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MRI Midterm
| Question | Answer |
|---|---|
| WHICH MR FIELD HAS A BURN HAZARD? | RF |
| PATIENT ARRIVES TO MR DEPARTMENT AND INFORMS YOU THAT THEY HAVE A HEART VALVE. WHAT IS YOUR FIRST QUESTION? | Do you have a card? When and where was your surgery? Have you ever had an MRI before? |
| Patient arrives to MRI department and tells you they have metal in their body from foreign war. Is it safe to scan them? | No, most metals from foreign war are made of unknown material which could be hazardous in the MRI field |
| How often should a patient be screened for an MRI exam? | every time |
| Which MR zone is for the general public? | zone 1 |
| Which labeled item can be brought into zone 4 without concern? MR safe, MR conditional, or MR unsafe | MR safe |
| Patient is experiencing tingling and shocks in their fingers during the exam. What do you do? | Have them remove any conductive loops (unclasp hands, uncrossed ankles, stop touching sides of body with hands) |
| Patient arrives with skin staples on their head. You are imaging their knee. Can you scan this patient? | Yes, as long as you provide a heat sink for the staples and the patient is awake and alert |
| Patient is experiencing tingling and shocks in their fingers during the exam. What MR field is responsible for this? | Gradient magnetic field |
| Which magnet field produces the main magnetic field? What are the FDA’s limit on this field? | Static Magnetic field, 8T |
| Which MR field is responsible for the magneto-hydrodynamic effect? | static magnetic field |
| What term describes the boiling off of liquid helium? | quench |
| What is the FDA’s recommendation for max noise exposure? | 102 decibels |
| What is the gauss line the general public should be restricted to? | 9 gauss |
| Field strength of 3 Tesla is equal to how many gauss? | 30,000 gauss (1T = 10kg = 10,000 gauss) |
| what is the purpose of the static magnetic field? | to magnetize tissues |
| What is the gyromagnetic ratio of hydrogen? | 42.6 mHz/T |
| What is the precessional frequency of hydrogen in a 1.5 T MRI machine? | 63.9 mHz |
| What is the larmour frequency of hydrogen in a 3.0 T MRI machine? | 128 mHz |
| Name three tupes of primary magnets? | permanent, resistive, and superconducting |
| What type of primary magnet can never be turned off? | permanent |
| superconducting | |
| What is the term for when the net magnetization has been rotated at an angle from the z-axis after application of an RF pulse? | flip angle |
| free induction decay FID | |
| What are we imaging in MRI? Must be specific. | hydrogen protons as they exist in fat and water |
| What is it called when the Net magnetization vector is aligned with B0? | equilibrium |
| What is the liquid cryogen used in a superconducting magnet? | helium |
| What will hydrogen protons do when placed in a static magnet field? | align with the magnetic field or against it |
| Name two types of electromagnets? | resistive and superconducting |
| Name the secondary magnets used in the MRI system? | shim coils, RF system, and gradient system |
| What is it called when two local coils are used at the same time for imaging? | Helmholtz pair |
| What is the purpose of shimming? | homogeneity |
| What gradient is used for slice select in an axial image? | Z gradient |
| What gradient is used for the phase encoding in a sagittal image? | Y gradient |
| What is B1? | RF field |
| When a receive only coil is being used, what transmits the RF? | the main RF body coil that is housed with the gantry |
| What is the name for the center of the bore of the MR system? | isocenter |
| Name an example of a paramagnetic substance? | gadolinium, aluminum, manganese, platinum, tungsten, titanium |
| What is an example of a ferromagnetic substance? | iron, steel, nickel, cobalt |
| True or False: To achieve thin slices you need to use a steep gradient. | true |
| What gradient coil alters the magnetic field in the head to foot direction? | Z gradient |
| What does SNR stand for? | signal to noise ratio |
| What type of MR image is best to review anatomy? | T1 weighting |
| If a structure on an image displays bright white and you are reviewing a T2 weighted image, what is the structure? | fluid/water |
| An inversion recovery spin echo sequence begins with what type of pulse? | 180 degree pulse |
| In T2*, what is responsible for the shortening of the T2 times of tissues? | the dephasing mechanisms |
| In a spin echo sequence that collects more than one echo per TR period, what best describes the number of echoes collect per TR period? | echo train length |
| Which type of pulse sequence would you use if you needed to obtain a true T2 weighted image? | spin echo |
| What type of tissues does a STIR image suppress? | STIR – fat, FLAIR – CSF |
| What imaging techniques collects more than one row of k-space using special multiple channel coils? | parallel imaging |
| What is the disadvantage of utilizing fast spin echo pulse sequences? | heat |
| The time required for 63 % of the tissue’s longitudinal magnetization to recover is known as? | T1 weighting/longitudinal relaxation/spin-lattice relaxation |
| The time required for 63% of the tissue’s transverse magnetization to decay is known as? | T2 image weighting/transverse decay/transverse relaxation |
| On what image type will fat be bright? | T1 weighted and PD weighted |
| When looking at a T2 weighted image, how would you describe the contrast appearance of water? | bright |
| What TR and TE is used to achieve T1 weighting? | short and short |
| What TR and TE is used to achieve T2 weighting? | long and long |
| What TR and TE is used to achieve PD weighting? | TR long TE short |