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ARTICLE

In Vivo Proton MR Spectroscopy of Untreated and Treated Brain Abscesses,

Isabella M. Burtscher,a and Stig Holtåsa

a From the Department of Radiology, University Hospital, S-22185 Lund, Sweden.

Summary: MR spectroscopy was performed in three patients with brain abscesses. In two patients, MR spectroscopy revealed end-products of bacterial breakdown (acetate, succinate, amino acids, lactate) in the abscess cysts. In one of these, the spectrum was reversed to a single lactate peak after treatment. In the third patient, MR spectroscopy was performed only after treatment and showed a single nonspecific lactate peak. MR spectroscopy is a potential tool for noninvasive diagnosis of brain abscess and might be useful for evaluating changes after treatment.




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