Quantification of glutathione in the human brain by MR spectroscopy at 3 Tesla: Comparison of PRESS and MEGA‐PRESS

Purpose Glutathione (GSH) is an important intracellular antioxidant in the brain. A number of studies report its measurement by localized 1H spectroscopy using PRESS and STEAM. This study evaluates the reliability and accuracy of GSH measurements from PRESS at 3 Tesla (T) and compares the results to those obtained with MEGA‐PRESS. Methods Phantoms containing brain metabolites, identical except for variable GSH concentration between 0 and 24 mM, were scanned using PRESS (echo time (TE) = 35 ms) and MEGA‐PRESS (optimized TE = 130 ms) at 3 T. Spectra of the anterior cingulate cortex and occipital cortex in seven healthy volunteers were also acquired. Results Phantom GSH concentrations from 0 to 3mM were unreliably quantified using PRESS, although at 4 mM and above there was a linear relationship between measured and true concentrations (R2 = 0.99). Using MEGA‐PRESS, there was no signal detected at 0 mM GSH, plus a linear relationship (R2 = 0.99) over the full range from 0–24 mM. In brain, concentrations calculated from MEGA‐PRESS and PRESS were significantly different in occipital cortex (P