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Gadolinium-based contrast agents enhance MRI by accelerating the return-to-equilibrium (“relaxation”) rates—primarily longitudinal—of tissue water protons through strong paramagnetic effects. This results from direct dipolar coupling between unpaired electrons on the metal center and nearby hydrogen nuclei. The net result is increased brightness (“positive contrast”) in regions where these agents accumulate during the scan acquisition window—a cornerstone mechanism underpinning modern diagnostic MRI.
Dipolar interaction between Gd³⁺ unpaired electrons and water protons, accelerating T1 and T2 relaxation
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