A rephasing or refocusing occurs when spins return to the same starting phase they had directly after the initial exciting RF pulse. E.g. spin echo sequences use 180° pulses to refocus the spins to generate signal echoes and gradient echo sequences use a refocusing gradient to maximize remaining transverse magnetization.

A rephasing or refocusing, which occurs when constant velocity spins return to the same starting phase they had directly after the initial exciting RF pulse, as a result of the application of an even number of gradient pulses. This may also result from the application of multiple gradient echo pulses following the RF pulse. The even echo rephasing phenomenon is one of the flow effects observed in MR imaging.

Flow compensation is based on the principle of even echo rephasing and a function of specific pulse sequences, wherein the application of strategic gradient pulses can compensate for the objectionable spin phase effects of flow motion. Gradient moment nulling of the first order of flow is another adjustment for the reduction of flow artifacts.
Gradient field changes can be configured in such a way that during an echo the magnetization signal vectors for all pixels have zero phase angle independent of velocities, accelerations etc. of the measured tissue. The simplest velocity-compensated pulse sequence is the symmetrical second echo of a spin echo pulse sequence.
Strategic gradient pulses are integrated in special sequences (e.g. CRISP, Complex Rephasing Integrated with Surface Probes) and for the most sequences flow compensation is an optional parameter.

Quick Overview
Please note that there are different common names for this artifact.

Patient motion is the largest physiological effect that causes artifacts, often resulting from involuntary movements (e.g. respiration, cardiac motion and blood flow, eye movements and swallowing) and minor subject movements.
Movement of the object being imaged during the sequence results in inconsistencies in phase and amplitude, which lead to blurring and ghosting. The nature of the artifact depends on the timing of the motion with respect to the acquisition. Causes of motion artifacts can also be mechanical vibrations, cryogen boiling, large iron objects moving in the fringe field (e.g. an elevator), loose connections anywhere, pulse timing variations, as well as sample motion. These artifacts appear in the phase encoding direction, independent of the direction of the motion.

Motion artifacts can be flipped 90° by swapping the phase//frequency encoding directions.
The artifacts can be reduced by using breath holding, cardiac synchronization or respiratory compensation techniques: triggering, gating, retrospective triggering or phase encoding artifact reduction. Flow effects can be reduced by using gradient moment nulling of the first order of flow, gradient moment rephasing or flow compensation, depending of the MRI system.
Peristaltic motion can be reduced with the intravenous injection of an anti-spasmodic (e.g. Buscopan).
By using multiple averages, respiratory motion can be reduced in the same way that multiple averages increase the signal to noise ratio. Noticeable motion averaging is seen when four averages are obtained, six averages are often as good as respiratory compensation techniques and higher averages will continue to improve image quality.
In some cases will help a presaturation of the anatomy that was generating the motion.

See also Phase Encoded Motion Artifact.

Quick Overview
Please note that there are different common names for this artifact.

Flow effects in MRI produce a range of artifacts, e.g. intravascular signal void by time of flight effects; turbulent dephasing and first echo dephasing, caused by flowing blood.
Through movement of the hydrogen nuclei (e.g. blood flow), there is a location change between the time these nuclei experience a radio frequency pulse and the time the emitted signal is received (because the repetition time is asynchronous with the pulsatile flow).
The blood flow occasionally produces intravascular high signal intensities due to flow related enhancement, even echo rephasing and diastolic pseudogating. The pulsatile laminar flow within vessels often produces a complex multilayered band that usually propagates outside the head in the phase encoded direction. Blood flow artifacts should be considered as a special subgroup of motion artifacts.

Artifacts can be reduced by reduction of phase shifts with flow compensation (gradient moment nulling), suppression of the blood signal with saturation pulses parallel to the slices, synchronization of the imaging sequence with the heart cycle (cardiac triggering) or can be flipped 90° by swapping the phase//frequency encoding directions.

See also Flow Related Enhancement and Flow Effects.