Fat suppression is the process of utilizing specific MRI parameters to remove the deleterious effects of fat from the resulting images , e.g. with STIR, FAT SAT sequences, water selective (PROSET WATS - water only selection, also FATS - fat only selection possible) excitation techniques, or pulse sequences based on the Dixon method.
Spin magnetization can be modulated by using special RF pulses. CHESS or its variations like SPIR, SPAIR (Spectral Selection Attenuated Inversion Recovery) and FAT SAT use frequency selective excitation pulses, which produce fat saturation.
Fat suppression techniques are nearly used in all body parts and belong to every standard MRI protocol of joints like knee, shoulder, hips, etc. Imaging of, e.g. the foot can induce bad fat suppression with SPIR/FAT SAT due to the asymmetric volume of this body part. The volume of the foot alters the magnetic field to a different degree than the smaller volume of the lower leg affecting the protons there. There is only a small band of tissue where the fat protons are precessing at the frequency expected, resulting in frequency selective fat saturation working only in that area. This can be corrected by volume shimming or creating a more symmetrical volume being imaged with water bags.
Even with their longer scan time and motion sensitivity, STIR (short T1/tau inversion recovery) sequences are often the better choice to suppress fat. STIR images are also preferred because of the decreased sensitivity to field inhomogeneities, permitting larger fields of views when compared to fat suppressed images and the ability to image away from the isocenter.
See also Knee MRI.
Sequences based on Dixon turbo spin echo (fast spin echo) can deliver a significant better fat suppression than conventional TSE/FSE imaging.

(IR FGR) A gradient echo sequence with an inversion pulse.

See Gradient Recalled Echo Sequence, Inversion Recovery and Steady State Free Precession.

A microscopic group of spins, which resonate at the same frequency. The spin precesses around a circle in the xy-plane and the net magnetization is the length, amplitude or magnitude of the magnetization vector Mxy: the quantity normally represented on a pixel-by-pixel basis in a MR image (thus amplitude or magnitude image).

The Larmor equation is important because it is the frequency at which the nucleus will absorb energy. The absorption of that energy will cause the proton to alter its alignment and ranges from 1-100 MHz in MRI. The equation states that the frequency of precession of the nuclear magnetic moment is directly proportional to the product of the magnetic field strength (B0) and the gyromagnetic ratio (g). This is stated mathematically as w = g B0.

Magnetic resonance imaging is a radiological diagnostic procedure without X-rays.

Magnetic resonance imaging, see also: MRI history, medical imaging, nuclear magnetic resonance, spin, precession, T1 time, T2 time, MRI equipment, MRI devices, MRI coils, MRI sequences, MRI contrast agents.

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