MR Field Notes: RF Coils ... They've Come A Long, Long Way
MR Field Notes: RF Coils ... They've Come A Long, Long Way
MR Field Notes
closer a coil’s position to the area of
interest, the stronger the signal will be,
therefore, the SNR will be higher.
The 8-channel brain coil’s decreased diameter provides increased SNR. The coil is
intended only for brain imaging, and you can use it with ASSET to help optimize your
scan time.
Coil-induced Artifacts
At the edge of an image, comparisons of NEMA SNR measure-
ments showed that the 8-channel brain coil has 90 to 95%
more SNR. This is useful for applications such as fMRI for mo-
tor or visual strip mapping.
It is important for you to recognize, understand, and manipu-
late the coil to reduce or avoid coil-induced artifacts that
may appear in your images. The improper use of coils …
wrong coil configuration, improper patient positioning, poor
FOV selection … is a major cause of image artifacts. Appropri-
ate coil selection along with an awareness of how these arti-
facts happen can help you eliminate them.
Shading
Shading artifacts, displaying as areas of reduced signal inten-
fMRI Imaging SNR Comparison sity or bands of signal cancellation, often result from im-
The fMRI images above were acquired with the finger-tapping mo- proper coil or patient
tor paradigm. The EXCITE 8-channel coil image (right) shows a positioning. These arti-
noticeable increase in SNR over the 1-channel head coil image facts can be easily cor-
(left), resulting in a more comprehensive demonstration of neu- rected by repositioning
ronal activation. the coil and/or the pa-
tient so that the coil re-
The new 8-channel coils for 1.5T include a breast and knee ceives signal that best
coil as well as a 16-channel, 32 element, lower leg array. represents the patient.
These new coils expand GE’s current offering, which include a The anatomy of interest
brain coil, neurovascular coil, 8-channel torso array, cardiac, should be placed in the
and a CTL spine array. 3.0T users can also take advantage of center of the magnetic
8-channel coils with the 3.0T brain, neurovascular, and car- field, within the center of Axial abdomen image with bands of
the coil, and within the signal cancellation (shading) due to
diac coils. incorrect patient positioning.
group of sections to be
Coil Selection Tips acquired.
GE offers a wide variety of coils from which to select for the
variety of imaging exams you may encounter. As long as you Inhomogeneous bright spots or a drop in coil signal on the
take the time to use your expertise and your imagination, image can also be prevented by making sure the patient
you’ll find a coil for every imaging application. During your does not come in direct contact with the coil. If the patient is
coil selection, remember these basic rules of thumb: likely to come in contact with the coil, it is recommended that
• Match the coil to the anatomy or area you’re going to you place a pad or folded sheet between the patient and the
image – this will let you optimize the SNR for the desired coil.
scan time.
• Match the FOV to the size of the coil or number of coil Tips for coil positioning:
elements selected • Choose the coil most appropriate for the corresponding
>If the receiver coil is larger than the FOV, signal from anatomy of interest and required FOV.
tissue outside the FOV can be aliased into the FOV. • Landmark on the coil marker, not on the patient’s anat-
Workaround – use No Phase Wrap to oversample in the omy. The landmark line(s) on the coil indicate the center
phase direction. Although this removes the aliased sig- of the coil or each coil configuration. Imaging coils will
nal, the overall SNR will not improve. function most accurately when placed at the magnet’s
>Smaller coils reduce the area of coverage, yet increase isocenter.
the inherent SNR of images and therefore fewer signal • If the coil has multiple configurations, select the appro-
averages are needed. priate number of elements according to the area that
>Individual patient anatomy may sometimes make it needs to be covered.
difficult to use the appropriate coil. It may be necessary
to use an alternative coil (such as a Flexcoil) to get the
• If the coil has multiple configurations, center the coil ele-
ments corresponding to the coil configuration chosen
best image possible. While image quality may suffer,
over the region of interest.
the alternative is no image at all.
>Always read the manual for the particular coil configu-
ration you’re using. And always be aware of and follow
safe MR scanning procedures. Ω
Continued on page 5
4
Coil-induced Artifacts (continued from page 4)
• Select a coil configuration and FOV based on the number RF Inhomogeneity
of elements chosen. Failure of an RF coil can cause intensity variation across an
image. This often indicates the failure of a coil element or the
• Consult individual coil manuals for FOV coverage and be presence of ferromagnetic material in the imaged object.
conscious of the coil’s limitations when selecting FOV. Check with the patient to make sure that nothing on them or
in them is causing the artifact. If you suspect a faulty coil ele-
Non-Uniformity of Signal ment, check each element using manual prescan. If you iso-
The RF receiver detects signals closest to it most efficiently. late a faulty element discontinue using the coil and consult
This characteristic may cause a non-uniformity of signal in with your service engineer.
the image. The effect is more pronounced with surface coils
than with volume coils, appearing as localized bright areas
close to the coil. Signal variability may also result in incom-
plete fat suppression when chemical fat suppression tech-
niques are used. To minimize the chance of this happening,
try a different coil or use a STIR sequence rather than trying
additional fat saturation techniques.
Continued on page 6
5
Coil-induced Artifacts (continued from page 5)
Star artifact signals, which appear as a bright star close to the If you operate a TwinSpeed system, you should be aware of a
middle of the image, originate very far from isocenter. In that zipper artifact that can occur while using Zoom mode. Most of
non-linear region, the free induction decay (FID) signal com- these artifacts are caused by the ineffective dephasing of the
ing off the RF 180 pulse or from a SAT pulse is not crushed out magnetization outside the effective length of the gradient coil.
and aliases back into the image. Although the prescribed FOV and its orientation are well con-
trolled in the Zoom mode, the spatial saturation (particularly in
Annefact appears in Fast Spin Echo (FSE) scans as smeared, the A, P, R, and L directions) cannot be controlled and may
bright, ghosting signals through the image in the phase direc- cause zipper artifacts. Other saturation techniques such as fat
tion. It typically appears on sagittal spines or pelvis scans saturation and magnetization transfer (MT) can also produce
using a phased array surface coil. Like a Star artifact, its ori- this type of artifact. By selecting the correct receive coil and/or
gin is far from isocenter, where the gradients are non-linear. placing the spatial saturation band carefully, you can eliminate
Uncompensated eddy currents in this area cause phase er- or minimize the zipper artifact. Ω
rors in the compressed signal and smear it through the im-
age.
By selecting the receive coils that match the imaging FOV (i.e.,
Raise Your
LS45, LS56, CS12, etc.), you can lessen the likelihood of picking
up the peripheral signals that are generated outside the FOV. Coil Consciousness
Coil Malfunctions RF energy from scanning can cause localized warming at con-
Coil decoupling mecha- tact points between the patient/bore and patient/RF coil, caus-
nisms are circuits activated ing discomfort, tingling sensations, or skin irritations similar to
by diodes to prevent radio- sunburn. RF can heat non-compatible surface coils, damaged
frequency currents from surface coils, surface coils that are not properly plugged in, and
flowing in the receive-only improperly routed coils, which can result in patient heating. If
coil during transmission you are operating a scanner and your patient tells you he or
from the body coil. This she is experiencing a burning sensation, stop the scan.
results in local distortion of
the transmit field and sig- People are always talking about not closing the loop on quality,
nal intensity variations but when it comes to MR safety, there are loops you will want
within the image (right). If to keep open to prevent patient discomfort. To help prevent a
you suspect a coil malfunc- patient burn from closed loops formed by clasped hands, hands
tion, consult your service touching the body, from thighs touching, or from the patient’s
engineer and discontinue breasts contacting the chest wall over a small area, insert non-
use of the coil. conducting pads at least 0.25 inches thick between touching
parts.
Zipper Artifact with Zoom Mode on TwinSpeed Systems
Patient positioning and coil awareness can affect the safety of
the scan procedure. The following safety precautions should
always be taken.
• Position the patient properly.
• Use the supplied coil pads with the coil at all times. The coil
should never come into contact with the patient.
• Do not allow the patient to directly contact the surface of
the bore; use non-conductive padding.
• Never let the coil’s RF cables come into contact with the pa-
tient. Position cables under a cushion whenever possible.
• Do not loop or cross cables. Keep them straight, positioned
The left image displays the axial c-spine prescription with an angled
anterior SAT pulse. The 3-coil CTL (CS123) was used in the Zoom
down the center of the magnet, directly out the bore.
mode to acquire the right axial image showing the zipper artifact. • Use only approved, undamaged RF coils.
This was caused by signal being received from tissue excited by the • Inspect coils for damage and wear. Do not use a coil that is
anterior saturation pulse outside the FOV that wrapped into the
not functioning properly, e.g., tuning problems or intermit-
imaging volume in the phase direction. This artifact could be elimi-
nated by switching to Whole mode or by using the 2-coil CTL (CS12). tent poor quality images. Ω
6
Coil
Reliability Improvements
With the introduction of Signa EXCITE HD, several improve- 8- or 16-Channel EXCITE HD System (left) and 4-Channel or Up-
ments in coil reliability have been made. These additions in- graded 8-Channel EXCITE HD System (right)
clude Coil Identification (ID), Automatic Identification, and The left port is for transmit/receive coils introduced in EXCITE HD or
changes to surface coil connections. later. The left and right ports are for 8-channel receive-only coils.
16-channel coils must be plugged into both the left and right ports.
ID Check All coils plugged into the outer ports must have a Coil ID chip in-
Coil ID confirms that the coil you have plugged into the system stalled. The middle port is a legacy port for 1.5T systems. The up-
matches the coil se- per slot is for legacy transmit/receive coils and receive-only single
channel surface coils. All coils plugged into the upper middle slot
lected in the scan
must have a Coil ID chip. The bottom slot is for phased array coils
prescription, also as- and may or may not have a Coil ID. A 3.0T system has only a single
suring that the coil is slot for the middle port that can be used for head or phased array
properly seated in the coils with Coil ID chips installed. Ω
port.
Continued on page 8
7
What’s New? (continued from page 7)
The new EXCITE HD Knee coil delivers a significant SNR gain
over existing 4-channel designs. Because of its 8-channel
design, each RF element in this coil is smaller. While it gathers
the same amount of signal, the smaller phased array ele-
ments significantly reduce the amount of noise collected.
The EXCITE HD Knee coil provides up to 100% more SNR than
the single channel Quadrature Extremity coil.
Quadrature Bird Cage Phased Array Elements
Some of the SNR improvement results from making the coil The bird cage component of the The eight phased array elements
smaller, yet it still accommodates a large patient body habi- coil is used for RF transmission are used during data acquisition
and signal reception for Auto- for signal reception.
tus. The internal diameter of the coil tapers to the knee. The
shim and PURE calibration.
head end features a flared contour for the thigh, while the
foot end has a flared contour for the calf. The coil is designed
to fit 95% of the patient population. PURE
The increasing number of smaller elements in phased array
coils leads to more signal attenuation at depth and therefore
more signal-to-noise variation across the imaging volume.
The EXCITE HD Knee coil, with eight RF elements, has 32%
more signal attenuation from the periphery to the center of a
volume. To avoid seeing a hypersensitive signal around the
knee, you must correct the images with PURE. PURE applies a
correction based on the coil’s sensitivity profile and does not
change the SNR or contrast in the image.
EXCITE HD Knee and Phased Array Knee Coils – SNR Comparison
The image on the left was acquired with the 8-channel EXCITE HD
Knee coil and the right image was acquired under the same condi-
tions with the 4-channel Phased Array Knee coil. Note the significant
SNR increase with the EXCITE HD Knee coil.
SNR Improvements with the
EXCITE HD Knee Array Coil
This sagittal FSE image was ac-
quired with the EXCITE HD Knee
Array coil in just 4 minutes. Imag-
ing parameters include: 24 slices,
10 cm FOV, 3.5 slice thickness, and
chemical fat saturation. The image Uncorrected Image Image Corrected with PURE
was corrected with PURE. Sagittal T1-weighted image of Same sagittal T1-weighted im-
the knee with no correction dis- age corrected with PURE. Note
plays increased signal intensity the decrease in signal variation
Hybrid Technology at the periphery of the knee. across the image.
The EXCITE HD Knee coil is a transmit/receive coil incorporat-
ing unique hybrid technology that allows eight phased array ASSET
elements and a separate quadrature bird cage to function The EXCITE HD Knee Array coil is optimized for ASSET imaging
together in one coil. The bird cage coil is used for RF power in the A/P and R/L directions. ASSET scans use the same cali-
transmission and for signal reception during prescan and bration scan, collected with the bird cage coil, as PURE. ASSET
PURE calibration sequences. The bird cage has a twisted de- may be applied to decrease scan time in examinations where
sign for a more uniform RF deposition within the excitation of short scan times are crucial … with claustrophobic patients,
the volume, thus providing signal uniformity across the whole for example.
imaging volume. The eight phased array elements, tapered to
the knee anatomy for optimum SNR performance, receive the Chemical Fat Saturation
MR signals. The EXCITE HD Knee Array’s hybrid technology, which uses
the bird cage coil to collect the autoshim data in the transmit/
With the transmit/receive coil design and hybrid technology, receive mode, means this coil provides unmatched chemical
you no longer have to worry about aliasing from the opposite fat saturation. You’ll see uniform signal within the field and
leg as you would with conventional phased array receive- uniform fat suppression across the entire imaging volume.
only knee coils. Just make your patient comfortable and con-
centrate on the leg you’re scanning!
Continued on page 9
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What’s New? (continued from page 8)
8-Channel CTL Spine Array Impacts 3.0T Users
The new EXCITE HD 8-Channel CTL Spine Array coil sets a
new standard for full spine clinical 3.0T imaging. Its quadra-
ture phased array design
includes 12 elements that
provide excellent SNR and
uniform coverage resulting
in high-resolution images of
the spine from the cervical
through the lumbar spine.
ASSET Image Comparison The cervical region is designed for imaging the cervical spine
The axial FSE knee image on the left was acquired with ASSET x2 in and neck, and for neck MRA applications.
44 seconds. The right axial FSE knee image was acquired under The coil covers extended regions of interest including the
same conditions without ASSET in 1 minute, 26 seconds. Both im-
thoracic and lumbar anatomical areas. It accommodates
ages are uncorrected and display matching window widths and
window levels as determined by the ROI.
the full range of patient sizes, including the taller patient
population.
Chemical Fat Saturation The use of SCIC is recommended with this coil to reduce sur-
Fat suppression Improve- face coil intensity variations. Protocols for the 8-channel CTL
ments with the EXCITE Spine coil can be found in the GE Protocol Menu on your sys-
HD Knee Array Coil Sagit-
tem. These protocols are routine clinical protocols developed
tal Fast Spin Echo im-
ages acquired with Fat in collaboration with clinical test sites.
SAT. Note homogene-
ous fat suppression Other New Coils
across entire volume of
images. These images
were corrected with
PURE calibration.
Continued on page 10
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What’s New? (continued from page 9)
In addition to the new 1.5T coils, HD Breast Array and HD
Lower Leg Array, which were highlighted in the last issue of MR
Field Notes, GE Healthcare has several new imaging coils de-
Coil FAQs
signed for 3.0T systems.
Q: We have a 9.0 system and are upgrading to EXCITE HD.
The 3.0T HD Shoulder Array coil is new tech- Will we still be able to use all of our coils?
nology for 3.0T EXCITE HD users, providing A: You’ll still be able to use the same coils, however, they will
them with an additional orthopedic imag- need to be updated. Connectors in the HD system are differ-
ing application. The 3-channel Shoulder ent and the connectors on the coils you’re using now will
Array is a receive-only coil. The coil de- have to be modified to fit.
sign enables you to obtain high resolu-
tion images of the shoulder and con- Q: When can I use the body coil for localizing with another
tiguous anatomy. The coil is optimized for ASSET appli- coil plugged in?
cations in the R-L and A-P directions. A: As long as the system allows you to scan, go ahead and
use the body coil for localizing. Make sure, however, that the
The 3.0T 8-Channel HD Cardiac Array is coil you’ll use for scanning is plugged in and its ID has been
a high-resolution coil used to image selected when you do the localizer scan.
the cardiovascular system on GE
Signa EXCITE HD 3.0T systems. It is Q: My imaging facility has a 1.5T EXCITE II system and is
capable of ASSET scans to reduce the interested in purchasing the new EXCITE HD Knee Array
required breath-hold time, which im- coil. Is this coil compatible with our system?
proves patient comfort and helps pro- A: No, the EXCITE HD Knee Array coil is only compatible with
duce more diagnostically useful images. 1.5T EXCITE HD systems due to the system architecture. The
EXCITE HD Knee Array coil has a unique transmit and receive
The 3.0T 8-channel HD Neurovascular Array is a receive-only design that prevents aliasing from outside the knee anatomy.
coil designed to give optimum SNR and uniform coverage of It incorporates a hybrid technology that uses a separate bird-
the head and neck. This coil has an excellent ergonomic de- cage coil for transmission and a set of phased array elements
sign, which incorporates soft, flexible components that con- for reception. The system architecture in previous systems
form to the patient anatomy to accommodate various body does not allow use of the body coil when a transmit/receive
contours while improving patient comfort. The coil geometry is coil is inside the bore. The hardware system was modified
optimized for ASSET applications in R-L and A-P directions. with the EXCITE HD systems to accommodate this technology
and allow coils to operate in this way.
Medrad is introducing a new 1.5T 8-Channel Neurovascular
(NV) coil that incorporates 8 elements in the head section and Q: When using the Medrad NV8 coil with PROPELLER DWI,
4 elements in the retractable chest section designed for opti- the sequence did not reduce motion. Is this a coil problem
mal neurovascular imaging. The full mode provides a maxi- or a PSD problem?
mum 46 cm FOV and allows you to acquire high SNR images of A: Neither. PROPELLER DWI is not intended to nullify motion.
the carotid arteries, soft tissue neck, cervical spine, brachial The PROPELLER DWI sequence is used to reduce susceptibility
plexus, and aortic arch. The Head mode activates 8 receivers artifacts from metal. Use the PROPELLER T2 sequence or
and 8 elements in the head configu- PROPELLER T2 FLAIR to reduce patient motion artifacts.
ration to image the brain and Circle
of Willis, acquire EPI images, and Q: The Body Array coil has a Coil ID sticker and I have a
use the PROPELLER imaging tech- green light on the coil port but I receive an error when I
nique for reduced motion artifact download the acquisition, what is preventing me from
and enhanced contrast-to-noise downloading?
properties. A: A coil with Coil ID is automatically detected and shown in
the Coil Names window, but you must still select the correct
The cervical spine and anterior coil elements can be activated coil. The system will not allow you to click the Download but-
with the Neck mode. The Neck mode can acquire images of ton unless the coil plugged in matches the coil selected in the
the soft tissue in the neck and cervical spine up to a 24 FOV. Coil Names window. An error message posts if there is no
The Full, Head, and Neck modes are designed for ASSET imag- match. Change the coil selection in the protocol to match the
ing, but they are not compatible with spectroscopy. There is a actual coil that’s plugged in. The exception to this situation is
special Spectroscopy mode that activates the head section for if a receive-only coil is plugged into either port. In this case
both single and multi-voxel spectroscopy imaging. you can scan with the Body coil. Ω
The coil also features a Head/Neck configuration for extended
superior/inferior coverage. Ω
10
Useful Links
The University of British Columbia has web pages that include MR images with artifacts and expla-
nations. You can also view small images of these artifacts with no explanations in order to quiz
yourself on possible causes.
http://www.rad.pulmonary.ubc.ca/stpaulsstuff/MRartifacts.html
Frank Shellock, PhD, is a physiologist with more than 17 years of experience conducting
laboratory and clinical investigations in the field of magnetic resonance imaging. As a
commitment to the field of MRI safety, bio effects, and patient management, he cre-
ated and maintains a great MR safety web site. www.MRIsafety.com
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GE Healthcare
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U.S.A.
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