Evidence map›Paper›PMID 33392007›Full record

ArticleQuantitative imaging in medicine and surgery2021

Repeatability of proton magnetic resonance spectroscopy of the brain at 7 T: effect of scan time on semi-localized by adiabatic selective refocusing and short-echo time stimulated echo acquisition mode scans and their comparison.

Tomohisa Okada, Hideto Kuribayashi, Lana G Kaiser, Yuta Urushibata, Nouha Salibi, Ravi Teja Seethamraju, Sinyeob Ahn, Dinh Ha Duy Thuy, Koji Fujimoto, Tadashi Isa

Open access · diamondAbstract read
In one paragraph

Article in Quantitative imaging in medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Generating Synthetic MR Spectroscopic Imaging Data with Generative Adversarial Networks to Train Machine Learning Models.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2025
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  9. Safety for Human MR Scanners at 7T.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2022
    Article
  10. Neuroimaging at 7 Tesla: a pictorial narrative review.Quantitative imaging in medicine and surgery · 2022
    Review
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  12. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Tomohisa OkadaHuman Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Hideto KuribayashiSiemens Healthcare K.K., Tokyo, Japan.
Lana G KaiserHenry H. Wheeler Brain Imaging Center, University of California, Berkeley, CA, USA.
Yuta UrushibataSiemens Healthcare K.K., Tokyo, Japan.
Nouha SalibiSiemens Medical Solutions USA, Inc., Malvern, PA/Boston, MA/Berkeley, CA, USA.
Ravi Teja SeethamrajuSiemens Medical Solutions USA, Inc., Malvern, PA/Boston, MA/Berkeley, CA, USA.
Sinyeob AhnSiemens Medical Solutions USA, Inc., Malvern, PA/Boston, MA/Berkeley, CA, USA.
Dinh Ha Duy ThuyHuman Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Koji FujimotoHuman Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Tadashi IsaHuman Brain Research Center, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kyoto University · JPSiemens Healthcare (United States) · USTokyo Health Care University · JPUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProton magnetic resonance spectroscopy (MRS) provides a unique opportunity for

methodsSixteen healthy subjects were prospectively enrolled and scanned twice with an off-bed interval between scans. The scan parameters for sLASER were a TR/TE of 6.5 s/32 ms and 32 and 48 averages (sLASER×32 and sLASER×48, respectively). The scan parameters for sSTEAM were a TR/TE of 4 s/5 ms and 32, 48, and 64 averages (sSTEAM4×32, sSTEAM4×48, and sSTEAM4×64, respectively) in addition to that with a TR/TE of 8 s/5 ms and 32 averages (sSTEAM8×32). Data were analyzed using LCModel. Metabolites quantified with Cramér-Rao lower bounds (CRLBs) >50% were classified as not detected, and metabolites quantified with mean or median CRLBs ≤20% were included for further analysis. The SNR, CRLBs, coefficient of variation (CV), and metabolite concentrations were statistically compared using the Shapiro-Wilk test, one-way ANOVA, or the Friedman test.

resultsThe sLASER spectra for N-acetylaspartate + N-acetylaspartylglutamate (tNAA) and glutamate (Glu) had a comparable or higher SNR than sSTEAM spectra. Ten metabolites had lower CRLBs than prefixed thresholds: aspartate (Asp), γ-aminobutyric acid (GABA), glutamine (Gln), Glu, glutathione (GSH), myo-inositol (Ins), taurine (Tau), the total amount of phosphocholine + glycerophosphocholine (tCho), creatine + phosphocreatine (tCr), and tNAA. Performance of the two sequences was satisfactory except for GABA, for which sLASER yielded higher CRLBs (≥18%) than sSTEAM. Some significant differences in CRLBs were noted, but they were ≤2% except for GABA and Gln. Signal averaging significantly lowered CRLBs for some metabolites but only by a small amount. Measurement repeatability as indicated by median CVs was ≤10% for Gln, Glu, Ins, tCho, tCr, and tNAA in all scans, and that for Asp, GABA, GSH, and Tau was ≥10% under some scanning conditions. The CV for GABA according to sLASER was significantly higher than that according to sSTEAM, whereas the CV for Ins was higher according to sSTEAM. An increase in signal averaging contribute little to lower CVs except for Ins.

conclusionsBoth sequences quantified brain metabolites with a high degree of precision and repeatability. They are comparable except for GABA, for which sSTEAM would be a better choice.

Indexed as

7 Tesla (7 T)Cramér-Rao lower boundMagnetic resonance spectroscopy (MRS)repeatabilitysemi-localized by adiabatic selective refocusing (sLASER)short echo time (TE) stimulated echo acquisition mode (sSTEAM)

Identifiers

PMID33392007
PMCPMC7719915
OpenAlexW3056790882

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.