Spatially localized H-1 MR spectroscopy can provide sufficient sensitivity and spectral resolution at 1.5 T to demonstrate Cho in human breast lesions with a spectroscopic protocol that provides up to 1-cm3 resolution. Determining the presence of Cho may provide a useful test for malignancy.
Quantitative, apparent T2 values of suspected prostate cancer and healthy peripheral zone tissue in men with prostate cancer were measured using a Carr-Purcell-Meiboom-Gill (CPMG) imaging sequence in order to assess the cancer discrimination potential of tissue T2 values. The CPMG imaging sequence was used to image the prostates of 18 men with biopsy proven prostate cancer. Whole gland coverage with nominal voxel volumes of 0.54 × 1.1 × 4 mm3 was obtained in 10.7 minutes, resulting in data sets suitable for generating high quality images with variable T2-weighting and for evaluating quantitative T2 values on a pixel-by-pixel basis. Region-of-interest analysis of suspected healthy peripheral zone tissue and suspected cancer, identified on the basis of both T1- and T2-weighted signal intensities and available histopathology reports, yielded significantly (p < 0.0001) longer apparent T2 values in suspected healthy tissue (193 ± 49 ms) vs. suspected cancer (100 ± 26 ms), suggesting potential utility of this method as a tissue specific discrimination index for prostate cancer. We conclude that CPMG imaging of the prostate can be performed in reasonable scan times and can provide advantages over T2-weighted fast spin echo imaging alone, including quantitative T2 values for cancer discrimination as well as proton density maps without the point spread function degradation associated with short effective echo time fast spin echo (FSE) sequences.
Accurate phasing of MRS spectra is often difficult unless time varying phase effects produced by gradient-induced eddy currents that persist during data acquisition are eliminated. This effect is particularly problematic in 1H-CSI spectra where frequency shifts produced by static field inhomogeneity and phase shifts produced by eddy currents combine. In this paper we present a method that corrects both shifts and eliminates manual phasing of individual CSI spectra typically required to recover a pure absorption line shape. The method uses a time domain phase correction derived from the ambient water signal acquired under identical conditions (i.e., acquisition parameters, gradient sequence) as the solvent-suppressed CSI data. Results from CSI experiments on phantoms and in vivo solvent suppressed 1H-CSI spectra from normal human brain are presented demonstrating the capabilities of the technique.
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