Elimination of artifacts in short echo time1H MR spectroscopy of the frontal lobe

Localized 1H spectra from the frontal part of the human brain are often distorted by "ghost" artifacts, especially with short echo time PRESS sequences. These artifacts are caused by insufficient dephasing of unwanted coherences involving magnetization in the sinuses and the mouth. Because the various unwanted coherences of a PRESS sequence are dephased differently, the order of the slice gradients has a pronounced effect on the spectral quality. For frontal voxels, the last slice gradient has to be applied in the axial direction. With this slice order, the major metabolites can be quantified with an interindividual variability of about 10%.