Monday, 25 June 2012

2.       MRI HARDWARE
The main components of an MRI system are the superconducting magnet, the gradient system, the RF system and the computer system. The magnet produces a strong, static field and the radiofrequency transmit and receive coils excite and detect the MR signal. The magnetic field gradients localise the MR signal and the computer system facilitates scanner control, image display and archiving. This chapter will describe each of these components in turn. Figure 2-1 below shows the general layout of an MRI system.
Figure 2- 1: Typical Architecture of an MRI System
 2.1.        Magnet Types
The magnet is the main component of any MR system and there are four different types of magnets capable of MRI: air-cored resistive magnets, iron-cored electromagnets, permanent magnets and superconducting magnets. Superconducting magnets are by far the most common type used in the NHS and the three main manufacturers are Siemens, GE and Philips. I had the opportunity to use two magnets at Ninewells, one of which was a Siemens Symphony 1.5T and the other a Siemens Impact 1.0T magnet. Table 2-1 below outlines some characteristics of a typical superconducting magnet. The static magnetic field B0 is non-uniform and its homogeneity is increased for clinical use through shimming. The homogeneity in parts per million for a typical 1.5T magnet is approximately 5 ppm 1.
 2.1.1.   Superconducting Magnets
Magnet Type
Characteristics
Manufacturers
Example
Superconducting
Flux lines horizontal.

Low power requirements.

Expensive to purchase.

Large fringe fields.

High field strength.
Siemens SYMPHONY

Philips INTERA

GE Signa Excite

                                                                                                                        Siemens Symphony 1.5T superconducting magnet
 
Table 2- 1: Characteristics of a Typical Superconducting Magnet
The way a superconducting magnet works is as follows. As resistance decreases, current dissipation also decreases. Resistance depends on the material from which the loops of wire are made, the length of wire in the loop, the cross-sectional area of the wire itself and the temperature of the wires. Superconductors have effectively zero resistance below a certain very low temperature called the critical temperature. The coils are wound from niobium-titanium (NbTi) filaments embedded in a copper matrix. The copper serves to protect the NbTi wires in the event of a quench 1. The NbTi filaments become superconducting at around 7.7K. Figure 2-2 below shows the cross-section of a typical superconducting magnet.
Figure 2- 2: Cross-section of a Typical Superconducting Magnet
Initially, the current is passed through supercooled wires to create the magnetic field. Then the wires are supercooled with cryogens (liquid Helium). I observed this procedure being performed on a GE Signa Excite 1.5T scanner at Perth Royal Infirmary. It involved a gradual power input accompanied by gradual cryogenic cooling. Such magnets produce high magnetic fields with low power requirements. With resistance at zero, there is no current dissipation and no additional power input is required to maintain the field 2.

2.1.2.   Fringe Fields and Shielding

Walls, floors and ceilings cannot contain static magnetic fields. The stray magnetic field outside the bore of the magnet is known as the fringe field. All magnets have a fringe field to some extent and these fields must be taken into account when installing a magnet.
Fringe fields can be compensated for by the use of magnetic field shielding which may be active or passive. Passive shielding is the more expensive alternative using iron plates to restrict the field lines. Some manufacturers offer actively shielded magnets that reduce the fringe field to about 30m2. Active shielding partially cancels the field outside the main magnet coils thus reducing the magnitude of the fringe field. The 0.5mT isomagnetic line is taken as the critical cut-off limit. During my MRI training I performed measurements to determine the extent of the 0.5mT line around a Siemens Impact 1.0T Scanner. The results of this are presented in chapter four – MRI Safety.

2.1.3.   Quenching

A quench is basically a sudden loss of the main magnetic field and may occur intentionally or unintentionally. Stored electrical energy in the NbTi winding will be dissipated as heat if the superconducting process fails. This heat will cause other parts of the windings to rise above their maximum rated temperature and this will propagate the effect throughout the magnet. This will result in a sudden loss of the B0 field and the loss of the cryogen. A safety feature of any MRI system is the presence of quench-pipes that are vented outside the building and this prevents cold burns and suffocation in the event of a quench 1.

2.1.4.   Shim Coils

Most modern MRI techniques (e.g. EPI, chemical shift imaging) require magnetic fields homogeneous to less than 3.5 parts per million (ppm) over the imaging volume. The raw field produced by a superconducting magnet is approximately 1000 ppm or worse, thus the magnetic field has to be corrected or shimmed. Usually this is accomplished by a combination of current loops (active or dynamic shims) and ferromagnetic material (passive or fixed shims). Gradient coils are used to provide a first-order shim. The patient distorts the magnetic field when put into the scanner and so an active shim correction must be made before scanning. The operator will perform active shimming to improve the homogeneity on an individual patient basis 3.

2.2.        Gradients and Gradient Coils

In order to localize (spatially) the MR signal we three orthogonal linear magnetic field gradients in the x, y and z directions. There are three gradient coils situated within the bore of the magnet and these are named according to the axis along which they act when switched on.
The z-gradient alters the magnetic field strength along the z-axis, (long axis of magnet bore). The y-gradient alters the field along the y-axis (vertical axis of the magnet bore). The x-gradient alters the field along the x-axis (horizontal axis of the magnet bore). Figure 2-3 below shows the relative positions of the x, y and z-axes.
Figure 2- 3: Magnet and Gradient Orientations
Gradients are alterations to the main magnetic field and are generated by coils of wire located within the bore of the magnet through which current is passed. Passage of current through a gradient coil induces a gradient (magnetic) field around it that either subtracts from or adds to the main static magnetic field strength, B0. Gradients have many purposes including slice selection, spatial encoding, flow compensation, spoiling, rewinding and pre-saturation.
The magnitude of B0 is altered in a linear fashion by the gradient coils, so that the magnetic field strength and therefore the precessional frequency experienced by nuclei situated along the axis of the gradient can be predicted. This is called spatial encoding. Nuclei that experience an increased magnetic field strength due to the gradient speed up (precessional frequency increases), whereas nuclei that experience a lower magnetic field strength slow down (precessional frequency decreases). Therefore, the position of a nucleus along a gradient can be identified according to its precessional frequency.
The “magnetic isocentre” is the centre point of the axis of all three gradients and the bore of the magnet. The field strength here remains unaltered even when gradients are applied as shown in figure 2-4 below.
Figure 2- 4: Magnetic Isocentre

2.2.1.   Z-Axis Gradient (Maxwell Pair)

The z-gradient (denoted Gz) is produced by a single pair of coils with currents flowing through them in opposite directions. This is called a Maxwell Pair. The optimum gradient linearity occurs when the coil separation is approximately R√3 where R is the coil radius. Figure 2-5 below left shows the configuration of a Maxwell Pair of gradient coils.
    
Figure 2- 5: (L) Maxwell Pair. (R) Golay Set

2.2.2.   X- and Y-Axis Gradients (Golay Set)

The y-gradient (denoted GY) is generated using a Golay Set of gradient coils. A Golay Set is shown in figure 2-5 above right. It consists of four coils on the surface of a cylindrical drum with the currents producing a quadrupolar magnetic field (two north and two south poles). The x-gradient axis (denoted GX), is generated using an identical set of Golay coils orthogonal to the first set.

2.2.3.   Eddy Currents and Pre-emphasis

Rapid switching of the gradients induces eddy currents in conducting components in close proximity to the magnet. The field generated by eddy currents combines with the true gradient field and results in waveform distortions. These distortions in turn lead to image distortion artefacts and signal loss. The effects of eddy currents can be reduced by pre-emphasis of the gradient waveforms, so that after interference from the eddy current fields, the resulting waveform has approximately the ideal shape.

2.2.4.   Slew Rate

The strength of the gradient is expressed in mTm-1 with typical clinical values of about 30-50 mTm-1. Figure 2-6 below illustrates the parameters used to calculate the slew rate.
Figure 2- 6: Gradient Slew Rate
The ratio of the maximum gradient, (Gmax) to the RISE TIME, (tR) is called the SLEW RATE, (SR).
SR = Gmax / tR in mT/m. msec.
Some modern MRI scanners (Siemens SYMPHONY, GE SIGNA, Philips INTERA) have Gmax  as high as 50 mT/m and a tR of 180 µsec giving a typical SR as high as 120 mT/m. msec, (compared to an SR ~ 15 in the 1980’s).
 2.3.        The Radio Frequency System
A radiofrequency (RF) system in its simplest form consists of a transmitter, coil and receiver 1. The transmitter produces suitably shaped pulses of current at the Larmor frequency and when this is applied to the coil, results in an alternating magnetic field. The coil also serves to detect the signal from the patient. Frequency encoding results in a narrow range of frequencies (± 16 kHz), centered on the Larmor frequency. The receiver demodulates this range of frequencies from the higher carrier signal. Figure 2-7 below illustrates a typical RF system.
Figure 2- 7: The Radio Frequency System

2.3.1.   Transmitter

The transmitter produces RF pulses with suitable center frequencies, amplitudes and phases in order to excite nuclei within the selected slice. The center frequency is determined by the slice position and slice select gradient, the bandwidth controls the thickness of the excited slice and the amplitude of the RF pulse controls how much magnetization is flipped by the pulse.

2.3.2.   Transmit Coils

The coils that excite the MR signal must produce a uniform field B1 at right angles to the B0 field. In order to maximise their uniformity, transmit coils are usually large.  The main transmitting coil is usually the body coil surrounding the entire patient. It is built into the scanner bore and is not visible. Body or volume coils are usually of the saddle or birdcage design as shown in figure 2-8 below.
                    
Figure 2- 8: (L) Saddle Coil. (R) Birdcage Coil
To obtain a homogenous B1 field, the current around the surface of the cylinder should vary sinusoidally. For a saddle coil this is achieved by six wires arranged at 60º intervals. The birdcage coil improves homogeneity over the saddle coil by increasing the number of conductors around the circumference.

2.3.3.   Receiver Coils

The purpose of a receiver coil is to maximise signal detection and minimise noise. To minimise noise and maximise the SNR, the coil dimensions must be of a comparable size to the patient’s anatomy. The two classes of receiver coils are volume and surface types. Volume coils completely surround the anatomy of interest and are often dual-function transmit/receive coils. Surface coils are receive-only because of their inhomogeneous reception field. They are useful for detecting signal near the surface of the patient. Receiver coils can also operate in quadrature, resulting in a √2 improvement in SNR.

2.3.4.   RF Coil Types (Surface and Phased Array)

Surface coils are placed over the anatomical ROI for example when imaging the spine.  The signal-response of a surface coil in non-linear with increasing depth and results in an intensity fall-off in the patient. Some surface coils are flexible and are useful when they can be wrapped around the ROI. It must be ensured that the surface coil is perpendicular to B0 otherwise no signal will be detected.
Phased array coils consist of a number of small coils simultaneously and individually receiving a MR signal. The mutual inductance must therefore be kept to a minimum. Phased array coils produce the SNR of a small coil but have a much larger FoV. If each coil is connected to a separate receiver then the inter-coil noise is uncorrelated and this produces a higher SNR than if the coils were connected to only one receiver.
Several types of coils are used and are shown below in figure 2-9 including: Saddle (volume) coils, Birdcage (volume) coils, Surface coils, Linearly Polarised coils, Circularly Polarised coils and Phased Array coils.

C
 


B

 

A
 
Head Coil           Pelvic Array Coil          

F
 


E
 

D
 
             
Figure 2- 9: (A) Head Coil - Quadrature transmit and receive. (B) Peripheral Vascular Phased Array Coil. (C) Phased Array Coil. (D) Breast Array Coil. (E) General Purpose Coil. (F) Knee Coil.

2.3.5.   Computer Systems

The complexity of modern MRI systems necessitates the presence of several sub-systems under their own microprocessor control but linked to the main host computer.
The computer system generally consists of an operator console enabling operator input, scan selection and sends imaging sequence to scan computer. The scan computer contains a real time operating system; controls gradients and controls RF transmit and receive. An array processor handles image reconstruction, multi-planar reconstructions and maximum intensity projections. The flat panel display allows the operator to supervise data storage, recalling, copying, archiving etc…Images may be viewed slice-by-slice or as a cine loop. A two-way intercom is controlled from the operator console and facilitates contact with the patient. The remote drug delivery system (e.g. contrast agents) is also controlled from here.

2.4.        RF Shielding – Faraday Cage

Unwanted external RF signals from television channels cause RF noise, so too do flickering fluorescent lights, monitoring equipment). It occurs at the specific frequency of the unwanted RF pulse and can be removed by improved RF shielding using copper sheets. It is recommended to remove monitoring devices if possible and ensure the door to the magnet room is closed. A Faraday age surrounds the entire magnet room as shown in figure 2-10 below left. A penetration panel shown in figure 2-10 below right is the entrance point for all electrical cables, hydraulic, air and water into the scan room. The penetration panel ensures that RF cannot enter the room from the outside and RF from inside cannot escape.
          
Figure 2- 10: (L) Newly built Scan Room at Perth Royal Infirmary showing RF shielding on walls and ceiling. (R) Penetration panel in Perth Royal Infirmary MRI Scan Room.

2.5.        References

[1]   D. W. McRobbie, E. A. Moore, M. J. Graves, M. R. Prince. MRI – From Picture to Proton (2003). Cambridge University Press. Pp 164-188.
[2]   J. P. Hornak. The Basics of MRI (2004). http://www.cis.rit.edu/htbooks/mri/
[3]   R. H. Hashemi, W. G. Bradley. MRI The Basics (1998). Lippincott Williams and Wilkins.

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