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Figure 5–12. Magnetic resonance spectroscopy of traumatic brain injury.

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Figure 5–12. Magnetic resonance spectroscopy of traumatic brain injury.(A) Position of the spectroscopic imaging voxel of interest (VOI), as viewed in the axial and sagittal planes. On the axial image, the outlined sections inside the VOI depict voxels typically selected for the four regions of interest, and the pattern surrounding the VOI is the area covered by the eight multiple regional saturation technique pulses for saturating lipid signals from the scalp. (B) Average spectra obtained from the left frontal lobe of a patient versus that of a control subject demonstrate a decrease in N-acetyl aspartate (NAA) after traumatic brain injury. Cho = choline; Cre = creatine; ppm = parts per million.Source. Reprinted from Hunter JV, Thornton RJ, Wang ZJ, et al: "Late Proton MR Spectroscopy in Children After Traumatic Brain Injury: Correlation With Cognitive Outcomes." American Journal of Neuroradiology 26:482–488, 2005. Used with permission of the American Society of Neuroradiology.

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