This work aimed to use cardiac 3T 1H-MRS to quantify creatine concentration (“[Cr]”) in the human heart, because creatine plays a key role in cardiac energy metabolism. We implemented a cycled water-suppression scheme (WC) into the PRESS and STEAM pulse sequences on a Siemens 3T Prisma MRI scanner. Compared to the vendor’s product PRESS sequence, we found that PRESS-WC was able to measure [Cr] more than 2 times more reproducibly and in a shorter scan. Using PRESS WC in a 10-breathhold protocol, we were able to detect a decrease in creatine concentration in 5 patients suffering from aortic stenosis.
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