Water suppression is typically performed in vivo by exciting the longi
tudinal magnetization in combination with dephasing, or by using frequ
ency-selective coherence generation. MEGA, a frequency-selective refoc
using technique, can be placed into any pulse sequence element designe
d to generate a Hahn spin-echo or stimulated echo, to dephase transver
se water coherences with minimal spectral distortions. Water suppressi
on performance was verified in vivo using stimulated echo acquisition
mode (STEAM) localization, which provided water suppression comparable
with that achieved with four selective pulses in 3,1-DRYSTEAM. The ad
vantage of the proposed method was exploited for editing J-coupled res
onances. Using a double-banded pulse that selectively inverts a J-coup
ling partner and simultaneously suppresses water, efficient metabolite
editing was achieved in the point resolved spectroscopy (PRESS) and S
TEAM sequences in which MEGA was incorporated. To illustrate the effic
iency of the method, the detection of gamma-aminobutyric acid (GABA) w
as demonstrated, with minimal contributions from macromolecules and ov
erlying singlet peaks at 4 T. The estimated occipital GABA concentrati
on was consistent with previous reports, suggesting that editing for G
ABA is efficient when based on MEGA at high field strengths. (C) 1998
John Wiley & Sons, Ltd.