Magnetic Resonance Imaging (MRI


By: Cortey, Philline Espineli, Shermane Lincod, Debbie Robles, Kristina

protons is major . “MR”. is an imaging procedure with vast clinical potential offers detailed views of internal anatomy without ionizing radiation or invasion. 70% of human body is water. very effective for viewing soft tissues & TMJ It is based on measurement of proton density.Magnetic Resonance Imaging       Also known as “MRI”. or “NMR”.

particularly hydrogen 3. These radiowaves induce resonance in certain atoms. . The energy absorbed is emitted in the form of another radiowave signal 4.BASIC PRINCIPLES The patient is placed in a very strong magnetic field & exposed to different frequency radiowaves. fed into a computer. converted into a tomographic image 1. applied at 90’ to the magnetic field 2. This signal is detected .

T1. The relaxation times determine the relative densities. The time taken for the h atoms to relax and emit signal can be preselected (T1 & T2) 7.CSF appears black while T2. Tissues containing hydrogen atoms emit a high signal.BASIC PRINCIPLES 5.g.CSF appears white) . while tissues containing a few emit a low signal 6. (e.

HOW IMAGE IS OBTAINED Patient is placed in a large magnet This magnetic field causes the nuclei of the atoms (H) to align with the magnetic field The scanner directs a radiofrequency pulse into the patient causing some H to absorb energy (resonate) When the RF pulse is turned off the stored energy is released from the body (detected as a signal in the scanner) This signal is used to construct the MRI .

chest abdomen.MRI’s PROs and CONs  PROs  diagnoses lesions not revealed in CT Scan Useful in discriminating malignant tissue from normal tissue Used to study skull. pelvis. and extremities  CONs Causes malfunction of pacemaker Causes heating and torque of metallic implants Cost is immensely high .

 ADVANTAGES ◦ Non-invasive ◦ uses non-ionizing radiation ◦ Makes high quality resolution in any imaging plane  DISADVANTAGES ◦ High cost ◦ Long scan times ◦ Various metals may distort the image or move in the magnetic field. injuring the patient .

 Soft tissues of the Neck: 25.SCAN TIME TMJ: 45.35 min.60 min.  .

size and extent of tumors and tumor-like lesions involving  Salivary gland  Pharynx  Larynx .evaluation of the site.Main Indications • Assessment of intracranial lesions involving posterior cranial fossa. the pituitary and the spinal cord • Tumors staging.

brain aneurysm clips. cochlear. metal coils within the blood vessels .Contraindications ◦ Pregnant women ◦ Claustrophobic (fear of enclosed spaces) ◦ Obese (the body might not fit inside the scanner) ◦ Diagnosed with a renal condition (due to medium contrast agents) ◦ Had a recent surgery on a blood vessel ◦ Patients with the following metal implanted in the body: defibrillator.

DIAGNOSTIC METHOD  MRI is useful in evaluating soft tissue conditions & diseases in the head & neck region. salivary glands. cheek. and neck ◦ Determining malignant involvement of lymph nodes ◦ Determining perineural invasion by malignant neoplasia . ◦ Position and integrity of the disk in the TMJ ◦ Neoplasia involving the soft tissues such as tongue.

MRI VS CT Scan  What is radiolucent on CT Scan will be RADIOPAQUE on MRI = high soft tissue density or strong signal  white area for soft tissue with many water molecules  What is radiopaque on CT Scan will be RADIOLUCENT on MRI = low soft tissue density or weak signal  black area for soft tissue with fewer water molecules  MRI = Frequency Agency. absence of film as the . CT Scan = Xradiation  Common team: tomography.

Thank You!! .

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