Interobserver and within-subject variances of T2-relaxation time and 1H-metabolite ratios in the normal hippocampus

J Neuroradiol. 2007 Jul;34(3):198-204. doi: 10.1016/j.neurad.2007.05.001.

Abstract

Purpose: To investigate the magnetic resonance (MR) reproducibility of normal hippocampal volume (HV), temporal lobe volume (TLV), transversal relaxation time (T(2)) and (1)H-MR spectroscopy ((1)H-MRS) metabolite ratios.

Materials and methods: Two sets of HV, TLV, T(2) and MR spectroscopic metabolite signal ratios were determined in 27 healthy volunteers. HV and TLV were measured with a T(1)-weighted MR sequence; whereas T(2) measurements were performed with conventional spin-echo (CSE) and fast spin-echo (FSE) MR imaging sequences. The interobserver and within-subject variances of T(2) measurements were estimated.

Results: Estimated right and left HV coefficients of variation (CV)=0.13. FSE T(2) measurements showed no significant differences in the interobserver (CV=0.02) and within-subject variances (CV=0.02). Measurements showed no differences in the interobserver (CV=0.02) and within-subject (CV=0.04) variances for the CSE T(2) of the right and left hippocampi. Metabolite ratios between N-acetyl aspartate (NAA) and creatine (Cr), choline (Cho) and creatine, and NAA and choline plus creatine (Cho + Cr) for the right hippocampus were 2.29+/-0.19, 1.52+/-0.14 and 0.91+/-0.05, respectively. Metabolite ratios for the left hippocampus were 2.18+/-0.10, 1.48+/-0.10 and 0.88+/-0.06, respectively.

Conclusions: HV, TLV, T(2) and (1)H MRS metabolite ratio measurements showed fair reproducibility with small CVs, and no differences in the interobserver and within-subject variances, including no differences between right and left TLV, and in the right and left T(2).

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Female
  • Hippocampus / anatomy & histology*
  • Hippocampus / metabolism*
  • Humans
  • Hydrogen / metabolism*
  • Magnetic Resonance Imaging
  • Magnetic Resonance Spectroscopy
  • Male
  • Middle Aged
  • Observer Variation
  • Organ Size
  • Reference Values
  • Temporal Lobe / anatomy & histology

Substances

  • Hydrogen