An investigation into the importance of T2 relaxation and echo time choice for accurate metabolite biomarker quantification

Carlin, Dominic Alexander (2017). An investigation into the importance of T2 relaxation and echo time choice for accurate metabolite biomarker quantification. University of Birmingham. Ph.D.

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Abstract

Metabolite concentrations are fundamental biomarkers of disease. With increasing interest in personalised medicine, this work assessed the accuracy of non-invasive metabolite quantification with magnetic resonance spectroscopy (MRS) using a combination of simulations, phantom and in vivo data. No optimal echo time (TE) was found for measuring a range of key metabolites with quantification accuracy generally influenced more by data quality than TE choice. The T2 relaxation times of water and metabolites with MRS dominated by a singlet could be estimated using 2 TEs and were found to be significantly different in paediatric brain tumours compared with normal brain, varying between tumour types. The T2 relaxation times of paediatric brain tumours were significantly shorter at 3T compared with 1.5T. Metabolite concentrations for individual patients were most affected by changes in the T2 relaxation time of water which is quick to measure. A clinical JPRESS protocol was developed which aids assignment of overlapping metabolites using changes of MRS with TE. Overall, measurement of MRS with a short TE reduces inaccuracies associated with variability in metabolite T2 and does not tend to lead to worse quantification of overlapping resonances. Further improvements in concentration accuracy can be obtained by measuring case-specific water T2.

Type of Work: Thesis (Doctorates > Ph.D.)
Award Type: Doctorates > Ph.D.
Supervisor(s):
Supervisor(s)EmailORCID
Peet, AndrewUNSPECIFIEDUNSPECIFIED
Arvanitis, Theodoros N.UNSPECIFIEDUNSPECIFIED
Wilson, MartinUNSPECIFIEDUNSPECIFIED
Babourina-Brooks, BenUNSPECIFIEDUNSPECIFIED
Licence:
College/Faculty: Colleges (2008 onwards) > College of Medical & Dental Sciences
School or Department: Institute of Cancer and Genomic Sciences
Funders: Other, National Institute for Health Research
Other Funders: Birmingham Children's Hospital Charity
Subjects: R Medicine > RB Pathology
R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
R Medicine > RJ Pediatrics
URI: http://etheses.bham.ac.uk/id/eprint/7194

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