Assignment of the 2.03 ppm resonance in in vivo 1H MRS of human brain tumour cystic fluid: contribution of macromolecules

MRI and MRS are established techniques for the evaluation of intracranial mass lesions and cysts. The 2.03 ppm signal recorded in their (1)H-MRS spectra is often assigned to NAA from outer volume contamination, although it has also been detected in non-infiltrating tumours and large cysts. We have i...

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Veröffentlicht in:Magma (New York, N.Y.) N.Y.), 2004-09, Vol.17 (1), p.36-46
Hauptverfasser: Candiota, A P, Majós, C, Bassols, A, Cabañas, M E, Acebes, J J, Quintero, M R, Arús, C
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container_start_page 36
container_title Magma (New York, N.Y.)
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creator Candiota, A P
Majós, C
Bassols, A
Cabañas, M E
Acebes, J J
Quintero, M R
Arús, C
description MRI and MRS are established techniques for the evaluation of intracranial mass lesions and cysts. The 2.03 ppm signal recorded in their (1)H-MRS spectra is often assigned to NAA from outer volume contamination, although it has also been detected in non-infiltrating tumours and large cysts. We have investigated the molecular origin of this resonance in ten samples of cystic fluids from human brain tumours. The NMR detected content of the 2.03 ppm resonance in 136 ms echo time spectra, assuming an N- CH(3) origin, was 3.19 +/- 1.01 mM. Only one third (34 +/- 12%) of the N-acetyl containing compound (NAC) signal could be extracted by perchloric acid (PCA) indicating that most of it originated in a macromolecular PCA-insoluble component. Chemical analysis of the cyst fluids showed that sialic acid bound to macromolecules would account for 64.3% and hexuronic containing compounds for 29.2% of the NMR-detectable ex vivo signal, 93.4% of the signal at TE 136 ms. Lactate content measured by NMR (6.4 +/- 4.4 mM) and the predominance of NAC originating in sialic acid point to a major origin from tumour rather than from plasma for this 2.03 ppm resonance.
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subjects Brain - pathology
Brain Abscess - metabolism
Brain Neoplasms - diagnosis
Brain Neoplasms - metabolism
Brain tumors
Chemical analysis
Cysts - metabolism
Humans
Macromolecular Substances - metabolism
Magnetic Resonance Imaging - methods
Magnetic Resonance Spectroscopy - methods
N-Acetylneuraminic Acid - chemistry
N-Acetylneuraminic Acid - metabolism
Perchlorates - pharmacology
Resonance
Time Factors
title Assignment of the 2.03 ppm resonance in in vivo 1H MRS of human brain tumour cystic fluid: contribution of macromolecules
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