Brain abscess observed by localized proton magnetic resonance spectroscopy.
We encountered a case of brain abscess that was difficult to differentiate from glioblastoma. Localized 1H-MRS was found to be useful for obtaining information on the biochemical status of brain abscess. The peak of lipid and high residual peak of NAA (N-acetyl-aspartate) were observed in the cystic lesion of the brain abscess by 1H-MRS. The NAA/Cho (Choline-containing compounds) ratio in brain parenchyma showing an edematous lesion before therapy gradually increased with the relief of inflammation.
Department of Radiology, School of Medicine, University of Tokushima, Japan.
M
M
Harada
M
M
Tanouchi
H
H
Miyoshi
H
H
Nishitani
S
S
Kannuki
D001224:Aspartic Acid / Q000031:analogs & derivatives / Q000032:analysis; D001922:Brain Abscess / Q000175:diagnosis*; D001923:Brain Chemistry; D001932:Brain Neoplasms / Q000175:diagnosis; D002794:Choline / Q000032:analysis; D003287:Contrast Media; D003401:Creatine / Q000032:analysis; D003937:Diagnosis, Differential; D019786:Gadolinium DTPA; D006801:Humans; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008875:Middle Aged; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives
D003287:Contrast Media; D009942:Organometallic Compounds; D001224:Aspartic Acid; D004369:Pentetic Acid; C000179:N-acetylaspartate; D019786:Gadolinium DTPA; D003401:Creatine; D002794:Choline