Proton MR Spectroscopy in Wilson Disease: Analysis of 36 Cases
Leandro T. Lucatoa,
Maria Concepción G. Otaduya,
Egberto R. Barbosab,
Alexandre A. C. Machadob,
Alexander McKinneyc,
Luiz A. Bacheschib,
Milberto Scaffb,
Giovanni G. Cerria and
Claudia C. Leitea
a Department of Radiology, the Clinics Hospital of the University of Sao Paulo, School of Medicine, Brazil
b Department of Neurology, the Clinics Hospital of the University of Sao Paulo, School of Medicine, Brazil
c Department of Radiology, University of Minnesota Medical School and Hennepin County Medical Center, Minneapolis

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FIG 1. Axial T2-weighted fast spin-echo images (TR/TE = 3000/88.8, echo train length = 22) show the VOIs for MRS.
A, In the BG.
B, In the FWM.
C, In the POC.
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FIG 2. Representative STEAM spectra (TR/TE = 2000/30) in the BG.
A, Spectrum in a patient with WD shows reduction of the NAA peak relative to the Cr peak, with augmentation of the mI peak.
B, Spectrum in a control subject obtained in the same location.
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FIG 3. Scatterplot shows NAA/Cr and mI/Cr ratios in the BG in patients with WD and in control subjects.
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