MR Basics Module 2
MR Basics Module 2
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MR Basics
Module 2 Equipment and Instrumentation
1. ASRT Animation
2. MR Basics – Instrumentation
Welcome to Module 2 of MR Basics – Equipment and Instrumentation. This module was written
by Jackie Turk, B.S., R.T.(R)(CT)(MR).
4. Module Objectives
After completing this module, you will be able to:
Identify the major hardware components in magnetic resonance (MR) imaging.
Understand magnetism and magnetic properties.
Define gauss and tesla.
Describe the 3 basic types of magnets.
Discuss the differences in low-, mid-, high- and ultra-high field systems.
Explain the functionality of the shim system in MR imaging.
5. Equipment
To produce an MR image, a specific process must take place with specialized equipment. There
are 3 main pieces of equipment involved in this process: the MR gantry, the operator’s console
and the computer. The computer houses the array processor and is responsible for image
reconstruction. Image acquisition parameters are input and reformatted images are processed at
the operator’s console. These systems work together to produce an MR image.
6. Gantry
Let’s first look at some of the basic hardware components of the MR scanner before moving into
the advanced system components. The gantry is the focus of this module; it contains the main
magnet, also called the magnet bore; shim coils; gradient coils; and radiofrequency (RF) coils. As
you can see from the image, the RF coil is located closest to the patient inside the magnet bore.
The next coil, working our way out from the patient, is the gradient coil, followed by the shim coil
and then the main magnet coil. It’s important to identify the order of these coils as they occur in
the magnet. A mnemonic that may be helpful to remember the order is Many Stars Glow
Radiantly, for magnet, shim, gradient, RF.
The magnet is responsible for aligning the nuclei in the patient’s body, with the adjacent shim coil
maintaining the homogeneity of the magnetic field. The RF coil is responsible for exciting the
nuclei. The gradients are used to decipher the exact location of excited nuclei. In this module,
we’ll look specifically at the magnet and shim. The RF and gradient coils will be discussed in
greater detail in a later module.
7. Coordinates
The gantry is the opening into the bore of the magnet.
When describing spatial localization, we use x, y and z coordinates to indicate the plane of
interest. The x coordinate describes the plane that divides the gantry into left and right
hemispheres. The y coordinate divides the gantry from top to bottom. The z coordinate lies along
the long axis through the MR unit. The x-y plane is the gantry aperture, which generally measures
50 to 70 cm in all directions. This relatively small opening in the MR scanner helps maintain
magnetic field strength and homogeneity, but can limit the size of the patient who can comfortably
fit in the machine. The MR gantry opening is especially small compared with some computed
tomography (CT) units that have a bore of 80 cm or larger.
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As we’ll see throughout this module, not all MR units are cylindrical in design with a limited gantry
opening. Some open units allow for 360° viewing, and others are shaped like a C. These open
units are less restrictive and can accommodate larger patients.
8. Knowledge Check
9. Knowledge Check
The table is responsible for supporting the patient in the proper position for the exam. The weight
limit for tables is approximately 300 pounds (136 kg), although many units can accommodate
patients heavier than 500 pounds (226 kg). Weight limitations vary among manufacturers, and
MR technologists should know the exact limits of their tables. An overloaded table may not
function properly and could contribute to a misalignment of the patient for the exam. Patients
should be weighed on an accurate scale if there is any doubt about their weight. The MR
technologist must have a patient’s accurate weight not only to adhere to the table limitations, but
also for proper specific absorption rate (SAR) calculations and parameter selection.
The photo in this slide shows a table that can be undocked and transported out of the MR room.
A release pedal undocks the table and additional pedals raise and lower the table. The MR
technologist can manually operate table controls either at the console or from the gantry.
14. MR Computer
Image reconstruction in MR requires a designated computer system to solve the complex
equations used for reconstruction. A minicomputer with a large memory capacity solves these
equations quickly and accurately. The minicomputer contains information for system initialization
and software modifications. The computer system also includes an array processor and image
processor, which handle image reconstruction. The array processor is responsible for image
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reconstruction using special computer algorithms. The image processor takes the data and
reconstructs it into image data.
Once images have been reconstructed, they are displayed on either a cathode ray tube (CRT) or
liquid crystal display (LCD). Image files typically are compressed and stored on a disk or CD,
which allows a greater number of images to be stored. In addition, many institutions have shifted
to filmless operation and store their images on a picture archiving and communication system
(PACS).
15. Magnetism
Now that we’ve reviewed some of the basic system hardware, let’s discuss the key component of
the MR system — the magnet.
Before we can appreciate the magnet itself, let’s review some of the characteristics of magnetism.
Magnetism is a fundamental property of matter. All substances have some degree of magnetism
related to moving electrons. To determine what degree of magnetism exists, we measure the
magnetic susceptibility of the substance. There are 4 principle degrees of magnetic susceptibility:
diamagnetic, paramagnetic, superparamagnetic and ferromagnetic.
Ferromagnetic substances that have been exposed to a magnetic field retain their magnetism,
even after the magnetic field is removed. This magnetic field can be much larger than the applied
magnetic field.
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20. Knowledge Check
One tesla is equal to 10,000 gauss, or 10 kilogauss. When measuring small fields, it is
appropriate to use gauss as the unit of measure. For instance, the strength of the magnetic field
associated with the earth is 0.6 G. Tesla is used for larger field strengths, such as those in clinical
magnets that typically operate between 0.2 and 3.0 T.
Ultra-high field magnets generally range from 4.0 to 7.0 T, but can be up to 11.0 T and higher.
High-field magnets are 1.5 to 3.0 T, while a midfield magnetic field strength ranges from 0.5 to 1.4
T.
Low-field strength is from 0.2 to 0.4 T, and ultra-low field includes any magnet operating at less
than 0.2 T.
The current U.S. Food and Drug Administration (FDA) limit on field strength is 4.0 T for patients
up to 1 month old, and up to 8.0 T for patients older than 1 month.
Ultra-high field magnets have a closed, cylindrical design. Most of them have a small gantry
aperture, or opening, to maximize the homogeneity of the magnetic field. These research
magnets are often very heavy, have large fringe fields and expose the body to RF energy that
can lead to unacceptable SAR values. The fringe field is the magnetic field that exists beyond the
center of the magnet bore.
Research performed with these ultra-high field magnets has shown improved signal-to-noise ratio
for MR imaging. This signal-to-noise improvement can be used for high-resolution imaging or
traded off for faster scan times.
Some of the challenges associated with high-field imaging involve SAR, chemical shift, dielectric
effect and magnetic susceptibility.
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Other methods are being investigated to reduce SAR in high-field imaging, such as using an MR
scanner with a short bore. A short-bore scanner is a full-body emitting coil covering a smaller
volume and delivering less RF energy. Other techniques include parallel RF emission,
which uses shorter, better-targeted pulses, and corrects inhomogeneities in the magnetic
field. Finally, researchers are evaluating specialized receiver surface coils and optimized
pulse sequences.
Although SAR levels have been researched extensively, the clinical management of SAR is
largely less well investigated. MR technologists can use simple techniques such as being
aware of the SAR levels of individual scans, avoiding performing consecutive high-SAR
scans and turning on the gantry fan to help keep patients comfortable. More research is
needed in this area to minimize tissue heating while maximizing image quality.
Chemical shift is a problem in clinical imaging, because it leads to misregistration and poor
localization of the signal. As a result of misregistration, data is mismapped in image
reconstruction. One way to compensate for problems caused by chemical shift is to increase the
bandwidth, although this will result in a reduced signal-to-noise ratio, which affects image quality.
However, chemical shift can be advantageous in spectroscopy because the spectral peaks are
farther apart and more easily distinguishable. A large chemical shift also improves chemical
saturation.
Magnetic susceptibility in high fields is advantageous for detecting hemorrhages, for perfusion
imaging, and for functional MR using blood oxygen level-dependent (BOLD) sequences. These
advanced imaging techniques will be discussed in greater detail in other modules. When
magnetic susceptibility is not desirable, such as in cases in which metal causes severe distortion,
the echo time (TE) can be decreased, the voxel size can be reduced or the bandwidth can be
increased to minimize the artifact.
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32. Magnetic Susceptibility
This image is a visual representation of magnetic susceptibility.
Longitudinal relaxation, or T1, time increases in high- to ultra-high field strengths, so sequences
require a longer TR. As the TR becomes longer, the scan time increases and T1 weighting
becomes more difficult to obtain. At ultra-high field strengths, transverse relaxation, or T2, time
decreases only slightly.
At 1.5 T, the magnet can have either a closed, cylindrical design or a more open configuration. At
3.0 T, the magnet generally is closed.
Open MR equipment is advantageous for intraoperative scanning and to image certain patients.
For example, the open design allows claustrophobic patients to see outside the scanner. During
interventional procedures, surgeons can take images and perform surgery while the patient is in
the scanner.
High-field magnets have numerous applications. They can perform high-resolution imaging
throughout the body, including neurovascular studies; musculoskeletal, abdominal and cardiac
imaging; contrast enhancement studies; functional MR imaging; chemical saturation techniques;
and spectroscopy. High-resolution can be traded for faster imaging time, making breath-hold
sequences possible as well.
Since their introduction, high-field magnets have become very versatile. Although scanners often
are sold as a basic package, numerous upgrades are available. For instance, some newer 1.5 T
MR units have the ability to be “ramped up” to 3.0 T. This means a site can install the magnet,
operate the scanner at 1.5 T and then choose to upgrade at a later time to 3.0 T. Once the
magnitude changes, all protocols must be reconfigured and new safety measures put in place.
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Midfield magnets are still appropriate for routine examinations such as brain, spine and
musculoskeletal studies. Although midfield encompasses a wide range of field strength, it’s
important to understand that more applications are possible with increasing field strength.
Although a 0.5 T magnet may not be capable of chemical saturation, a 1.0 T magnet most likely
can create a chemically saturated image.
Since these systems can be open in design, they are also useful for intraoperative scanning and
for the claustrophobic patient.
In addition to inferior image quality, low-field imaging is very time consuming. To complete these
exams, more time is necessary to gain increased signal. Low-field exams can take double the
time or more to complete.
Although there are several limitations to low-field MR imaging, it is an option for individuals with
an implanted device that is contraindicated at high fields. Many implants have conditional
approval at a lower field strength.
Because of the extremely low field strength of these magnets, the signal-to-noise ratio is
inherently low. To make up for the low signal, the MR technologist must increase other
parameters, which equates to longer scan times.
Each magnet configuration offers advantages and disadvantages, which we’ll discuss. The main
factors used for comparison are the cost, available field strength, energy requirements, and the
direction of the magnetic field and associated fringe field.
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A permanent magnet is usually constructed of magnetized ceramic bricks or a magnetized alloy
of aluminum, nickel and cobalt called alnico. Permanent magnets are very heavy and their
installation often is limited to a ground floor. Once the permanent magnetic field is established, it
cannot be turned off. The only way to discontinue a permanent magnetic field is to disassemble
the magnet.
A typical permanent magnet has an open configuration, which makes it ideal for claustrophobic
patients and interventional procedures.
The magnetic field, or static magnetic field, of a permanent magnet runs vertically from ceiling to
floor of the magnet room. This orientation keeps the associated fringe field to a minimum and is
not disruptive to adjacent areas.
The fringe field is the magnetic field that extends beyond the center of the magnet bore. It is a
significant hazard in the MR environment because these fields can magnetize and attract metallic
objects with significant force. The fringe field associated with permanent magnets is very small.
In addition to weight, the disadvantages of the permanent magnet are low field strength and
inherently low signal. Although they theoretically can achieve field strengths of up to 1.2 T,
permanent magnets generally are limited to field strengths below 0.4 T. Low field strength
produces inherently low signal-to-noise ratio and long imaging times.
To operate a resistive magnet, a constant current must run through the coil to maintain the
magnetic field. Because of this steady demand, the magnetic field is again below 0.4 T. Although
considered low field, resistive magnets can produce significant fringe fields, generally found in the
horizontal direction.
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zero, or 4 kelvin. The combination of the alloy wires and supercool temperatures provides
minimal resistance and a higher field strength.
Liquid cryogens, composed of nitrogen and/or helium, are used to cool the wires to about -270
degrees Celsius. One cooling method is to place the alloy wires in a bath of liquid helium that is
insulated by a tank of liquid nitrogen. This slide shows a cross section of a magnet that uses this
method. The red circle represents the wire coil; the green corresponds to the liquid helium bath;
and the orange represents the liquid nitrogen surrounding the helium bath. The black circles
represent the vacuums insulating the gases from one another. An alternative option is to surround
the liquid helium with a refrigeration unit and eliminate the need for the liquid nitrogen for cooling
purposes.
46. Cryogens
After the wires have been cooled and the power has “ramped up” the magnetic field, the power is
discontinued and the field maintains itself in the cryogenic bath. Watch the animation on this
slide. As the liquid helium is poured onto the wires, the resistance goes down. Lower resistance
allows a higher field to be preserved.
Unfortunately, both liquid helium and liquid nitrogen tend to vaporize, despite efforts to maintain
their liquid state. Because these gases vaporize, the system must be replenished at regular
intervals. Advanced cryostats can go years without replacement, but some older units need more
frequent replenishment throughout the year.
You may be familiar with the chirping sound often heard in the MR suite. This sound emanates
from the cooling system. Problems with the cooling system, sometimes referred to as “the chiller,”
put the integrity of the magnet at risk. In other words, if you don’t hear the usual chirping sounds
when you enter the MR suite, there could be a malfunction, and service staff should be called.
A lack of liquid helium or some mechanical failure of the cooling system can trigger an
uncontrolled quench. A quench causes the cryogens to boil off, which makes the magnet lose its
superconductivity and become resistive again. This event can cause significant damage to the
magnet, resulting in substantial cost to replenish the cryogens and repair any damaged
equipment.
In the event of a quench, all people should be evacuated from the area. If the ventilation system
malfunctions, the gases can replace the oxygen in the room causing asphyxiation. In addition,
coming into direct contact with the liquid cryogens can cause thermal burns.
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overcome these limitations, manufacturers have stacked 2 permanent magnets, producing an
additive effect on the field strength. The field also can be enhanced with superconducting coils.
These high-field, open magnet configurations can create up to a 1.0 T MR unit.
Fringe fields can interact with adjacent equipment, like CT or nuclear medicine scanners, or even
with patient devices such as pacemakers. The fringe field can affect the functionality of these
devices. In addition, neighboring equipment also can interfere and compromise the integrity of the
magnetic field, especially if extraneous RF signals enter the room. In this case, scanning errors
are likely to occur. For this reason, shielding mechanisms protect the homogeneity of the
magnetic field and adjacent areas from becoming compromised.
51. Shielding
Shielding is used to minimize the fringe field associated with the MR scanner. Two types of
shielding are used in MR: passive shielding and active shielding.
The weight of shielding is also an issue if a Faraday cage is used. A Faraday cage is a seamless
shield surrounding the MR room. The shield must completely enclose the MR scanner to block
RF frequencies from entering or leaving the room. As you can guess, this is an expensive
addition to an already very costly machine. Although not the most effective way to minimize the
fringe field or entirely eliminate extraneous frequencies, this type of shielding is commonly seen in
MR suites.
Actively shielded magnets are not limited as to where they can be installed. These magnets can
be found in mobile trailers and throughout any floor of a hospital or clinic, and will not interfere
with patient devices or other imaging equipment.
The general public must be warned at the point where the fringe field reaches 5 G, or 0.5 meters
per tesla (m/T). Access to this area should be restricted, and any patients, staff or visitors should
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not enter without completing a safety questionnaire. Patients with pacemakers and other
implanted devices may not be safe within the 5-G line.
It’s always important to monitor and restrict access to the MR suite. MR technologists are
responsible to educate and protect all patients, visitors and staff from the dangers associated with
the magnetic field.
Magnetic moments are vector quantities. The size of the vector represents the magnitude of the
nuclear magnetic moment, and the direction of the vector represents the direction of the magnetic
moment. When evaluating the response of the nuclei to the magnetic field and subsequent
manipulations, we use vectors to represent a given sample.
The MR magnet is a key component of the entire MR imaging process. If the magnetic field is not
uniform, the precessional frequency of the nuclei is affected and signal collection is compromised,
which in turn creates imaging errors and degrades image quality. To maintain a homogeneous
field, the magnet must be shimmed before imaging sequences.
58. Shimming
Shimming is the process of creating a uniform, or homogeneous, magnetic field. The uniformity of
the magnetic field is determined by the field strength at various points within the magnet.
Magnetic field homogeneity is measured in parts per million, abbreviated ppm. Ideally, the
magnet would be perfectly homogeneous, with a 1.5 T magnet having ± 0 parts per million. At 0
ppm, all points in the magnetic field would be equal to 1.5 T.
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A magnet delivered from the manufacturer has homogeneity of about 1,000 ppm. Once installed,
service engineers work to improve the homogeneity. For specialized exams, like spectroscopy,
further shimming is necessary to get the homogeneity to 1 ppm.
Upon delivery, shimming must be performed to adjust for imperfections associated with the site.
Interference with the magnetic field can be caused by structural issues in the building and even
the shielding of the MR suite. To compensate for these deficiencies, ferromagnetic blocks, often
made of steel, are placed within the magnet bore in a nonmagnetic assembly designed to hold
the plates in place. Remember from our earlier discussion that ferromagnetic materials become
magnetized when placed within a magnetic field. The location of the blocks inside the magnet
determines whether they add to or subtract from the main magnetic field. If placed inside the
walls of the magnet, the blocks reduce the magnetic field. If placed outside the wall of the
magnet, the blocks increase the area of the magnetic field. Homogeneity is created in the main
magnetic field as a result of the strategic placement of the bars.
The process of shimming the magnet by using metal bars is called passive shimming. It is
typically tested on a phantom by service engineers when installing a magnet for the first time and
again, if necessary, following a major hardware upgrade or room construction.
The MR technologist can actively shim individual exams and sequences. Magnetic field
homogeneity is affected when the patient is positioned in the bore. Patients reduce the
homogeneity of the main magnetic field because of their size, shape and magnetic susceptibility.
The process of active shimming creates a more individualized, homogeneous main magnetic
field. Often, active shimming is an automatic process completed during prescan operations, but
many MR units have a manual option as well. For routine spin-echo sequences, this type of fine
tuning usually is not necessary. However, for more advanced MR sequences, such as chemical
saturation and spectroscopy, homogeneity is critical to image quality and active shimming must
be performed.
So what does the future of MR imaging hold? Only time will tell. Research is being conducted
worldwide on ultra-high field strength MR and the results seem promising. One thing is certain,
MR will continue to evolve.
63. Conclusion
This concludes Module 2 of MR Basics – Equipment and Instrumentation. Having completed this
module, you should now be able to:
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Identify the major hardware components in magnetic resonance (MR) imaging.
Understand magnetism and magnetic properties.
Define gauss and tesla.
Describe the 3 basic types of magnets.
Discuss the differences in low-, mid-, high- and ultra-high field systems.
Explain the functionality of the shim system in MR imaging.
64. References
Bushong S. Magnetic Resonance Imaging Physical and Biological Principles. 2nd ed. St Louis,
MO: Mosby; 1996.
Hashemi RH. MRI The Basics. 2nd ed. Philadelphia, PA: Lippincott Williams and Wilkins; 2004.
Hoa DA. NMR signal and MRI contrast. IMAIOS website. www.imaios.com/en/e-Courses/e-
McRobbie DW, Moore EA, Graves MJ, Prince MR. MRI From Picture to Proton. 2nd ed.
Cambridge, England: Cambridge University Press; 2007.
Mitchell D, Cohen M. MRI Principles. 2nd ed. Philadelphia, PA: Saunders; 2003.
NessAiver M. All You Really Need to Know About MRI Physics. Baltimore, MD: University of
Maryland; 1997.
MRI basic physics Q & A. ReviseMRI.com website. www.revisemri.com. Accessed November 20,
2010.
Westbrook C, Roth CK, Talbot J. MRI in Practice. 3rd ed. Malden, MA: Blackwell Publishing Ltd;
2005.
Woodward P. MRI for Technologists. 2nd ed. Mill Valley, CA: McGraw Hill; 2000.
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