mri技术应用：胸部和全腹部.ppt

胸部和全腹部 门控(Gating) 人体许多部位的器官和组织都会或多或少地受呼吸.液体流动.脉搏和心跳的影响，所以在做相应部位检查的时候为了采集相对静止的图像，人们采取了一些措施，一般的方法为增加预饱和脉冲序列，其中目前主要的方法是利用“门控”。 类型主要为：呼吸触发.周围脉搏和心电门控。 什么是门控？ In Magnetic Resonance Imaging It is a device to synchronize MR data collection with the physiological motions of the patient It significantly reduces motion-related artifacts due to Respiration Flow Cardiac Motion Overview Types of Gating Respiratory Triggering PPG Gating Cardiac Gating Respiratory Triggering Types of Gating What is it used for? To reduce artifacts caused by respiratory motion or when a patient is unable to perform a breath-hold Where is it used? Most used in the abdomen to help produce clear, artifact-free images of the anatomical structures in the abdomen What is needed? Respiratory bellow and respiratory gating hardware How does it do it? By synchronizing data collection of the sequence to the patient’s respiratory motion. Respiratory Triggering Types of Gating How does it do it? By synchronizing data collection of the sequence to the patient’s respiratory motion. Changes in the patient’s chest circumference are converted to electronic signal and related to the MR Imaging system Proper placement of the bellows is required across the trunk of the patient where the breathing is most evident. They should be place taut across the patient. Avoid stretching of the bellows Instruct patient to breath normal…this insures a most accurate waveform Respiratory interval typically ranges from 400 ms - 15000 ms for one respiratory cycle. Respiratory Triggering Respiratory Triggering Next Types of Gating Respiratory Triggering PPG Gating Cardiac Gating Peripheral Pulse Gating PPG What is is used for? To reduce artifacts caused by CSF motion or when CINE imaging with better coverage of diastole is desired Where is it used? Cervical Thoracic Spine What is needed? Photoplethysmography (PPG) peripheral pulse monitory and hardware How does it work? The patients pulse will trigger data acquisition and synchron