Single-voxel J-resolved spectroscopy with oversampling in the F, dimension
was used to obtain water unsuppressed H-1 spectra of in situ human prostate
tissue in 40 previously untreated prostate cancer patients. Based on T-2-w
eighted MRI and previous biopsy information, voxels were placed in regions
of benign or malignant peripheral zone tissue, or in regions of predominant
ly glandular or stromal benign prostatic hyperplasia (BPH) within the centr
al gland, The addition of a second J-resolved dimension allowed for the obs
ervation of the J-modulation of citrate, as well as the resolution of polya
mines from overlapping choline and creatine signals, Regions of healthy per
ipheral zone tissue and glandular BPH all demonstrated high levels of citra
te and polyamines, with consistent coupling and J-modulation patterns. Conv
ersely, regions of malignant peripheral zone tissue and stromal BPH demonst
rated low levels of citrate and polyamines consistent with prior in vivo an
d ex vivo studies. Moreover, water T,relaxation times determined for health
y peripheral zone tissue (mean 128 +/- 15.2 msec) were significantly differ
ent than for malignant peripheral zone tissue (mean 88.0 +/- 14.2 msec, P =
0.005), as well as for predominantly glandular (mean 92.4 +/- 12.2 msec, P
= 0.009) and stromal BPH (mean 70.9 +/- 12.1 msec, P = 0.003), This prelim
inary study demonstrates that J-resolved spectroscopy of the in situ prosta
te can be acquired, and the information obtained from the second spectral d
imension can provide additional physiologic information from human prostate
tissue in a reasonable amount of time (< 10 min). (C) 2001 Wiley-Liss, Inc
.