Magnetic Resonance Spectroscopy: Principles and Techniques: Lessons for Clinicians
Joshua M Tognarelli1, Mahvish Dawood1, Mohamed I F Shariff1
1Liver Unit, Division of Diabetes, Endocrinology and Metabolism, Department of Medicine, Imperial College London, London, United Kingdom.
Journal of Clinical and Experimental Hepatology
|February 23, 2016
Summary
Magnetic resonance spectroscopy (MRS) offers a non-invasive view into body biochemistry. Advancements enable clinical applications alongside magnetic resonance imaging (MRI), providing functional and anatomical insights.
Area of Science:
- Biomedical Imaging
- Biochemistry
- Medical Physics
Background:
- Magnetic resonance spectroscopy (MRS) is a powerful non-invasive technique for observing biochemical processes.
- Historically a research tool, MRS is increasingly adopted in clinical settings.
- High magnetic field strengths (11-14 T) are used for analyzing biological samples.
Purpose of the Study:
- To explain the fundamental physics of MRS for clinicians.
- To highlight the integration of MRS with magnetic resonance imaging (MRI).
- To discuss potential clinical applications of MRS, particularly in liver and brain conditions.
Main Methods:
- Utilizing high magnetic field strengths for spectroscopy.
- Integrating clinical MRS with standard MRI examinations.
- Focusing on applications in hepatic and cerebral diagnostics.
Main Results:
- MRS provides a non-invasive window into biochemical processes.
- New developments allow for clinical MRS post-MRI scan.
- Functional information can be obtained alongside anatomical data.
Conclusions:
- MRS is transitioning from research to clinical practice.
- Clinicians require foundational physics knowledge to utilize MRS effectively.
- Hepatic and cerebral MRS show promise for diagnosing chronic liver disease.
Keywords:
CPMG, Carr-Purcell-Meiboom-Gill sequenceCSI, chemical shift imagingFID, free induction decayK, KelvinKEGG, Kyoto Encyclopedia for Genes and GenomesMR, magnetic resonanceMRI, magnetic resonance imagingMRS, magnetic resonance spectroscopyMSEA, metabolite set enrichment analysisNMR, nuclear magnetic resonanceNOESY, nuclear Overhauser enhancement spectroscopyPC, principal componentsPCA, principal components analysisPLS-DA, partial least squared discriminant analysisPRESS, point-resolved spectroscopySTEAM, stimulated echo acquisition modeT, TeslaT1, spin-lattice relaxationT2, spin-spin relaxationTE, echo timeTMAO, trimethylamine N-oxideTR, repetition timemagnetic resonance imagingmagnetic resonance spectroscopymetabolomicsnuclear magnetic resonanceRelated Concept Videos
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