Spectral/spatial spin-echo pulses with asymmetric excitation profiles were
incorporated into a PRESS-based localization sequence to provide lipid supp
ression while retaining a sufficient amount of water to allow for correctio
n of motion-induced shot-to-shot phase variations. H-1 magnetic resonance s
pectroscopy data were acquired at 1.5 Tesla from a motion phantom and in vi
vo from the human liver, kidney, and breast. The results demonstrated that
lipids in the chemical shift stopband were completely suppressed and that f
ull metabolite signal intensity was maintained after implementation of a re
gularization algorithm based on phasing the residual water signal, Liver an
d kidney spectra contained a large resonance at 3.2 ppm that was ascribed t
o trimethylammonium moieties (betaine plus choline) and a weaker signal at
3.7 ppm that may result from glycogen. A breast spectrum from a histologica
lly proven invasive ductal carcinoma displayed a highly elevated choline si
gnal (3.2 ppm) relative to that from a normal volunteer. (C) 2000 Wiley-Lis
s, Inc.