The Short Answer

MRI pixels appear lighter or darker based on how much signal a tiny volume of tissue sends back to the scanner.

  • More signal → brighter pixel
  • Less signal → darker pixel

Unlike CT scans (which measure density), MRI contrast is driven by tissue chemistry, magnetic behavior, and scan settings.


The Core Concept: Signal Intensity

Each pixel represents a voxel (a 3D chunk of tissue).
The brightness of that pixel reflects how strongly hydrogen nuclei in that voxel respond to the MRI pulse sequence.

MRI primarily detects hydrogen protons, because they are abundant in the body and highly responsive to magnetic fields.


1. Hydrogen (Proton) Density

Tissues contain different amounts of hydrogen:

  • High hydrogen content (water, fat) → stronger signal → brighter
  • Low hydrogen content (air, cortical bone) → weak or no signal → dark

Examples:

  • Lungs and bone appear black
  • Brain, muscle, and fat appear gray or white

2. Relaxation Times: T1 and T2

After protons are excited by the MRI’s magnetic pulse, they return to equilibrium in two independent ways.

T1 Relaxation (Longitudinal Recovery)

  • Measures how fast protons realign with the main magnetic field
  • Fat recovers quickly → bright on T1
  • Water / CSF recovers slowly → dark on T1

T1 images are good for anatomy and structure.


T2 Relaxation (Transverse Decay)

  • Measures how fast protons lose phase coherence
  • Water, edema, inflammation stay coherent longer → bright on T2
  • Fat decays faster → relatively darker

Radiology rule of thumb:

T2 = Water is white


3. Scan Parameters (TR and TE)

MRI contrast is heavily controlled by timing settings chosen by the technologist:

  • TR (Repetition Time) – time between excitation pulses
  • TE (Echo Time) – time before the signal is measured

By adjusting TR and TE, a scan can emphasize:

  • T1 contrast
  • T2 contrast
  • Proton density
  • Or suppress specific tissues entirely (e.g., fat suppression, FLAIR)

The same tissue can appear bright in one sequence and dark in another.


Other Factors That Affect Brightness

Additional contributors to MRI pixel intensity include:

  • Blood flow (flowing blood may appear bright or dark)
  • Iron or calcium (cause signal loss → dark)
  • Magnetic susceptibility (air, metal distort the field)
  • Contrast agents (gadolinium)
    • Shorten T1 relaxation
    • Make enhancing tissue appear brighter on T1

MRI vs CT: Why They Look So Different

  • CT brightness = tissue density (X-ray absorption)
  • MRI brightness = signal behavior in a magnetic field

MRI visualizes how tissue behaves, not how dense it is.


One-Line Summary

MRI pixels are light or dark because tissues contain different amounts of hydrogen, relax at different rates, and are emphasized differently depending on the scan settings.


Further Reading

  • MRI pulse sequences and contrast weighting
  • Clinical interpretation of T1 vs T2 lesions
  • MRI vs CT decision-making in diagnostics