Radiographics : a review publication of the Radiological Society of North America, Inc
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The development of high-field-strength magnetic resonance (MR) imaging systems has been driven in part by expected improvements in signal-to-noise ratio, contrast-to-noise ratio, spatial-temporal resolution trade-off, and spectral resolution. However, the transition from 1.5- to 3.0-T MR imaging is not straightforward. Compared with body imaging at lower field strength, body imaging at 3.0 T results in altered relaxation times, augmented and new artifacts, changes in chemical shift effects, and a dramatic increase in power deposition, all of which must be accounted for when developing imaging protocols. ⋯ Techniques to reduce total body heating are demanded by the physics governing the specific absorption rate. Furthermore, the siting and maintenance of 3.0-T MR imaging systems are complicated by additional safety hazards unique to high-field-strength magnets. These aspects of 3.0-T body imaging represent current challenges and opportunities for radiology practice.
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Fungal sinusitis was once considered a rare disorder but is now reported with increasing frequency throughout the world. The classification of fungal sinusitis has evolved in the past two decades, and this entity is now thought to comprise five subtypes. Acute invasive fungal sinusitis, chronic invasive fungal sinusitis, and chronic granulomatous invasive fungal sinusitis make up the invasive group, whereas noninvasive fungal sinusitis is composed of allergic fungal sinusitis and fungus ball (fungal mycetoma). ⋯ The treatment strategies for the subtypes are also different, as are their prognoses. An understanding of the different types of fungal sinusitis and knowledge of their particular radiologic features allow the radiologist to play a crucial role in alerting the clinician to use appropriate diagnostic techniques for confirmation. Prompt diagnosis and initiation of appropriate therapy are essential to avoid a protracted or fatal outcome.
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Magnetic resonance (MR) imaging at 3.0 T offers an improved signal-to-noise ratio compared with that at 1.5 T. However, the physics of high field strength also brings disadvantages, such as increases in the specific absorption rate, in magnetic field inhomogeneity effects, and in susceptibility artifacts. ⋯ Such modifications may include a decrease in the flip angle used for refocusing pulses and an increase in the repetition time for T1-weighted acquisitions. In addition, parallel imaging and other techniques (hyper-echo sequences, transition between pseudo steady states) may be used to maintain a high signal-to-noise ratio while decreasing acquisition time and minimizing the occurrence of artifacts on abdominal MR images.