Karsten Wicklow

Understanding the Discrepancies Between 31P MR Spectroscopy Assessed Liver Metabolite Concentrations from Different Institutions

The high divergence between the liver metabolite concentrations and pH values reported in previous quantitative 31P magnetic resonance studies, for instance phosphomonoester (0.7-3.8 mM) and phosphodiester (3.5-9.7 mM), has not been addressed in the literature. To assess what level of discrepancy can be caused by processing and metabolite integration, in this study chemical shift imaging localized 31P magnetic resonance spectra of human liver were quantitated by three methods currently applied in clinical practice: peak areas defined manually by placement of two cursors vs. frequency domain curve fitting with the assumption of either Gaussian or Lorentzian line shapes. Large reproducible differences were found in liver metabolite peak areas but not in pH, indicating that processing and peak integration methods can only explain part of the discrepancies between the results from different institutions.

Nuclear magnetic resonance apparatus having at least two transmission frequencies

For improving the spectral resolution and/or the signal-to-noise ratio of a nuclear magnetic resonance apparatus for examining first types of atomic nuclei that are nuclear-magnetically coupled to second types of atomic nuclei, signals are additionally emitted on the resonant frequency of the second type of atomic nucleus during the examination of the first type of atomic nucleus. To this end, the nuclear magnetic resonance apparatus includes a reception channel and only one transmission channel for both resonant frequencies. The transmission channel contains a respective synthesizer for each resonant frequency, which define the transmission frequency and contains a modulator unit shared in common by both resonant frequencies.