N-Acetylaspartylglutamate in human brain has been measured with difference editing at 7 T. The CH 2 proton resonances (~2.5 ppm) of the aspartyl groups of N-acetylaspartylglutamate and N-acetylaspartate were difference edited (MEGA) using 20-msec gaussian radiofrequency pulses for selective 180°rotations of the coupling partners at 4.61 and 4.38 ppm, respectively. The echo time of the editing sequence, 108 msec, was obtained in phantom tests. Single-voxel localized in vivo measurements were conducted in the medial prefrontal and right frontal cortices of five healthy volunteers. The gray and white matter fractions within the voxels were obtained from T 1 -weighted image segmentation. Using linear regression of the metabolite concentration vs. fractional white matter contents within the voxels, the N-acetylaspartylglutamate-to-N-acetylaspartate concentration ratios in gray and white matter were estimated to be 0.13 and 0. Measurement of N-acetylaspartylglutamate (NAAG) in human brain by proton MR spectroscopy is challenging because of its relatively low concentration and the overlap with intense signals of N-acetylaspartate (NAA) and glutamate (Glu). An approach of measuring NAAG is spectral fitting of the acetyl CH 3 singlet at 2.045 ppm (1), which is overlapped with the large NAA singlet at 2.010 ppm. Detection of this NAAG singlet is further complicated by the underlying multiplets of Glu, Gln (glutamine), GSH (glutathione), and the NAAG glutamate moiety at $2 ppm. Because of these spectral complexities, good shimming is required for differentiating the NAAG and NAA singlets, as demonstrated in prior studies at 2 T (2), 1.5 T (3), and 7 T (4). Alternatively, NAAG can be measured by means of J-difference editing, as reported at 3 T recently (5). The CH 2 resonances of the aspartyl groups overlap with each other, but the resonances of their coupling partners (CH protons) are quite distinct, i.e., 4.61 and 4.38 ppm (6). This 0.23-ppm spectral distance may be used for selective detection of the NAAG and NAA CH 2 resonances by difference editing.High-field MRS may benefit from the enhanced spectral resolution and increased thermal equilibrium magnetization. The resolution of coupled resonances is improved because the coupling strength that governs the overall linewidth of multiplets is independent of field strength B 0 . However, the spectral resolution between singlets may remain about the same with increasing B 0 when the lines get broader in proportion to B 0 . Given the difficulty with precise detection of the NAAG singlet, we have used a single-voxel localized difference editing method for differentiating between the aspartate CH 2 resonances of NAAG and NAA at 7 T. The regional difference of the metabolite levels was obtained using linear regression between the edited signals vs. white matter (WM) fractions within the voxels. Preliminary in vivo results from the human frontal brain are presented.
MATERIALS AND METHODSExperiments were carried out on a whole-body 7.0 T scanner (Philips Medical Systems, Clevelan...