TY - JOUR
T1 - 1H magnetic resonance spectroscopy in dementia
AU - Kantarci, Kejal
PY - 2007
Y1 - 2007
N2 - Present data support the concept that 1H magnetic resonance spectroscopy (1H MRS) may become an adjunct to clinical evaluation for differential diagnosis of dementia in the future. The value of 1H MRS in monitoring the disease progression in dementia is expected to be in areas where group effects are sought such as monitoring effectiveness of therapies in drug trials. Elevation of myoinositol to creatine (ml/Cr) and choline to creatine (Cho/Cr) and reduction in the neuronal integrity marker N-acetylaspartate to creatine (NAA/Cr) levels in individuals with mild cognitive impairment and pre-symptomatic Alzheimer's disease suggests that 1H MRS may also be valuable in predicting future development of dementia and monitoring early disease progression for preventive therapies. Investigations of in vivo 1H MRS as a marker for differential diagnosis and progression of dementia, however, has been limited to clinically confirmed cohorts and remains to be validated by histopathology at autopsy. Overall, MRS is a promising investigational technique in ageing and dementia at this time. The potential clinical application of MRS in ageing and dementia, however, is growing with technical advances in the field.
AB - Present data support the concept that 1H magnetic resonance spectroscopy (1H MRS) may become an adjunct to clinical evaluation for differential diagnosis of dementia in the future. The value of 1H MRS in monitoring the disease progression in dementia is expected to be in areas where group effects are sought such as monitoring effectiveness of therapies in drug trials. Elevation of myoinositol to creatine (ml/Cr) and choline to creatine (Cho/Cr) and reduction in the neuronal integrity marker N-acetylaspartate to creatine (NAA/Cr) levels in individuals with mild cognitive impairment and pre-symptomatic Alzheimer's disease suggests that 1H MRS may also be valuable in predicting future development of dementia and monitoring early disease progression for preventive therapies. Investigations of in vivo 1H MRS as a marker for differential diagnosis and progression of dementia, however, has been limited to clinically confirmed cohorts and remains to be validated by histopathology at autopsy. Overall, MRS is a promising investigational technique in ageing and dementia at this time. The potential clinical application of MRS in ageing and dementia, however, is growing with technical advances in the field.
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U2 - 10.1259/bjr/60346217
DO - 10.1259/bjr/60346217
M3 - Review article
C2 - 18445744
AN - SCOPUS:43549126232
SN - 0007-1285
VL - 80
SP - S146-S152
JO - British Journal of Radiology
JF - British Journal of Radiology
IS - SPEC. ISS. 2
ER -