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Precision and Reliability of Metabolite Quantification of 31P MRS at 7T
Jia Xu1, Rolf F. Schulte2, William R. Kearney1, and Vincent A. Magnotta1,3,4
1Radiology, University of Iowa, Iowa City, IA, United States, 2GE Global Research, Munich, Germany, 3Psychiatry, University of Iowa, Iowa City, IA, United States, 4Biomedical Engineering, University of Iowa, Iowa City, IA, United States
The peak integration by simple summation of the magnitude spectrum is the most sensitive and robust 31P MRS quantification method to detect small ATP concentration changes. The test-retest repeatability of in-vivo ATP quantification is less than 3%. 
Figure 3. Interscan test-retest repeatability of PCr, α-ATP, β-ATP, and γ-ATP peaks from quantitative, non-localized 31P MRS of 7 human subjects. The corresponding CVs estimated by Monte Carlo Simulation are shown in hatched bars. The dashed horizon line represents a 5% threshold.
Figure 2. Comparison of Trueness (RMSE), linearity (R2), and relative uncertainty (CV) of α-ATP, β-ATP, γ-ATP, and PCr peaks quantified by HSVD, AMARES, conventional peak integration, lineshape fitting, and simple summation. The RMSE, R2, and CV values are normalized to (0, 1) range so that the reference point (center) represents the worst performance (0) and the circle represents the best performance (1). The normalized RMSE, R2, and CV values of α-ATP, β-ATP, γ-ATP, and PCr peaks are distributed evenly along the angular axes (circle).