Assessment of Magnetic Resonance Spectroscopy in Diagnosis of Brain Lesions

Abstract

Early detection and management of intracranial lesions is required to improve the outcome of the disease, as this kind of lesions has a high morbidity rate. This study was carried out to assess magnetic resonance spectroscopy in diagnosis of brain lesions. This study was done at the ALmoalem Medical City - Khartoum, Sudan, during the period from November 2017 to March 2018. MRS Studies were performed on 1.5 Tesla Toshiba Exclelart Vantage whole body MR systems using standard imaging head coil. This was a descriptive retrospective and prospective in quantitative an observational cross-sectional study of 60 patients Male 32 (64%) and 18female (36%), their age ranged from (4-80years) The result of this study revealed that Majority of the patients were in the 5th decade (24%), Gliomas were the most common brain tumors (46%), Most common Tumor Site be involved was the left site (60%). In conclusion, diagnosis of benign and malignant brain tumors and differentiating them from other focal intra-cranial lesions based on imaging procedures alone is still a challenging problem, combination of proton MRS and conventional MRI protocol can provide additive valuable information helping in tissue characterization of intra-cranial tumors leading to improved diagnosis and thus reducing biopsies. We recommend to doing MRS routinely in patients with brain lesions to improve the accuracy of neuro diagnosis and for other benefit in patient management