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Technical Note
BRAIN

Pitfalls in Lactate Measurements at 3T

T. Langea, U. Dydaka, T.P.L. Robertsb, H.A. Rowleyc, M. Bjeljacd and P. Boesigera

a Institute for Biomedical Engineering, University of Zurich and Swiss Federal Institute of Technology Zurich, Zurich, Switzerland
b Radiology Department, Children’s Hospital of Philadelphia, Philadelphia, Pa
c Radiology Department, University of Wisconsin, Madison, Wisc
d Department of Neurosurgery, University Hospital Zurich, Zurich, Switzerland

Address correspondence to Peter Boesiger, PhD, Institute for Biomedical Engineering, University and ETH Zurich, Gloriastr 35, CH-8092 Zurich, Switzerland

SUMMARY: In clinical MR spectroscopy at higher field strengths, lactate may show reduced or absent signal intensity at an echo time of 144 ms. Although this false-negative result may be predicted from theory, experimental verification and clinical impact have not been fully established. Using scanners from 3 major vendors, spectra from phantoms and patients demonstrate the lactate signal loss and potential error in interpretation. Strategies are discussed to overcome, or at least alleviate, this problem.




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