Interactions of paramagnetic contrast agents and the spin echo pulse sequence

The theoretical equations for paramagnetic contrast agent effects and the spin echo pulse sequence are combined to graph magnetic resonance (MR) intensity as a function of paramagnetic contrast agent concentration for various tissues. Analysis of the graphs and equations demonstrate several technical and clinical implications. These include: (1) positive enhancement is most likely to occur with short TEs and TRs; (2) changes in machine parameters TE and TR will change the concentration of agent at which the peak enhancing MR intensity will occur; (3) there is an absolute maximum MR intensity that can be reached with contrast enhancement; (4) the maximum MR intensity reached with enhancement is dependent on the tissues' T2 and, to a lesser degree, T1 relaxation times; (5) certain TE and TR combinations will cause no enhancement; (6) if positive enhancement does occur, it will usually occur only over a limited range of agent concentration; and (7) the tissues' T1 relaxation time but not its T2 time determines whether positive enhancement will occur and the relative amount of enhancement.