Published ahead of print on March 13, 2008
doi: 10.3174/ajnr.A0959
Proton MR Spectroscopy in the Evaluation of Cerebral Metabolism in Patients with Fibromyalgia: Comparison with Healthy Controls and Correlation with Symptom Severity
M. Petroua,
R.E. Harrisb,
B.R. Foerstera,
S.A. Mcleanc,
A. Send,
D.J. Clauwb and
P.C. Sundgrena
a Department of Radiology, Division of Neuroradiology, Ann Arbor, Mich
b Department of Internal Medicine, Division of Rheumatology; Ann Arbor, Mich
c Department of Emergency Medicine; Ann Arbor, Mich
d Center for Statistical Consultation and Research, Department of Statistics; University of Michigan, Ann Arbor, Mich

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Fig 1. Images illustrating voxel placement at the level of the basal ganglia (A) with corresponding spectra (B) and the centrum semiovale (C), also with corresponding spectra (D).
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Fig 2. Graphs showing the distribution of Cho/Cr ratios in the right DLPFC in patients with FM and HC (A) as well as the correlations between Cho/Cr ratios in the right DLPFC and left caudate nucleus for patients and controls (B).
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Fig 3. Significant correlations between metabolite ratios and clinical symptoms. Correlations between Cho/Cr ratios in the right DLPFC and clinical pain scores on the visual analog scale (VAS) are shown in A. Correlations between evoked pain thresholds and NAA/Cho ratios in the left insula and left basal ganglia are shown in B and C, respectively.
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