MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites

The insula plays a critical role in many neuropsychological disorders. Research investigating its neurochemistry with magnetic resonance spectroscopy (MRS) has been limited compared with cortical regions. Here, we investigate the within-session and between-session reproducibility of metabolite measu...

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Autores principales: Claire Shyu, Sonja Elsaid, Peter Truong, Sofia Chavez, Bernard Le Foll
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:5734595edaeb47c59e6e84174fe601122021-11-25T16:59:17ZMR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites10.3390/brainsci111115382076-3425https://doaj.org/article/5734595edaeb47c59e6e84174fe601122021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1538https://doaj.org/toc/2076-3425The insula plays a critical role in many neuropsychological disorders. Research investigating its neurochemistry with magnetic resonance spectroscopy (MRS) has been limited compared with cortical regions. Here, we investigate the within-session and between-session reproducibility of metabolite measurements in the insula on a 3T scanner. We measure N-acetylaspartate + N-acetylaspartylglutamate (tNAA), creatine + phosphocreatine (tCr), glycerophosphocholine + phosphocholine (tCho), myo-inositol (Ins), glutamate + glutamine (Glx), and γ-aminobutyric acid (GABA) in one cohort using a j-edited MEGA-PRESS sequence. We measure tNAA, tCr, tCho, Ins, and Glx in another cohort with a standard short-TE PRESS sequence as a reference for the reproducibility metrics. All participants were scanned 4 times identically: 2 back-to-back scans each day, on 2 days. Preprocessing was done using LCModel and Gannet. Reproducibility was determined using Pearson’s <i>r</i>, intraclass-correlation coefficients (ICC), coefficients of variation (CV%), and Bland–Altman plots. A MEGA-PRESS protocol requiring averaged results over two 6:45-min scans yielded reproducible GABA measurements (CV% = 7.15%). This averaging also yielded reproducibility metrics comparable to those from PRESS for the other metabolites. Voxel placement inconsistencies did not affect reproducibility, and no sex differences were found. The data suggest that MEGA-PRESS can reliably measure standard metabolites and GABA in the insula.Claire ShyuSonja ElsaidPeter TruongSofia ChavezBernard Le FollMDPI AGarticleinsulagamma-aminobutyric acidGABALCModelMEGA-PRESSPRESSNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1538, p 1538 (2021)
institution DOAJ
collection DOAJ
language EN
topic insula
gamma-aminobutyric acid
GABA
LCModel
MEGA-PRESS
PRESS
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
spellingShingle insula
gamma-aminobutyric acid
GABA
LCModel
MEGA-PRESS
PRESS
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Claire Shyu
Sonja Elsaid
Peter Truong
Sofia Chavez
Bernard Le Foll
MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
description The insula plays a critical role in many neuropsychological disorders. Research investigating its neurochemistry with magnetic resonance spectroscopy (MRS) has been limited compared with cortical regions. Here, we investigate the within-session and between-session reproducibility of metabolite measurements in the insula on a 3T scanner. We measure N-acetylaspartate + N-acetylaspartylglutamate (tNAA), creatine + phosphocreatine (tCr), glycerophosphocholine + phosphocholine (tCho), myo-inositol (Ins), glutamate + glutamine (Glx), and γ-aminobutyric acid (GABA) in one cohort using a j-edited MEGA-PRESS sequence. We measure tNAA, tCr, tCho, Ins, and Glx in another cohort with a standard short-TE PRESS sequence as a reference for the reproducibility metrics. All participants were scanned 4 times identically: 2 back-to-back scans each day, on 2 days. Preprocessing was done using LCModel and Gannet. Reproducibility was determined using Pearson’s <i>r</i>, intraclass-correlation coefficients (ICC), coefficients of variation (CV%), and Bland–Altman plots. A MEGA-PRESS protocol requiring averaged results over two 6:45-min scans yielded reproducible GABA measurements (CV% = 7.15%). This averaging also yielded reproducibility metrics comparable to those from PRESS for the other metabolites. Voxel placement inconsistencies did not affect reproducibility, and no sex differences were found. The data suggest that MEGA-PRESS can reliably measure standard metabolites and GABA in the insula.
format article
author Claire Shyu
Sonja Elsaid
Peter Truong
Sofia Chavez
Bernard Le Foll
author_facet Claire Shyu
Sonja Elsaid
Peter Truong
Sofia Chavez
Bernard Le Foll
author_sort Claire Shyu
title MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
title_short MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
title_full MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
title_fullStr MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
title_full_unstemmed MR Spectroscopy of the Insula: Within- and between-Session Reproducibility of MEGA-PRESS Measurements of GABA+ and Other Metabolites
title_sort mr spectroscopy of the insula: within- and between-session reproducibility of mega-press measurements of gaba+ and other metabolites
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/5734595edaeb47c59e6e84174fe60112
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