학술논문

The clinical utility of proton magnetic resonance spectroscopy in traumatic brain injury: recommendations from the ENIGMA MRS working group
Document Type
article
Source
Brain Imaging and Behavior. 15(2)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Brain Disorders
Physical Injury - Accidents and Adverse Effects
Clinical Research
Biomedical Imaging
Traumatic Brain Injury (TBI)
Neurosciences
Traumatic Head and Spine Injury
Detection
screening and diagnosis
4.1 Discovery and preclinical testing of markers and technologies
Neurological
Injuries and accidents
Adult
Brain
Brain Injuries
Traumatic
Child
Humans
Magnetic Resonance Imaging
Magnetic Resonance Spectroscopy
Proton Magnetic Resonance Spectroscopy
Magnetic resonance spectroscopy
Trauma
Brain injury
Concussion
Medical and Health Sciences
Psychology and Cognitive Sciences
Experimental Psychology
Biomedical and clinical sciences
Health sciences
Psychology
Language
Abstract
Proton (1H) magnetic resonance spectroscopy provides a non-invasive and quantitative measure of brain metabolites. Traumatic brain injury impacts cerebral metabolism and a number of research groups have successfully used this technique as a biomarker of injury and/or outcome in both pediatric and adult TBI populations. However, this technique is underutilized, with studies being performed primarily at centers with access to MR research support. In this paper we present a technical introduction to the acquisition and analysis of in vivo 1H magnetic resonance spectroscopy and review 1H magnetic resonance spectroscopy findings in different injury populations. In addition, we propose a basic 1H magnetic resonance spectroscopy data acquisition scheme (Supplemental Information) that can be added to any imaging protocol, regardless of clinical magnetic resonance platform. We outline a number of considerations for study design as a way of encouraging the use of 1H magnetic resonance spectroscopy in the study of traumatic brain injury, as well as recommendations to improve data harmonization across groups already using this technique.