Fat suppression (MRI techniques)


Cheat sheet

Features Spectral fat suppression Short TI inversion recovery Dixon
Names CHESS, SPAIR/SPIR STIR Dixon, mDIXON, IDEAL
Principle Frequency-selective RF pulse hits fat peak to dephase fat (CHESS); or null the fat (SPAIR/SPIR) Non-selective inversion pulse → wait until fat signal is null (TI time) then RF → No transverse fat signal Phase separation of water and fat using multiple echo times then recombine mathematically
Pros High SNR, Preserves T1, T2 contrast Most robust to Off-resonance, can be used in large FOV and near metal Uniform FS over big FOV, multiple sequences from one acquisition, good SNR
Cons Very sensitive to off-resonance; Patchy fat suppression due to unavoidable B0 inhomogeneity in large FOV lower SNR → typically poorer spatial resolution due to thicker slices and longer TE needed to compensate low SNR; Kills all short T1 signals including Gd enhancement (cannot be used in post-contrast imaging). Sensitive to off-resonance → water-fat swaps, ugly artefact near strong inhomogeneity
Applications Workhorse of joint imaging (better cartilage signal than STIR); Good for pre/post contrast study (unlike STIR) Robust imaging in off-resonance zones (hand, foot, spine, whole body, metal) Pretty and fast large FOV imaging when B0 is ok (whole body, spine); if fail → step back to STIR
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