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Unedited in vivo detection and quantification of γ-aminobutyric acid in the occipital cortex using short-TE MRS at 3 T.

TLDR
It is demonstrated that, under some experimental conditions, short‐TE MRS can be employed for the reproducible detection of GABA at 3 T, but that the technique should be used with caution, as the results are dependent on the experimental conditions.
Abstract
Short-TE MRS has been proposed recently as a method for the in vivo detection and quantification of gamma-aminobutyric acid (GABA) in the human brain at 3 T. In this study, we investigated the accuracy and reproducibility of short-TE MRS measurements of GABA at 3 T using both simulations and experiments. LCModel analysis was performed on a large number of simulated spectra with known metabolite input concentrations. Simulated spectra were generated using a range of spectral linewidths and signal-to-noise ratios to investigate the effect of varying experimental conditions, and analyses were performed using two different baseline models to investigate the effect of an inaccurate baseline model on GABA quantification. The results of these analyses indicated that, under experimental conditions corresponding to those typically observed in the occipital cortex, GABA concentration estimates are reproducible (mean reproducibility error, <20%), even when an incorrect baseline model is used. However, simulations indicate that the accuracy of GABA concentration estimates depends strongly on the experimental conditions (linewidth and signal-to-noise ratio). In addition to simulations, in vivo GABA measurements were performed using both spectral editing and short-TE MRS in the occipital cortex of 14 healthy volunteers. Short-TE MRS measurements of GABA exhibited a significant positive correlation with edited GABA measurements (R = 0.58, p < 0.05), suggesting that short-TE measurements of GABA correspond well with measurements made using spectral editing techniques. Finally, within-session reproducibility was assessed in the same 14 subjects using four consecutive short-TE GABA measurements in the occipital cortex. Across all subjects, the average coefficient of variation of these four GABA measurements was 8.7 +/- 4.9%. This study demonstrates that, under some experimental conditions, short-TE MRS can be employed for the reproducible detection of GABA at 3 T, but that the technique should be used with caution, as the results are dependent on the experimental conditions. Copyright (c) 2013 John Wiley & Sons, Ltd.

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Unedited in vivo detection and quantication
of g-aminobutyric acid in the occipital cortex
using short-TE MRS at 3 T
Jamie Near
a,b,c
*, Jesper Andersson
c
, Eduard Maron
d
, Ralf Mekle
e,f
,
Rolf Gruetter
f,g
, Philip Cowen
b
and Peter Jezzard
c
Short-TE MRS has been proposed recently as a method for the in vivo detection and quantication of g-aminobutyric
acid (GABA) in the human brain at 3 T. In this study, we investigated the accuracy and reproducibility of short-TE
MRS measurements of GABA at 3 T using both simulations and experiments. LCModel analysis was performed on
a large number of simulated spectra with known metabolite input concentrations. Simulated spectra were generated
using a range of spectral linewidths and signal-to-noise ratios to investigate the effect of varying experimental
conditions, and analyses were performed using two different baseline models to investigate the effect of an
inaccurate baseline model on GABA quantication. The results of these analyses indicated that, under experimental
conditions corresponding to those typically observed in the occipital cortex, GABA concentration estimates are
reproducible (mean reproducibility error, <20%), even when an incorrect baseline model is used. However, simula-
tions indicate that the accuracy of GABA concentration estimates depends strongly on the experimental conditions
(linewidth and signal-to-noise ratio). In addition to simulations, in vivo GABA measurements were performed using
both spectral editing and short-TE MRS in the occipital cortex of 14 healthy volunteers. Short-TE MRS measurements
of GABA exhibited a signicant positive correlation with edited GABA measurements (R = 0.58, p < 0.05), suggesting
that short-TE measurements of GABA correspond well with measurements made using spectral editing techniques.
Finally, within-session reproducibility was assessed in the same 14 subjects using four consecutive short-TE GABA
measurements in the occipital cortex. Across all subjects, the average coefcient of variation of these four GABA
measurements was 8.7 4.9%. This study demonstrates that, under some experimental conditions, short-TE MRS
can be employed for the reproducible detection of GABA at 3 T, but that the technique should be used with caution,
as the results are dependent on the experimental conditions. Copyright © 2013 John Wiley & Sons, Ltd.
Keywords: g-aminobutyric acid (GABA); spin-echo full-intensity acquired localised (SPECIAL); MRS; short-TE; spectral editing
INTRODUCTION
g-Aminobutyric acid (GABA) is the primary inhibitory neurotrans-
mitter in the mammalian brain and plays an important role in the
regulation of neuronal activity (1). Altered tissue GABA levels
have been observed in various pathologies, including both
epilepsy (2) and major depression (3,4), and individual variations
in tissue GABA levels of healthy individuals have been shown to
correlate with both functional MRI activity (5,6) and behaviour
(7,8). In vivo MRS detection of GABA is challenging because of
its relatively low concentration and the large overlapping
resonances from other metabolites and macromolecules (MMs).
As a result, GABA detection is most commonly performed using
spectral editing techniques, which enable the selective observation
of GABA by separation of the C4-GABA multiplet from the back-
ground of overlapping resonances (912). Of the available spectral
editing methods, probably the most commonly used is the
MescherGarwood point-resolved spectroscopy (MEGA-PRESS)
* Correspondence to: J. Near, FMRIB Centre, Nufeld Department of Clinical
Neurosciences, John Radcliffe Hospital, Headington, Oxford OX3 9DU, UK.
E-mail: jnear@fmrib.ox.ac.uk
a J. Near
Douglas Mental Health University Institute and Department of Psychiatry, Mc-
Gill University, Montreal, QC, Canada
b J. Near, P. Cowen
Department of Psychiatry, University of Oxford, Oxford, UK
c J. Near, J. Andersson, P. Jezzard
FMRIB Centre, Nufeld Department of Clinical Neurosciences, University of
Oxford, Oxford, UK
d E. Maron
Faculty of Medicine, Imperial College, London, UK
e R. Mekle
Laboratory for Functional and Metabolic Imaging (LIFMET), Ecole
Polytechnique Federale de Lausanne, Lausanne, Switzerland
f R. Mekle, R. Gruetter
Department of Radiology, University of Lausanne, Lausanne, Switzerland
g R. Gruetter
Centre dImagerie Biomedicale, Ecole Polytechnique Federale de Lausanne,
Lausanne, Switzerland
Abbreviations used: CRLB, CramerRao lower bound; GABA, g-aminobutyric
acid; LW, linewidth; MEGA-PRESS, MescherGarwood point-resolved spectros-
copy; MM, macromolecule; NAA, N-acetylaspartate; SNR, signal-to-noise ratio;
SPECIAL, spin-echo full-intensity acquired localised; VAPOR, variable power
radiofrequency pulses with optimised relaxation delays.
Research article
Received: 20 January 2012, Revised: 15 March 2013, Accepted: 18 March 2013, Published online in Wiley Online Library: 22 May 2013
(wileyonlinelibrary.com) DOI: 10.1002/nbm.2960
NMR Biomed. 2013; 26: 13531362 Copyright © 2013 John Wiley & Sons, Ltd.
1353

technique (10), which combines MEGA editing (10) with PRESS
localisation (13) to achieve reliable quantitative measurements of
GABA concentrations within a localised region of tissue. Studies
have shown that the MEGA-PRESS technique provides reproduc-
ible GABA measurements, with intra-subject reproducibility values
in the range 712% (14,15). However, this acquisition method also
has a number of associated drawbacks. First, when optimised for
the observation of GABA, the MEGA-PRESS technique does not
enable the optimal detection of many other metabolites simulta-
neously. Thus, it provides a very limited amount of useful
metabolic information. Second, because the MEGA editing scheme
makes use of narrow-band frequency-selective pulses, it is very sen-
sitive to B
0
eld drift, and small drifts of only a few hertz can affect
signicantly the quantication accuracy (12,16). Third, the tech-
nique is inefcient; the observed GABA signal in the MEGA-PRESS
experiment typically consists of less than 40% of the available
signal from just one of GABAs three methylene groups (16). The
remainder is lost in the editing process.
Short-TE MRS provides a possible alternative approach for the
detection of GABA, and may provide several advantages over the
more standard spectral editing techniques. Specically, short-TE
MRS enables the detection of a large number of metabolites
(including GABA) simultaneously, thus increasing the available
amount of metabolic information. Furthermore, in contrast with
spectral editing techniques, short-TE MRS is relatively insensitive
to B
0
eld drift and is highly efcient as it minimises signal decay
from T
2
relaxation and scalar coupling phase evolution. The de-
tection and quantication of GABA using short-TE MRS in combi-
nation with LCModel analysis has been demonstrated previously,
but has been mainly restricted to rodent studies and/or very
high eld strengths (7 T) (1720). Recently, however, Mekle
et al. (21) demonstrated short-TE (6 ms) MRS detection of GABA
at 3 T in the occipital cortices of six human subjects, with an av-
erage CramerRao lower bound (CRLB) uncertainty of 8%. This
suggests that reliable GABA detection is feasible at clinical eld
strengths, without the need for spectral editing. Following this
promising initial study, further investigation is required to con-
rm the initial results and to validate the use of short-TE MRS
for the detection of GABA at 3 T.
Therefore, the purpose of this study was to assess the accuracy
and reproducibility of GABA detection using the short-TE
approach under normal experimental conditions, and to investi-
gate how a change in the experimental conditions, such as
linewidth (LW) and signal-to-noise ratio (SNR), inuence the ac-
curacy and reproducibility of this technique. These investigations
were performed using a methodology similar to that described
by Hancu (22,23), namely a 3-T, short-TE spectrum was simulated
by combining metabolite basis spectra in approximate physio-
logical concentrations followed by the addition of noise. The
simulated spectrum was then analysed using LCModel, and the
resulting metabolite concentration estimates were compared
with the known concentrations in the simulated input spectrum.
The above procedure was repeated many times to enable the es-
timation of the overall accuracy and reproducibility of the GABA
measurements. In addition to the simulated GABA measure-
ments described above, two in vivo experiments were performed
to further evaluate the reproducibility of short-TE MRS detection
of GABA. First, in vivo GABA measurements were performed
using both spectral editing and short-TE MRS in the occipital
cortex of 14 healthy volunteers, and the GABA concentration
estimates from short-TE MRS were compared with the gold
standard edited GABA measurement. Finally, within-session
reproducibility was assessed in the same 14 subjects using four
consecutive short-TE GABA measurements in the occipital
cortex.
METHODS
Simulated spectra
A complete set of metabolite basis spectra consisting of 22 indi-
vidual metabolites (Table 1) was simulated using an in-house
MATLAB-based implementation (MathWorks, Natick, MA, USA)
of the density matrix formalism (12). All metabolite chemical
shifts and coupling constants were taken from Govindaraju
et al. (24), with the exception of GABA, which was dened using
the modied spin system parameters provided by Kaiser et al.
(25). Metabolites were simulated under the inuence of an ideal
spin-echo sequence to approximate the short-TE spin-echo full-
intensity acquired localised (SPECIAL) technique (21) (2048
points; spectral width, 2000 Hz; TE = 8.5 ms) with a eld strength
of 3 T. Lipid and MM signals were simulated using the same
Gaussian basis functions that are simulated by default within
the LCModel software (Table 2). A residual water basis spectrum,
modelled as a two-proton singlet at 4.7 ppm, was also simulated.
All basis spectra were line broadened according to the desired
LW of the nal spectrum, and an additional line-broadening
factor was applied to lipid and MM basis spectra, as specied in
Table 2 and in the LCModel user manual. Following line broaden-
ing, a simulated spectrum was generated by combining all basis
spectra in approximate in vivo concentrations. The average metab-
olite input concentrations were estimated from the literature (24)
and are specied in Table 1, whereas the average lipid and MM in-
put concentration values (specied in Table 2) were estimated
from 12 LCModel outputs of previously obtained in vivo datasets
Table 1. List of simulated metabolites and average
concentrations
Metabolite Average concentration (m
M)
Alanine 0.5
Ascorbate 0.8
Aspartate 1.5
Creatine 5.25
Phosphocreatine 4.75
g-Aminobutyric acid 1.2
Glutamine 3.2
Glutamate 9.5
Glutathione 1.5
Myo-inositol 6
Lactate 0.4
N-Acetylaspartate 12
Scyllo-inositol 0.45
Taurine 1.5
Glucose 1.0
N-Acetylaspartylglutamate 1.5
Phosphoethanolamine 1.3
Glycerophosphocholine 1.0
Phosphocholine 0.6
Glycine 0.7
Serine 0.4
b-Hydroxybutyrate 0.1
J. NEAR ET AL.
wileyonlinelibrary.com/journal/nbm Copyright © 2013 John Wiley & Sons, Ltd. NMR Biomed. 2013; 26: 13531362
1354

acquired in the occipital cortex of normal subjects using the rele-
vant pulse sequence and timing parameters. As with the metabo-
lites, the concentrations of each of the six MMs and lipid signals
were allowed to vary independently of each other. Normally dis-
tributed random noise was then added to the simulated spectrum
to achieve the desired SNR, which was dened as the maximum
metabolite peak height divided by the standard deviation of the
added noise. For a given SNR and LW, the above procedure was
repeated 500 times with different noise seeds. In each of the
500 repetitions , to account for n ormal subject- to-s ubject varia-
tion, the input concentration of each basis spectrum was
allowed to vary randomly w ith a standard deviation of 15% of
its mean value. The only exception to this was the residual water
signal, which was assigned an average value of 0 m
M and a stan-
dard deviation of 20 m
M.
Up to this point in the simulation process, 500 simulated
spectra will have been generated in which the experimental con-
ditions (LW and SNR) are identical, and the relative metabolite
concentrations will vary as they might in a normal human popu-
lation. Then, the same procedure was repeated for different sets
of experimental conditions. In total, every combination of 11 dif-
ferent LW values (ranging from 2 to 12 Hz in integer steps) and
18 different SNR values (ranging from 50 to 900, in steps of 50)
was tested, for a total of 198 experimental conditions and
99 000 simulated spectra. Each spectrum was then processed
twice in LCModel; once without a baseline tting component
(achieved by setting NOBASE = T) and once using the default
LCModel baseline setting, in which LCModel attempts to nd
the smoothest possible baseline that is still consistent with the
data. For analysis of the simulated data in this study, the
baseline-free analysis is the more appropriate option, as all of
the peaks in the simulated spectra (with the exception of the tail
of the residual water peak) should be accounted for by the basis
set. However, a second analysis was performed using the default
baseline setting to examine the effect of an incorrect baseline
model on the accuracy and reproducibility of GABA concentra-
tion estimates. Both LCModel analyses were performed using
the same basis set as was employed to generate the simulated
datasets and the LCModel estimates of the metabolite concen-
trations, and CRLB uncertainties were recorded for each analysis.
Critically, the metabolite input concentrations are precisely
known for each simulated spectrum; therefore, it is possible to
assess the accuracy and reproducibility of the metabolite con-
centration estimates obtained from LCModel.
Assessment of measurement bias and reproducibility
For each set of experimental conditions, the measurement bias
and reproducibility were assessed. Measurement bias was
assessed by calculating the mean estimation error (%E
E
), which
was dened as the average percentage difference between the
estimated and actual GABA concentration values:
%E
E
¼
1
N
X
N
i
C
estimated
i
C
actual
i
C
actual
i
100 ¼
1
N
X
N
i
E
i
C
actual
i
100 [1]
where C
estimated
is the concentration estimate from LCModel,
C
actual
is the known input concentration, updated to correctly
account for subject-to-subject variation in the data, E is the
difference between the estimated and actual metabolite concen-
trations and N is the total number of simulated spectra per ex-
perimental condition (500). Reproducibility was assessed by
calculating the reproducibility error (%E
R
). This was performed
by rst plotting the measured GABA concentrations versus the
actual GABA input concentrations and performing a linear
least-squares t to the data. %E
R
was then given by the standard
deviation of the values of the tted residuals, divided by the av-
erage of the estimated concentration values:
%E
R
¼
ffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffiffi
1
N
X
N
i
C
estimated
i
C
fit
i
ðÞ
2
s
1
N
X
N
i
C
estimated
i
100 ¼
ffiffiffiffiffiffiffiffiffiffiffiffiffiffi
1
N
X
N
i
e
2
i
s
1
N
X
N
i
C
estimated
i
100
[2]
where C
t
is the concentration calculated from the linear data t
described above and e
i
are the tted residuals. By this denition,
%E
R
is expressed as a percentage and provides an approximate
measure of the coefcient of variation. It should be noted that,
because the reproducibility error %E
R
is expressed relative to
the average measured value C
estimated
, its value is dependent
on the measurement bias. Therefore, it is informative to dene
a second measure of the reproducibility error (%E
R2
), which is in-
dependent of measurement bias. This is achieved by, instead, ex-
pressing the reproducibility error relative to the average actual
concentration value C
actual
. Although this is no longer a true
measurement of the coefcient of variation, it provides a means
of assessing the reproducibility independently of any potential
measurement bias.
Table 2. Details of simulated lipid (Lip) and macromolecule (MM) basis spectra
Lipid/macromolecule Frequency (ppm) Line-broadening factor (Hz) Amplitude (# protons) Concentration (m
M)
MM09 0.91 21.0 3 9.0
Lip20 2.04 24.6 1.33 1.0
2.25 18.5 0.67
1.95 24.6 0.87
MM20 2.08 22.2 1.33 16.0
2.25 24.6 0.33
1.95 18.5 0.33
3.00 24.6 0.40
MM12 1.21 24.6 2.0 3.75
MM14 1.43 24.6 2.0 8.0
MM17 1.67 21.0 2.0 4.0
UNEDITED g-AMINOBUTYRIC ACID MRS AT 3 T
NMR Biomed. 2013; 26: 13531362 Copyright © 2013 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/nbm
1355

In vivo experiments
All volunteers (n = 14; age, 23.3 5.4 years; eight women, six
men) provided informed, written consent and were scanned on
a 3-T Siemens TIM Trio scanner (Erlangen, Germany) with a body
coil transmitter and a 32-channel receive head array. Both short-
TE and edited GABA spectra were acquired in the same scan ses-
sion from the same localised region measuring 2.5 2.5 2.5
cm
3
in the occipital cortex. Shimming was performed using
the vendor-provided automated shim tool. Short-TE MR spectra
were acquired using the SPECIAL sequence (4096 points; spectral
width, 4000 Hz; TR/TE = 3000/8.5 ms; 192 averages) and edited
GABA spectra were acquired using the MEGA-SPECIAL sequence
(2048 points; spectral width, 2400 Hz; TR/TE = 3000/68 ms; 192
averages). The MEGA-SPECIAL sequence was implemented with
20-ms editing pulses and an MM-unsuppressed editing
scheme (12). To limit the amount of frequency drift in any single
scan, the MEGA-SPECIAL acquisition was broken into three
blocks of 64 averages, and a system frequency adjustment was
performed prior to the start of each acquisition block. For
both short-TE and edited acquisitions, outer volume suppres-
sion was applied prior to each scan to saturate spins on all
six sides of the region of interest, and VAPOR (variable power
radiofrequency pulses with optimised relaxation delays) water
suppressionwasused(19).Finally,eightaveragesofwater-
unsuppressed data were also acquired with the same outer
volume suppression scheme as above.
Post-processing and analysis
The same post-processing chain was applied to both the edited
and short-TE datasets. First, 32-channel data were recombined in
a weighted fashion, with coil weights and phases determined
using the magnitude and phase, respectively, of the rst time
domain point of the water-unsuppressed data. Following coil re-
combination, the subspectra resulting from SPECIAL pre-
inversion on/off scans were subtracted from each other,
resulting in properly localised scans. Following subtraction of
the subspectra, a strict procedure to remove motion-corrupted
scans was employed. To identify motion-corrupted scans, a met-
ric was developed to measure the unlikeness of each scan to
the average of all scans. Specically, an unlikeness metric was
calculated for each individual scan by subtracting the scan from
the average of all scans (to obtain a difference spectrum) and
then taking the root-mean-square of all of the spectral points
in the difference spectrum. Scans whose unlikeness metrics fell
more than 2.6 standard deviations above the average were
deemed to have been corrupted by motion, and were removed.
The 2.6 standard deviation threshold was determined from expe-
rience to be fairly successful at removing outlier scans without
removing uncorrupted averages. Following the removal of
motion-corrupted scans, but prior to signal averaging, a fre-
quency and phase drift correction was performed. This was
achieved by least-squares tting of each scan to the rst scan
in the series, using frequency and phase as adjustment parame-
ters. To reduce computational load, this procedure was
performed in the time domain, using only the rst 40 ms of data.
For the MEGA-SPECIAL edited data, both the removal of motion-
corrupted scans and the frequency and phase alignment were
performed separately for edit-on and edit-off spectra, with the
constraint that the number of edit-on and edit-off scans removed
must be equal. Following frequency and phase alignment of the
scans, signal averagin g was performed, resulting in a fully
processed short-TE spectrum, and fully processed edit-on and
edit-off MEGA-SPECIAL data. The edit-on and edit-off scans in
the MEGA-SPECIAL data w ere then manually frequency and
phase aligned to minimise the residual choline difference sig-
nal, and the edit-on and edit-off scans were then subtracted,
resulting in three fully processed difference-edited spectra
(one for each of the three acquisition blocks). Finally, the three
fully processed MEGA-SPECIAL data blocks were combined
using the same automated time domain frequency and phase
alignment algorithm as used for drift correction, resulting in a
single fully processed difference edited spectrum.
All experimentally acquired short-TE SPECIAL MRS data
were analysed in LCModel using the default baseline setting
and the same basis set as used for the analysis of the simu-
lated data as described above. Edited MEGA-SPECIAL MRS
data were analysed by peak tting using jMRUI software
(26), according to the method described previously (12). Me-
tabolite concentration estimates were c orrected for T
2
relaxa-
tion during TE by assuming T
2
values of 88 and 116 ms for
GABA and creatine, respectively.
Within-session reproducibility was assessed by splitting the
previously acquired short-TE SPECIAL data into four equal and
consecutive blocks, each containing 48 averages. Each of these
four blocks was then pre-processed identically, as described
above, with the sole restriction that the same number of aver-
ages was discarded from each of the four blocks for removal of
motion corruption. Each of the four processed datasets was then
analysed using LCModel employing the default baseline setting,
and the GABA concentration estimates were recorded. The coef-
cient of variation of the GABA estimates across the four scan
blocks was then calculated for each subject.
For the measurement of SNR in experimental data, the signal
was dened as the maximum intensity of the real part of the me-
tabolite signal between 0.2 and 4.2 ppm, which always
corresponded with the N-acetylaspartate (NAA) peak. The noise
was calculated by performing a second-order polynomial de-
trend of each of the spectral regions between [2.5, 1.5], [1.5,
0.5], [10, 11] and [11, 12] ppm, and then taking the average of
the standard deviations of the real parts of the signals in these
regions.
RESULTS
The contour plots in Figure 1 illustrate the measurement bias and
reproducibility errors of GABA estimates as a function of LW
and SNR for the simulat ed data when the baseli ne component
is omitted from LCModel tting. The measurement bias (%E
E
),
reproducibility error (%E
R
), average CRLB and absolute reproduc-
ibility error (%E
R2
) are shown in Figures 1ad, respectively.
Figure 2 illustrates the same parameters as in Figure 1 when
using the default baseline setting in LCModel instead of the
baseline-free option. The measurement bias (%E
E
), reproducibility
error (%E
R
), average CRLB and absolute reproducibility error (%E
R2
)
are shown in Figures 2ad, respectively.
Figure 3a shows a representative in vivo spectrum acquired
using the short-TE SPECIAL sequence, together with an
anatomical image showing the location o f the volume of
interest in the occipital cortex. Across the 14 subjects
scanned, the average LW was 5.5 0.8 Hz and the average
SNR was 665 93. The average CRLB for GABA, as measured
J. NEAR ET AL.
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1356

using LCModel , was 1 1.7 2.8%. Figure 3b shows an example
of an edited spectrum acquired using the MEGA-SPECIAL se-
quenceinthesamesubjectandvoxel.
In Figure 4, the GABA concentrations measured with short-TE
SPECIAL MRS are plotted against the edited GABA measure-
ments made using MEGA-SPECIAL. A signicant positive linear
Reproducibility Error (%ER)
Linewidth (Hz)
SNR
Average CRLB
Linewidth (Hz)
SNR
Reproducibility Error (%ER2)
Linewidth (Hz)
SNR
a. b.
c. d.
−50
−40
−40
30
−30
−30
−20
−20
−20
−10
−10
−10
0
0
0
0
0
10
10
10
1
0
20
20
20
30
30
30
40
40
40
50
50
50
Mean Estimation Error (%EE)
Linewidth (Hz)
SNR
2 4 6 8 10
12
100
200
400
600
800
5
5
10
10
10
10
15
15
15
15
20
20
20
20
20
20
20
20
25
25
25
2
5
25
40
40
40
4
0
60
60
6
0
80
2 4 6 8 10 12
100
200
400
600
800
10
10
10
15
15
15
15
20
20
20
20
20
20
25
2
5
25
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25
4
0
40
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60
6
0
80
2 4 6 8 10 12
100
200
400
600
800
5
5
5
10
10
10
10
10
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15
1
5
15
20
20
20
20
20
20
20
25
25
25
25
25
2 4 6 8 10 12
100
200
400
600
800
Figure 2. Contour plots showing mean estimation error (%E
E
) (a), reproducibility error (%E
R
) (b), average CramerRao lower bound (CRLB) (c) and
absolute reproducibility error (%E
R2
) (d) of g-aminobutyric acid (GABA) for simulated data as a function of the linewidth (LW) and signal-to-noise ratio
(SNR). LCModel analysis was performed using the default baseline model.
a. b.
c. d.
50
50
50
5
0
50
50
50
5
0
100
100
100
100
150
1
50
150
150
200
25
0
Mean Estimation Error (%)
Linewidth (Hz)
SNR
2 4 6 8 10 12
100
200
400
600
800
4
4
6
6
6
6
8
8
8
10
10
10
12
12
12
14
14
14
1
4
16
16
16
18
Reproducibility Error (%)
Linewidth (Hz)
2 4 6 8 10 12
100
200
400
600
800
6
6
8
8
8
8
8
8
8
10
10
10
10
1
0
10
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12
1
2
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18
2
0
Average CRLB (%)
Linewidth (Hz)
SNR
2 4 6 8 10 12
100
200
400
600
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Figure 1. Contour plots showing mean estimation error (%E
E
) (a), reproducibility error (%E
R
) (b), average CramerRao lower bound (CRLB) (c) and
absolute reproducibility error (%E
R2
) (d) of g-aminobutyric acid (GABA) for simulated data as a function of linewidth (LW) and signal-to-noise ratio
(SNR). LCModel analysis was performed with no baseline component by setting NOBASE = T.
UNEDITED g-AMINOBUTYRIC ACID MRS AT 3 T
NMR Biomed. 2013; 26: 13531362 Copyright © 2013 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/nbm
1357

Citations
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Journal ArticleDOI

Frequency and phase drift correction of magnetic resonance spectroscopy data by spectral registration in the time domain

TL;DR: A new method is presented for estimating and correcting frequency and phase drifts in in vivo MRS data that avoids artifactual broadening of spectral peaks, distortion of spectral lineshapes, and a reduction in signal‐to‐noise ratio (SNR).
Journal ArticleDOI

Big GABA: Edited MR spectroscopy at 24 research sites

Mark Mikkelsen, +68 more
- 01 Oct 2017 - 
TL;DR: The findings show that GABA+ measurements exhibit strong agreement when implemented with a standard protocol, and multi‐site studies using GABA editing are feasible using a standardized protocol.
Journal ArticleDOI

Edited 1 H magnetic resonance spectroscopy in vivo: Methods and metabolites.

TL;DR: An overview of the one‐dimensional editing methods available to interrogate obscured metabolite peaks of the Proton magnetic resonance spectrum, including sequence optimizations, echo‐time averaging, J‐difference editing methods, constant‐time PRESS, and multiple quantum filtering is provided.
Journal ArticleDOI

Test‐retest reproducibility of neurochemical profiles with short‐echo, single‐voxel MR spectroscopy at 3T and 7T

TL;DR: In this article, a semi-LASER sequence was used to acquire spectra from the posterior cingulate and cerebellum at 3T and 7T from six healthy volunteers who were scanned four times weekly on both scanners.
Journal ArticleDOI

Resting GABA and glutamate concentrations do not predict visual gamma frequency or amplitude.

TL;DR: The results from the current study indicate that GABA, as measured with magnetic resonance spectroscopy, does not correlate with gamma peak frequency, and cortical gamma oscillations do not have a consistent, demonstrable relationship to excitatory/inhibitory network activity as proxied by MRS measurements of GABA and glutamate.
References
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Journal ArticleDOI

Proton NMR chemical shifts and coupling constants for brain metabolites.

TL;DR: Proton NMR chemical shift and J‐coupling values are presented for 35 metabolites that can be detected by in vivo or in vitro NMR studies of mammalian brain, with an accuracy suitable for computer simulation of metabolite spectra to be used as basis functions of a parametric spectral analysis procedure.
Journal ArticleDOI

Spatial localization in NMR spectroscopy in vivo.

TL;DR: DRESS is a simple and versatile localization procedure that is readily adaptable to spectral relaxation time measurements by adding inversion or spin-echo refocusing pulses or to in vivo solvent-suppressed spectroscopy of proton (1H) metabolites using a combination of chemical-selective RF pulses.
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Simultaneous in vivo spectral editing and water suppression

TL;DR: Water suppression performance was verified in vivo using stimulated echo acquisition mode (STEAM) localization, which provided water suppression comparable with that achieved with four selective pulses in 3,1‐DRYSTEAM, and the advantage of the proposed method was exploited for editing J‐coupled resonances.
Journal ArticleDOI

In vivo 1H NMR spectroscopy of rat brain at 1 ms echo time.

TL;DR: Using optimized, asymmetric radiofrequency (RF) pulses for slice selection, the authors demonstrate that stimulated echo acquisition mode (STEAM) localization with ultra‐short echo time (1 ms) is possible, resulting in highly resolved in vivo 1H nuclear magnetic resonance spectra.
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Subtype-specific alterations of gamma-aminobutyric acid and glutamate in patients with major depression.

TL;DR: The study replicates the findings of decreased GABA concentrations in the occipital cortex of subjects with MDD and demonstrates that there is a change in the ratio of excitatory-inhibitory neurotransmitter levels in the cortex of depressed subjects that may be related to altered brain function.
Related Papers (5)
Frequently Asked Questions (14)
Q1. What are the contributions mentioned in the paper "Unedited in vivo detection and quantification of aminobutyric acid in the occipital cortex using shortte mrs at 3t" ?

In this study, the authors investigated the accuracy and reproducibility of short-TE MRS measurements of GABA at 3 T using both simulations and experiments. Across all subjects, the average coefficient of variation of these four GABA measurements was 8. 7 4. 9 %. This study demonstrates that, under some experimental conditions, short-TE MRS can be employed for the reproducible detection of GABA at 3 T, but that the technique should be used with caution, as the results are dependent on the experimental conditions. Short-TE MRS measurements of GABA exhibited a significant positive correlation with edited GABA measurements ( R=0. 58, p < 0. 05 ), suggesting that short-TE measurements of GABA correspond well with measurements made using spectral editing techniques. 

Future studies are required to determine the efficacy of short-TE MRS for the detection of GABA in other brain regions, especially those associated with poor shim and lower SNR. 

Short-TE MR spectra were acquired using the SPECIAL sequence (4096 points; spectral width, 4000Hz; TR/TE = 3000/8.5ms; 192 averages) and edited GABA spectra were acquired using the MEGA-SPECIAL sequence (2048 points; spectral width, 2400Hz; TR/TE = 3000/68ms; 192 averages). 

Following the removal of motion-corrupted scans, but prior to signal averaging, a frequency and phase drift correction was performed. 

For the measurement of SNR in experimental data, the ‘signal’ was defined as the maximum intensity of the real part of the metabolite signal between 0.2 and 4.2 ppm, which always corresponded with the N-acetylaspartate (NAA) peak. 

Following frequency and phase alignment of thescans, signal averaging was performed, resulting in a fully processed short-TE spectrum, and fully processed edit-on and edit-off MEGA-SPECIAL data. 

The most striking side effect of using an incorrect baseline model is that the mean estimation error no longer decreases as SNR increases (Fig. 2a). 

Short-TE MRS measurements of GABA exhibited a significant positive correlation with edited GABA measurements (R=0.58, p<0.05), suggesting that short-TE measurements of GABA correspond well with measurements made using spectral editing techniques. 

from the in vivo study of within-session reproducibility, the average coefficient of variation of short-TE GABA measurements was calculated to be 8.7 4.9%, which agrees well with simulation, and compares favourably with previously published reproducibility values for edited measurements of GABA at the same field strength (14,15). 

provided that SNR is greater than or equal to 150, and LW is less than or equal to 9 Hz (criteria that can be satisfied by many experimental MRS data), the GABA reproducibility error (%ER2) remains below 20%, which suggests very good reproducibility despite the use of an incorrect baseline model. 

All experimentally acquired short-TE SPECIAL MRS data were analysed in LCModel using the default baseline setting and the same basis set as used for the analysis of the simulated data as described above. 

In the case of pathology, when one or more metabolites may be outside of the normal range, the results of this study may not be applicable. 

simulated spectra do not take into account certain experimental factors, such as subject motion (and other ghost signals), frequency drift and phase drift. 

The results shown in Figure 5 demonstrate that, under the experimental conditions corresponding to those observed in the in vivo experiments performed here (LW=6Hz; SNR= 650), simulations predict that, although the GABA concentration will be systematically underestimated by approximately 34%, the reproducibility of the measurements (%ER = 8.9%, %ER2 = 5.9%) is comparable with previously published reproducibility values for edited measurements of GABA at the same field strength (14,15).