Due to short relaxation times, fat has a high signal on magnetic reson
ance images (MRI). This high signal, easily recognized on MRI, may be
useful to characterize a lesion. However, small amounts of lipids are
more difficult to detect on conventional MRI. In addition, the high si
gnal due to fat may be responsible for artifacts such as ghosting and
chemical shift. Lastly, a contrast enhancing tumor may be hidden by th
e surrounding fat. These problems have prompted development of fat sup
pression techniques in MRI. Fat may be suppressed on the basis of its
difference in resonance frequency with water by means of frequency sel
ective pulses or phase contrast techniques, or on the basis of its sho
rt T1 relaxation time by means of inversion recovery sequences. Lastly
, hybrid techniques combining several of these fat suppression techniq
ues are also possible. The aim of this paper is to review the basic pr
inciples of all these fat suppression techniques and to exemplify thei
r clinical use. (C) 1998 Elsevier, Paris.