On the localized quantification of metabolites with coupled spins

Elevated 3T proton MRS glutamate levels associated with poor Continuous Performance Test (CPT-0X) scores and genetic risk for schizophrenia

Glutamate was quantified by proton magnetic resonance spectroscopy ((1)H-MRS) in the medial frontal lobes of 15 adult siblings of individuals with schizophrenia (HR) and 14 healthy volunteers (HV), all of whom also completed a Continuous Performance Test (CPT). Subjects were free of psychopathology but the HR group showed greater variability in glutamate levels. After median stratification, the high glutamate group contained a larger proportion of HR than HV subjects and scored lower on the CPT. Elevated glutamate may relate to poor sustained attention and elevated risk of schizophrenia, suggesting a potential role for glutamate in an endophenotype for schizophrenia.

Implementation issues of multivoxel STEAM-localized1H spectroscopy

Single-voxel STEAM-localized spectroscopy studies of neuropsychiatric patients yield high-quality data at short echo times, but are often limited to only a few regions of interest due to the linear increase of acquisition time with the number of regions examined. A multivoxel STEAM approach increases the number of regions of interest examined with a less than linear increase in acquisition time. Several implementation issues were considered, especially the signal contribution of outer voxel stimulated echoes (OVSE), which can lead to systematic errors in the quantification of relative metabolite concentrations. The relative signal contribution of OVSEs was found to be as great as 30% in phantoms. Gradient polarity switching completely canceled the contribution of OVSEs. A two-voxel STEAM approach produces phantom and in vivo data quality comparable to single-voxel STEAM in practically half the time. Quantification precision and accuracy are preserved in phantoms and in vivo.

Response of metabolites with coupled spins to the STEAM sequence

This article demonstrates that a numerical solution of the full quantum mechanical equations for all metabolites with coupled spins is an efficient and accurate means, first, of predicting the optimum STEAM sequence design for quantifying any target metabolite in brain, and, second, for providing the basis lineshapes and yields of these metabolites to facilitate their accurate quantification. Using as illustrations the weakly coupled AX3 system of lactate, the ABX aspartyl group of N-acetylaspartate, which has only two strongly coupled spins, and the much larger strongly coupled AMNPQ glutamyl group of glutamate, the numerical solutions for the response to STEAM highlight the principal source of response variability, namely, the evolution of and transfer between zero quantum terms during the mixing time, TM. These highlights include the rapid oscillations of zero quantum terms due to the chemical shift difference of the coupled spins, the proliferation of oscillating zero order terms due to strong coupling, and the serendipitous smoothing of the response as the number of strongly coupled spins increases. The numerical solutions also demonstrate that the design of the selective 90 degrees pulses is a far less critical factor in determining the response than was the case for the selective 180 degrees pulses of the PRESS sequence (Thompson and Allen, Magn Reson Med 1999;41:1162-1169). The veracity of the method is demonstrated both in phantom solutions and in the parietal lobe of a normal human brain.