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Updated: Jan 20, 2026

Using Deuterium Oxide as a Non-Invasive, Non-Lethal Tool for Assessing Body Composition and Water Consumption in Mammals
Published on: February 20, 2020
Robust determination of deuterium abundance in water
Robin A de Graaf1,2,3, Monique A Thomas4, Graeme F Mason4,5
1Departments of Radiology and Biomedical Imaging, Yale University, New Haven, CT, 06520, USA. robin.degraaf@yale.edu.
Objective:
Quantitative Deuterium Metabolic Imaging, or DMI, is typically based on the natural abundance deuterium (2H) signal from water that is inherently present in all DMI data. The 2H level in water depends on many geographical and atmospheric factors, whereby the in vivo 2H level can be further modified through the administration and breakdown of deuterated substrates. For water to act as an internal concentration reference, the 2H enrichment needs to be determined on a regional or even per-subject basis.
Materials And Methods:
An NMR method is presented to quantitatively and robustly determine the 2H enrichment in water using dimethyl sulfoxide (DMSO) as an 1H/2H internal reference. The method, employing a 1H/2H ratio of water/DMSO ratios, is independent of the amount of water or reference. The method is readily implemented on any modern NMR spectrometer with signal acquisition based on simple, fully-relaxed pulse-acquire methods and standard NMR tubes.
Results:
The double ratio method is validated on samples with known 2H enrichments and variations in 2H water content are demonstrated for bottled spring waters from across the United States, and for human blood plasma during infusions of deuterated glucose and acetate.
Discussion:
The presented double ratio method is a robust and practical tool to determine 2H water enrichment on individual subjects and/or specific geographic regions.
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