“…Many studies (Arnold et al, 1992;Arnold et al, 1994;Davie et al, 1997;De Stefano et al, 1995;Husted et al, 1994;Narayana et al, 1998,( Allen & McKeown, 1979De Stefano et al, 1995;Fu et al, 1998;Husted et al, 1994;Narayana et al, 1998) have shown a reduction in the absolute concentration of NAA or the NAA/Cr ratio in MS lesions. However, pathological (Allen & McKeown, 1979) and quantitative MRSI studies (Armspach, Gounot, Rumbach, & Chambron, 1991;Filippi et al, 1995;Gasperini et al, 1996;Loevner et al, 1995) have shown that in patients with clinically definite MS, abnormalities also occur in the NAWM (Arnold et al, 1992;Davie et al, 1997;Davie et al, 1994;Fu et al, 1998;Husted et al, 1994;Narayana et al, 1998). Although the principal finding of MRS studies in patients with MS was a decrease in the NAA peak area, opposite results were obtained for other metabolites (Davie et al, 1994;Davies, Newcombe, Williams, McDonald, & Clark, 1995;De Stefano et al, 1995;Husted et al, 1994;Larsson et al, 1991).…”