“…24,26,31 Over the last three decades, a few attempts have been made to include 2,3-DPG in PME fitting, [32][33][34] though they differ widely on the details of lineshape model, due to a lack of obvious spectral features assignable to 2,3-DPG. In this study, the strategy to selectively detect h-PME was based on the T1 shortening of 2,3-DPG in RBC, 35,36 rather than on the classic resonance pattern of 2,3-DPG, considering that the resonance frequencies of 2,3-DPG in RBC may be dispersed due to sensitivity to variations in pH, oxygenation, and magnetic anisotropic susceptibility effect from spatial orientation of blood vessels. 24,31,[35][36][37][38] The in vivo brain spectral features documented in this study clearly demonstrated complexity of PME composition and inadequacy of the conventional two-component model.…”