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Theoretical evaluation of the feasibility to detect label-exchange by proton MRS at 7T in human brain after administration of deuterated glucose.
Simone Poli1, Lia Bally2, Roland Wiest3, and Roland Kreis1
1Department of Radiology and Biomedical Research, University of Bern, Bern, Switzerland, 2Department of Diabetes, Endocrinology, Nutritional Medicine and Metabolism, Inselspital, Bern University Hospital and University of Bern, Bern, CH, Bern, Switzerland, 3Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital and University of Bern, Bern, CH, Bern, Switzerland
To evaluate feasibility of indirect 1H MRS detection of metabolic changes after intake of deuterated glucose, brain spectra were simulated and minimal fitting uncertainties determined. We expect labeling of glutamate, lactate and glutamine to be observable, for large VOIs, but also in MRSI
Figure 1. a) Simulated basis spectra with expected in vivo lineshape at equal concentrations for glutamate, glutamine, lactate, glucose, and their mono- and double- deuterated counterparts. b) Synthetic normal brain spectrum with main metabolite peaks labeled vs. the expected brain spectrum after supplementation of deuterated glucose with effect size taken from Ref. 3 and c) difference between the two, amplified by a factor of 15 for better visualization.
Figure 2. Comparison of simulated and measured phantom spectra of [6,6’-2H2]-Glc and [6,6’-1H2]-Glc at high resolution to verify the appropriateness of the simulations and thus the applicability of the precision estimation based on CRB calculations in synthetic spectra with in vivo conditions.