PubMed · 14294332
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A RUIZ-TORRES. 1964. [THYROID FUNCTION AND CREATINE METABOLISM].. https://pubmed.ncbi.nlm.nih.gov/14294332/
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Proton magnetic resonance spectroscopic imaging ((1)H-MRSI) was used to determine muscle fiber orientations in human calf muscles. The method is based on the fact that some resonances show orientation-dependent dipolar splitting, caused by incomplete motional averaging. This leads to proton spectra that depend strongly on the angle between muscle fibers and the magnetic field B(0). The orientation-dependent dipolar splittings were mapped using a fit with a basis set of predefined coupling patterns reflecting the fiber orientation. The fitted coupling patterns were displayed as images and assigned to different muscles based on segmented MR images. They showed gross differences in fiber orientation between some muscles, including m. soleus and m. tibialis anterior, for all subjects. In addition, smaller but significant differences between subjects were detected, which could be due to localization differences or real interindividual differences. Since dipolar splitting affects metabolite intensities, it is important to take this effect into account when calculating metabolite concentrations from MR spectra in muscle tissue. Spatial maps of the MR signals of trimethyl-ammonium groups and creatine/ phosphocreatine revealed significant differences in intensity between muscles.
Magnetization transfer (MT) between the mobile (MR-visible) spin pool and immobile (MR-invisible) spin pool of creatine (Cr) was studied on a clinical 1.5 T MR scanner in human skeletal muscle using continuous wave (CW) pre-irradiation as the saturation method for the immobile pool. For this purpose, only slight modifications to the MR system were made. A specially designed electronic circuit was used to couple a CW amplifier to the RF channel of the scanner. The CW pulse power (gammaB(2)/2pi) and pulse length were determined to be approximately 550 Hz and 3 s, respectively, for optimal signal attenuation of the Cr methyl signal. The bound Cr fraction in human gastrocnemius muscle was determined to be 0.4-1.3% using a two-pool exchange model function to describe the MT effect.
Creatine is a central energy metabolite whose N-CH3 group can be detected with 1H MR spectroscopy (1H MRS) with relatively high sensitivity. Prior studies suggest that muscle fiber orientation can influence the appearance of other resonances attributed to total creatine (CR). Our purpose was to determine whether muscle fiber orientation affects muscle CR concentration quantification by 1H MRS with the commonly used N-CH3 resonance at 3.0 ppm. Skeletal muscle CR was quantified with water-referenced 1H MRS in normal subjects with different forearm muscle orientations relative to the static magnetic field at 1.5T. There were no significant differences in mean total [CR] in two different series of experiments separately including two orthogonal orientations and four orientations (0 degrees, 30 degrees, 60 degrees, 90 degrees) of the forearm relative to the static field using either short (TE = 15 ms) or long (TE = 100 ms) echo times for voxels containing or centered on the same tissues. Subtle differences in CR line-width and T2 correction factors were observed with orientation. These observations are consistent with the primary hypothesis that careful water-referenced [CR] quantification, accounting for T2 effects and using the N-CH3 peak at 3.0ppm, is not affected by muscle orientation.