There is a need for absolute quantitation methods in P-31 magnetic resonanc
e spectroscopy, because none of the phosphorous-containing metabolites is n
ecessarily constant in pathology. Here, a method for absolute quantitation
of in vivo P-31 MR spectra that provides reproducible metabolite contents i
n institutional or standard units is described. It relies on the reciprocit
y principle, i.e., the proportionality between the B-1 field map and the ma
p of reception strength for a coil with identical relative current distribu
tions in receive and transmit mode. Cerebral tissue contents of P-31 metabo
lites were determined in a predominantly white matter-containing location i
n healthy subjects. The results are in good agreement with the literature a
nd the interexamination coefficient of variance is better than that in most
previous studies. A gender difference found for some of the 31P metabolite
s may be explained by different voxel composition. (C) 2001 Academic Press.