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MR Spectroscopy of Pediatric Brain Disorders (Paperback, 2013 ed.)
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MR Spectroscopy of Pediatric Brain Disorders (Paperback, 2013 ed.)
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Magnetic resonance spectroscopy (MRS) is a modality available on
most clinical MR scanners and readily integrated with standard MR
imaging (MRI). For the brain in particular, MRS has been a powerful
research tool providing additional clinically relevant information
for several disease families such as brain tumors, metabolic
disorders, and systemic diseases. The most widely-available MRS
method, proton (1H; hydrogen) spectroscopy, is FDA approved for
general use in the US and can be ordered by clinicians for patient
studies if indicated. There are several books available that
describe applications of MRS in adults. However, to the best of our
knowledge there is currently no book available that focuses
exclusively on applications in pediatrics. MR spectroscopy in the
pediatric population is different from adults for two main reasons.
Particularly in the newborn phase the brain undergoes biochemical
maturation with dramatic changes of the "normal" biochemical
fingerprint. Secondly, brain diseases in the pediatric population
are different from adult disorders. For example, brain tumors,
which are mostly gliomas in the adults, often originate from
different cell types and are also more diverse even within the same
type and grade of tumor. This diversity of diseases and its
implications for MR spectroscopy has not been addressed
sufficiently in the literature, we believe. The target audience for
"MR Spectroscopy of Pediatric Brain Disorders" are thus both
clinicians and researchers involved with pediatric brain disorders.
This includes radiologists, neurologists, neurooncologists,
neurosurgeons, and more broadly the neuroscience and neurobiology
community. This book will provide the necessary background
information to understand the basics of MR spectroscopy. This will
be followed by a detailed discussion of the normal biochemical
maturation which will highlight the metabolic differences between
the pediatric and adult brain. Thereafter, in SECTION I individual
chapters will address various pediatric brain disease families. Of
particular importance for pediatrics are case studies. For that
reason, SECTION II will contain a large number of case studies.
This will be particularly important for clinicians who may want to
see examples of MRS for various conditions. A standardized format
will be used for case reports that allow the reader to quickly
understand the history of each case presented and the significance
of the findings. The case reports will also include information
from other imaging modalities to point out any added value of MRS
in addition to conventional studies and clinical information. This
section is necessary because the format of providing more complete
information about individual patients is not practical for the
chapters in SECTION I.
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