1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism

Magnetic resonance spectroscopy (MRS) is the only non-invasive, non-radiation-based technique for investigating the metabolism of living tissue. MRS of protons (1H-MRS), which provides the highest sensitivity of all MR-visible nuclei, is a method capable of detecting and quantifying specific cardiac...

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Main Authors: Faller, K, Lygate, C, Neubauer, S, Schneider, J
Format: Journal article
Language:English
Published: 2013
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author Faller, K
Lygate, C
Neubauer, S
Schneider, J
author_facet Faller, K
Lygate, C
Neubauer, S
Schneider, J
author_sort Faller, K
collection OXFORD
description Magnetic resonance spectroscopy (MRS) is the only non-invasive, non-radiation-based technique for investigating the metabolism of living tissue. MRS of protons (1H-MRS), which provides the highest sensitivity of all MR-visible nuclei, is a method capable of detecting and quantifying specific cardiac biomolecules, such as lipids and creatine in normal and diseased hearts in both animal models and humans. This can be used to study mechanisms of heart failure development in a longitudinal manner, for example, the potential contribution of myocardial lipid accumulation in the context of ageing and obesity. Similarly, quantifying creatine levels provides insight into the energy storage and buffering capacity in the heart. Creatine depletion is consistently observed in heart failure independent of aetiology, but its contribution to pathophysiology remains a matter of debate. These and other questions can in theory be answered with cardiac MRS, but fundamental technical challenges have limited its use. The metabolites studied with MRS are much lower concentration than water protons, requiring methods to suppress the dominant water signal and resulting in larger voxel sizes and longer scan times compared to MRI. However, recent technical advances in MR hardware and software have facilitated the application of 1H-MRS in humans and animal models of heart disease as detailed in this review. © 2012 The Author(s).
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spelling oxford-uuid:4e0f929f-b74e-4cda-80a8-21f6258493102022-03-26T15:58:56Z 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolismJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:4e0f929f-b74e-4cda-80a8-21f625849310EnglishSymplectic Elements at Oxford2013Faller, KLygate, CNeubauer, SSchneider, JMagnetic resonance spectroscopy (MRS) is the only non-invasive, non-radiation-based technique for investigating the metabolism of living tissue. MRS of protons (1H-MRS), which provides the highest sensitivity of all MR-visible nuclei, is a method capable of detecting and quantifying specific cardiac biomolecules, such as lipids and creatine in normal and diseased hearts in both animal models and humans. This can be used to study mechanisms of heart failure development in a longitudinal manner, for example, the potential contribution of myocardial lipid accumulation in the context of ageing and obesity. Similarly, quantifying creatine levels provides insight into the energy storage and buffering capacity in the heart. Creatine depletion is consistently observed in heart failure independent of aetiology, but its contribution to pathophysiology remains a matter of debate. These and other questions can in theory be answered with cardiac MRS, but fundamental technical challenges have limited its use. The metabolites studied with MRS are much lower concentration than water protons, requiring methods to suppress the dominant water signal and resulting in larger voxel sizes and longer scan times compared to MRI. However, recent technical advances in MR hardware and software have facilitated the application of 1H-MRS in humans and animal models of heart disease as detailed in this review. © 2012 The Author(s).
spellingShingle Faller, K
Lygate, C
Neubauer, S
Schneider, J
1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title_full 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title_fullStr 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title_full_unstemmed 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title_short 1H-MR spectroscopy for analysis of cardiac lipid and creatine metabolism
title_sort 1h mr spectroscopy for analysis of cardiac lipid and creatine metabolism
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AT lygatec 1hmrspectroscopyforanalysisofcardiaclipidandcreatinemetabolism
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