原理对于认识减轻伪影和提高图像质量所涉及的权衡至关重要。伪影可分为三大类:(a)与磁场缺陷相关的伪影,包括静磁场、射频(RF)场和梯度场;(b)与运动相关的伪影;(c)由用于采样MR信号的方法产生的伪影。静磁场均匀性对于许多MR技术至关重要,如脂肪饱和和平衡稳态自由进动。在较高场强下,磁化率效应会更加明显,可通过尽可能使用自旋回波序列、增加接收带宽以及使相位编码梯度与最强的磁化率梯度对齐等策略来改善。RF发射场的不均匀性,包括介电效应,可通过应用介电垫或在较低场强下成像来最小化。运动伪影可通过呼吸同步、替代的k空间采样方案和平行成像来克服。混叠和截断伪影源于MR信号数字采样的局限性,可通过调整采样参数来纠正。了解伪影的成因及其可能的解决方案将使全身MR成像从业者能够应对新型脉冲序列设计、平行成像和不断提高的场强带来的挑战。