NAD+ and NADH play important roles in metabolism and metabolic health. Therefore, a non-invasive 31P MRS for the quantification of those metabolites on clinical 3T scanners was developed. This sequence suppresses α-ATP resonances based on homonuclear Bilinear Rotation Decoupling (BIRD). With reduced α-ATP intensity, neighbouring NAD+/H resonances appear as a separate peak. Results in eight young, lean and healthy volunteers show that the sequence succeeded in considerable α-ATP suppression. However, a clear separation of NADH and NAD+ resonances remains challenging due to remaining α-ATP signal.
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