1H MR spectroscopy (MRS) is of great interest to help characterizing human spinal cord pathologies. However, few studies have been reported so far because of challenging experimental difficulties caused by the small size of the structure, static and radiofrequency field heterogeneities, as well as physiological motion and especially breathing. In this work, we demonstrate the necessity of respiratory-gated acquisition to collect robust 1H MRS data from the cervical spinal cord at 7T. We also present dedicated post-processing and quantitative approaches for SC metabolic assessment.
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