Abstract #0058
            Quantitative proton MR spectroscopy of non-enhancing lesions and pre-lesional tissue in early multiple sclerosis
                       Ivan I Kirov                       1,2                      , Shu Liu                       1,2                      , 						William E Wu                       1,2                      , Assaf Tal                       3                      , 						Matthew Davitz                       1,2                      , Henry Rusinek                       1,2                      , 						Joseph Herbert                       4                      , and Oded Gonen                       1,2           
            
             1
            
            Radiology, New York University School of 
						Medicine, New York, NY, United States,
            
             2
            
            Center 
						for Advanced Imaging Innovation and Research (CAI2R), 
						New York University, New York, NY, United States,
            
             3
            
            Chemical 
						Physics, Weizmann Institute of Science, Israel,
            
             4
            
            Neurology, 
						New York University School of Medicine, New York, NY, 
						United States
           
            
           We studied the metabolism associated with pre-lesional 
						tissue and non-enhancing lesions in early 
						relapsing-remitting multiple sclerosis, using high 
						spatial resolution proton magnetic resonance 
						spectroscopic imaging at 3T. Absolute quantification 
						with stringent partial volume correction was applied to 
						measure metabolite levels in lesions under 1 cm
           
            3
           
           . 
						Pre-lesional tissue exhibited lesion-like metabolism for 
						the glial markers Cho, Cr and mI, but in contrast, 
						showed higher NAA. A statistically significant 
						correlation between the degree of T1-hypointensity and 
						metabolism was observed for NAA, but the relationship 
						did not hold when pre-lesional tissue was excluded from 
						the analysis.
          
				
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