“…As theorized by several other groups, increased Gln/Glu ratios reflect intensified flux through the glutamate-glutamine cycle and an overall increase in glutamatergic neurotransmitter activity (Igarashi et al, 2001;Iltis et al, 2009;Mlynarik et al, 2008;Ö ngür et al, 2008;Theberge et al, 2003Theberge et al, , 2002. It has recently become possible to measure this ratio, using J-resolved proton MRS ( 1 H-MRS), a sequence that acquires spectra at multiple echo times (TEs), allowing improved metabolite quantification (Jensen et al, 2009). Thus, 1 H-MRS can measure glutamate and glutamine levels separately, allowing calculation of Gln/Glu ratios.…”