(MRS / MRSI -
Magnetic Resonance Spectroscopic Imaging) A method using the
NMR phenomen
on to identify the chemical state of various elements without destroying the sample. MRS therefore provides informati
on about the chemical compositi
on of the tissues and the changes in chemical compositi
on, which may occur with disease processes.
Although MRS is primarily employed as a research tool and has yet to achieve widespread acceptance in routine clinical practice, there is a growing realizati
on that a n
oninvasive technique, which m
onitors disease biochemistry can provide important new informati
on for the clinician.
The underlying principle of MRS is that atomic nuclei are surrounded by a cloud of electr
ons, which very slightly shield the
nucleus from any external
magnetic field. As the structure of the electr
on cloud is specific to an individual
molecule or compound, then the
magnitude of this screening effect is also a characteristic of the chemical envir
onment of individual nuclei.
In
view of the fact that the res
onant
frequency is proporti
onal to the
magnetic field that it experiences, it follows that the res
onant
frequency will be determined not
only by the external applied field, but also by the small field shift generated by the electr
on cloud.
This shift in frequency is called the chemical shift (see also
Chemical Shift). It should be noted that
chemical shift is a very small effect, usually expressed in ppm of the main
frequency. In order to resolve the different chemical species, it is therefore necessary to achieve very high levels of
homogeneity of the main
magnetic field B0.
Spectra from humans usually require
shimming the
magnet to approximately
one part in 100. High
resolution spectra of liquid samples demand a
homogeneity of about
one part in 1000.
In additi
on to the effects of factors such as relaxati
on times that can affect the
NMR signal, as seen in
magnetic resonance imaging, effects such as
J-modulation or the transfer of
magnetization after
selective excitation of particular spectral lines can affect the relative strengths of spectral lines.
In the c
ontext of human MRS, two nuclei are of particular interest - H-1 and P-31. (PMRS -
Proton Magnetic Resonance Spectroscopy)
PMRS is mainly employed in studies of the
brain where prominent peaks arise from NAA, choline c
ontaining compounds, creatine and creatine phosphate, myo-inositol and, if present, lactate; phosphorus 31 MR
spectroscopy detects compounds involved in
energy metabolism (creatine phosphate, adenosine triphosphate and inorganic phosphate) and certain compounds related to membrane synthesis and degradati
on. The frequencies of certain lines may also be affected by factors such as the local pH. It is also possible to determine intracellular pH because the inorganic phosphate
peak positi
on is pH sensitive.
If the field is uniform over the volume of the sample, "similar" nuclei will c
ontribute a particular
frequency comp
onent to the detected resp
onse signal irrespective of their individual positi
ons in the sample. Since nuclei of different elements res
onate at different frequencies, each
element in the sample c
ontributes a different
frequency comp
onent. A chemical analysis can then be c
onducted by analyzing the
MR resp
onse signal into its
frequency comp
onents.
See also
Spectroscopy.