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    Chapter

    Cardiac Masses

    1. To confirm or refute the presence of a mass identified on CXR or Echo 2. To establish the tumor location, size and relationship to surrounding cardiac structures 3. To assist with tissue characterization 4....

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Protons and Spins: The Origin of the MRI Signal

    The primary origin of the MR signal is from water and fat within the patient’s tissue; specifically, it is from the hydrogen nuclei (consisting of a single proton) contained within free water and lipid molecules ...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Relaxation Times, Gradient Echoes, and Spin Echoes

    Immediately after the rf pulse, the spin system starts to return back to its original state, that is, equilibrium. This process is known as relaxation. In fact, there are two distinct relaxation processes that re...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Pulmonary Vein Assessment

    1. Anatomy module (Section 19.3.1) 2. LV function module (Section 19.4) 3. Breath-hold non-gated contrast-enhanced MRA performed in the coronal projection encompassing the pulmonary veins and left atrium (Sect...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Image Space and k-Space

    The way that the MR signals are generated and encoded by the use of magnetic field gradients gives rise to a particular relationship between the data points in the signal and those in the image. A single data ...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Improving SNR with Surface Coils and Array Coils

    Perhaps the most important aspect of MR in optimizing SNR is the choice of receiver coil. The integral body coil has a large field of view (Fig. 9.1a), but for imaging a smaller region of interest, it is much mor...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Pulse Sequences and Image Contrast

    The MR signal intensity at a particular location is represented by the image pixel intensity. In Chaps. 8 and 9 it was shown that the strength of the MR signal relative to the background noise (SNR) depends on a ...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Black Blood Versus Bright Blood Imaging

    The spin echo pulse sequence generates images that have intrinsic black blood contrast. This is because it uses two pulses, the 90° and 180° pulses, to produce the spin echo signal (Fig. 12.1). Both of these p...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Dealing with Respiratory Motion

    Respiratory Compensation methods (Respiratory Gating)

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    The Basics of a CMR Study

    A good referral is a key prerequisite for a clinically useful CMR study, providing relevant clinical background information, placing the scan in the appropriate context, and allowing the CMR department to opti...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Diseases of the aorta

    To establish the location, size and patency of the aorta and its major branches

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Pericardial Disease

    Anatomy module including T1 and T2 weighting (page X)

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    The MRI Environment

    The examination room contains the magnet assembly and patient table (Fig. 2.1). To prevent environmental electrical noise from interfering with the MRI signal, this room is enclosed within a rf shield (or Faraday...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Valvular Heart Disease

    Echocardiography still plays a pivotal role in the evaluation of valvular heart disease. CMR can be useful in case of inadequate echocardiographic examination, in particular for the assessment of valvular regu...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Interventional Cardiovascular Magnetic Resonance Imaging

    Rapid advances in the field of CMR have developed this modality to the extent that it can now be used to guide interventions. CMR provides exceptional 2D and 3D structural delineation for visualization and mea...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Generating a Signal: RF Pulses and Echoes

    In order to generate a signal from the net magnetization that is detectable, the radiofrequency (rf) magnetic field described in Chap.1 is generated by the rf transmitter coil (the integral body coil) and used...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Basic Adult Congenital Heart Disease (ACHD)

    1. Anatomy module (Section 19.3.1) 2. LV function module (Section 19.4) 3. Axial stack of SSFP cines from the diaphragm to the top of the aortic arch (equivalent to RV function module (Section 19.4)) 4. MR ang...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Making an Image: Locating and Encoding Signals in Space

    Single MR echoes produced by rf pulses alone cannot be used to produce an image as they do not contain any information about position. This information is introduced by using the gradient coils described in to...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Imaging Parameters and Image Attributes

    The acquired matrix size, together with the field of view in each direction determines the pixel dimension in each direction and therefore the nominal spatial resolution of the image. These parameters, together w...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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    Chapter

    Gradient Echo Versus Spin Echo

    Spin Echo pulse sequences follow similar contrast behavior to that described in the previous section; however, there are some key differences between Gradient Echo and Spin Echo pulse sequences (Fig. 11.1). In...

    Sven Plein, John P. Greenwood, John P. Ridgway in Cardiovascular MR Manual (2011)

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