The accurate quantification of ultra-short echo-time 1H-MRS spectra is challenging due to broad macromolecular (MM) signal components. Here, we propose the parameterized-ratio MM (PRaMM) method to model the MM and its use in linear-combination model fitting of 1H-MRS spectra. The PRaMM method uses ratios of MM signal amplitudes as soft-constraints to limit the degrees of freedom of the fitting model, while allowing for more flexibility than commonly used approaches. The suggested model is demonstrated to improve the quantification of metabolites compared to two common methods for MM treatment.
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