Fundamentals of Body MRI

388 Pages·2011·70.36 MB·English

by  Christopher G. Roth MD

Fundamentals of
Body MRI

Fundamentals of
Body MRI
Christopher G. Roth, MD
Vice Chairman
Methodist Division
Department of Radiology
Thomas Jefferson University
Philadelphia, Pennsylvania
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
FUNDAMENTALS OF BODY MRI ISBN: 978-1-4160-5183-1
Copyright © 2012 by Saunders, an imprint of Elsevier Inc.
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I dedicate this book to my family …
… to my grandparents whose spiritual will to pursue intellectual advancement
provided me role models and confidence to pursue my own education and intel-
lectual enrichment.
… to my mother whose support and academic and professional achievements
served as my inspiration.
… to my father whose support, intellectual curiosity, encouragement, and liter-
ary exploits helped guide me through my academic and literary endeavors.
… to my fiancée, Stephanie, whose unconditional love and support provided
me the sustenance I needed to complete this work.
… I dedicate this book to our future.

Contributor
Sandeep Deshmukh, MD
Clinical Assistant Professor
Methodist Division
Department of Radiology
Thomas Jefferson University
Philadelphia, Pennsylvania
MRI of the Pancreaticobiliary System
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Preface
I wrote this book rebelling against a number appearance, which is more in sync with the
of trends in medical literature—a tendency to reader’s perspective than the encyclopedic style
write exclusively in the passive tense, a predi- of organizing by disease entity. This format
lection for the encyclopedic method, a distaste more closely mirrors the reader’s experience at
for visual aids (e.g., diagrams, tables), and an the workstation, providing a useful reference for
aversion to the basic science behind the scenes a problematic case or imaging pattern and facili-
of our clinical practice. Some of these trends are tating differential diagnoses. Hopefully, absten-
easier to avoid than others. Tackling the science tion from the passive tense further enhances the
of body MRI and composing a basic introduction readability of this text.
to MRI physics was definitely the most difficult. In writing a “fundamentals” text, my goal was
Once you pull at the thread, there is no end to to provide a stepping stone to a comfort level
the unraveling; in MRI physics, each of the many with body MRI—both technically and clinically.
abstract concepts are predicated on multiple My intent was to provide in-depth useful infor-
others, inviting an endless series of intercon- mation and commentary on the bread-and-
nected explanations, and I feel like an inhabitant butter material accounting for most of what is
in the M. C. Escher lithograph, “Relativity” seen in clinical practice, deferring on the more
(depicting a network of impossibly intercon- advanced applications and exotic diseases.
nected staircases constructed in different dimen- Advanced body MRI applications, such as pros-
sions). I sacrificed comprehensiveness in this tate, breast, and cardiovascular MRI, were con-
regard for a concise, common sense approach sciously excluded. For these topics, I refer you
to MRI physics and introductory concepts in to many worthy texts and review articles.1–9
Chapter 1 with the liberal use of visual aids This book has been long overdue—as one of
and sparing use of abstract concepts and the most complex fields in radiology, body MRI
equations. needs a “fundamentals” text. It’s my hope that
In the clinical chapters (Chapters 2 to 5), this book fulfills this need and it was my honor
I resisted the encyclopedic style in favor of and privilege to write it.
a reader-oriented approach, where possible. Christopher G. Roth
Most of the text is arranged by the imaging
1. Siegelman ES. Body MRI. Philadelphia: Saunders, 2005. 6. Morris EA, Liberman L. Breast MRI. New York: Springer,
2. Semelka RC. Abdominal-Pelvic MRI, 2nd ed. Hoboken, 2005.
NJ: Wiley-Liss, 2006. 7. Hendrick RE. Breast MRI: Fundamentals and Technical
3. Lee VS. Cardiovascular MRI: Physical Principles to Practi- Aspects. Secaucus, NJ: Springer Science and Business
cal Protocols. Philadelphia: Lippincott Williams & Media, 2008.
Wilkins, 2006. 8. Bard RL. Dynamic Contrast-Enhanced MRI Atlas of Pros-
4. Bogaert J, Dymarkowski S, Taylor AM. Clinical Cardiac tate Cancer. Berlin: Springer, 2009.
MRI. Berlin: Springer, 2005. 9. Verma S, Rajesh A. A clinically relevant approach to
5. Kwong RY. Cardiovascular Magnetic Resonance Imaging. imaging prostate cancer: Review. AJR Am J Roentgenol
Totowa, NJ: Humana Press, 2008. 196:S1–S10, 2011.
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