LOCALIZED H-1-NMR SPECTROSCOPY IN PATIENTS WITH CHRONIC HEPATIC-ENCEPHALOPATHY - ANALYSIS OF CHANGES IN CEREBRAL GLUTAMINE, CHOLINE AND INOSITOLS

LOCALIZED H-1-NMR SPECTROSCOPY IN PATIENTS WITH CHRONIC HEPATIC-ENCEPHALOPATHY - ANALYSIS OF CHANGES IN CEREBRAL GLUTAMINE, CHOLINE AND INOSITOLS
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DOI:
10.1002/nbm.1940040214
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发表时间:
1991-04-01
期刊:
影响因子:
2.9
通讯作者:
ROSS, BD
ROSS, BD
中科院分区:
医学3区
文献类型:
--
作者:
KREIS, R;FARROW, N;ROSS, BD

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Localized, short echo H-1 magnetic resonance spectra from an area in the parietal cortex of three patients suffering from chronic hepatic encephalopathy are compared with equivalent spectra obtained from healthy control subjects. Three significant differences are found: elevated glutamine, decreased inositol, and decreased choline peak intensities. The elevation of cerebral glutamine concentration is expected as a consequence of the presumed chronic hyperammonemia in this disease. The finding of a 50% change in the inositol peak is physiologically unexpected and so far unaccounted for.Data acquisition and processing parameters are described in detail. To further define spectral abnormalities, which were readily detected in untransformed spectra, a simple data analysis scheme has been used that consists of post-acquisition low-frequency filtering, a lineshape transformation, and a difference technique to clarify spectral changes.