Purpose: To develop a short TR, short TE, large flip angle (LFA), in vivo (31)P MR spectroscopy (MRS) technique at 3T that selectively maximizes the signal-to-noise ratio (SNR) of long T(1) human brain metabolites implicated in bipolar disorder.
Materials and methods: Two pulse sequences were evaluated for efficiency. Slice profiles acquired with the scaled, sinc-shaped, radiofrequency (RF) LFA pulses were compared to those acquired with Shinnar-Le Roux (SLR) RF LFA pulses. The SLR-based LFA pulse sequence was used to maximize the inorganic phosphate signal in a phantom, after which volunteer metabolite signals were selectively maximized and compared to their correlates acquired with conventional spin-echo methods.
Results: The comparison of slice profiles acquired with sinc-shaped RF LFA pulses vs. SLR RF LFA pulses showed that SLR-based pulse sequences, with their improved excitation and slice profiles, yield significantly better results. In vivo LFA spin-echo MRS implemented with SLR pulses selectively increased the (31)P MRS signal, by as much as 93%, of human brain metabolites that have T(1) times longer than the TR of the acquisition.
Conclusion: The data show that the LFA technique can be employed in vivo to maximize the signal of long T(1) (31)P brain metabolites at a given TE and TR. LFAs ranging between 120 degrees and 150 degrees are shown to maximize the (31)P signal of human brain metabolites at 3T.