Re: MRI and CT and 3D
> Does MRI generate a sequence of parallel slices, similarly to what CT does?
Yes, but it aquires images differently.
> I read that MRI slices can be along any plane. Since the machine has an obvious doughnut shape like the CT machine, I doubt that the slices can really be along any plane, they will probably be coplanar to the doughnut..?
Cat Scan uses X-rays from an x-ray tube. The tube is circling around
the patient taking data as it turns around the patient, hence the
doughnut shape.
MRI on the other hand, uses RF waves and Magnetics. What the patient
is escentially doing is going inside an actual magnet. When the
magnet is "turned on", the magnetic field will cause certain molecules
and atoms in the body to point towards "north" or lay down flat. When
the magnet is "turned off", these molecules and atoms go back to their
original state. During both of these actions, they are giving off
energy in the form of RF waves, which the scanner picks up, and turns
into a visible image. The only reason for the "doughnut" is to put
the patient inside the magnet.
> I suppose for producing a slice along another plane, first the slices coplanar to the doughnut are generated, then a 3D solid is reconstructed from those, and then it is sliced again along another plane by computation. Am I correct? If this is true, I suspect there is a great deal of detail loss when you slice along a plane not coplanar to the doughnut, right?
Nope. That only occurs in CT. Since the tube has to circle the
patient, that's the only way that we can get the image. MRI will
physically aquire those images in that plane.
Detail loss used to be great when you reconstructed the different
planes in CT, but now with the new Multi-Slice scanners on the market,
the loss of detail is very minimal.
> Are there places where after a CT or MRI scan they give you a CD with the 3D reconstruction of the body? Or everywhere in the world they give you just the bitmap images of the slices?
Most places that do a 3D reconstruction for diagnostic purposes will
always save the images, and when the paitent asks for that study on a
CD, whatever images the radiologist used will be on the CD. 3D
imaging is not always used, and a lot of times, it's not what the
general population thinks it should look like. Many times 3D imaging
just means taking images from one plane and making more images in
another.
> If yes, what is the file format of the 3D reconstruction? And what viewer can be used?
All radiologic data comes in what is called DICOM format. It's a
standard (I believe world wide) for all imaging. Usually when you get
the CD, there should already be a DICOM viewer loaded onto the disk.
You just put the CD in the computer, and it should load up. If for
some reason it doesn't, there are DICOM viewers that can be downloaded
off the internet.
> In angiographic MRI (the one with contrast), how is it possible that the heart is really imaged? It moves too fast to obtain a MRI image...
Well firstly, MRI with contrast is not always angiographic.
Angiographic refers to the phase that the contrast is in. Generally
there are two phases of contrast enhancement: arterial and venous.
Most angiographic studies (CT and MRI) envolve the arterial phase.
As for the imaging of the heart, there is something called "cardiac
gaiting". Basically, (in CT at least, not 100% sure about MRI. SOME
HELP HERE GUYS!!) cardiac leads are placed on the patient, so that we
can aquire and EKG. There are places on that EKG where we can see
where the heart is at rest (even for a fracture of a second). While
the heart is at rest, we take our images. Depending on the scanner
used, sometimes we can image the heart constantly, and then pick and
choose the images we want.
Hope this helps.
Papa RT(R)(CT)