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Purpose: Retrospective frequency-and-phase correction (FPC) methods attempt to remove frequency-and-phase variations between transients to improve the quality of the averaged MR spectrum. However, traditional FPC methods like spectral registration struggle at low SNR. Here, we propose a method that directly integrates FPC into a 2D linear-combination model (2D-LCM) of individual transients ("model-based FPC"). We investigated how model-based FPC performs compared to the traditional approach, i.e., spectral registration followed by 1D-LCM in estimating frequency-and-phase drifts and, consequentially, metabolite level estimates.
Methods: We created synthetic in-vivo-like 64-transient short-TE sLASER datasets with 100 noise realizations at 5 SNR levels and added randomly sampled frequency and phase variations. We then used this synthetic dataset to compare the performance of 2D-LCM with the traditional approach (spectral registration, averaging, then 1D-LCM). Outcome measures were the frequency/phase/amplitude errors, the SD of those ground-truth errors, and amplitude Cramér Rao lower bounds (CRLBs). We further tested the proposed method on publicly available in-vivo short-TE PRESS data.
Results: 2D-LCM estimates (and accounts for) frequency-and-phase variations directly from uncorrected data with equivalent or better fidelity than the conventional approach. Furthermore, 2D-LCM metabolite amplitude estimates were at least as accurate, precise, and certain as the conventionally derived estimates. 2D-LCM estimation of FPC and amplitudes performed substantially better at low-to-very-low SNR.
Conclusion: Model-based FPC with 2D linear-combination modeling is feasible and has great potential to improve metabolite level estimation for conventional and dynamic MRS data, especially for low-SNR conditions, for example, long TEs or strong diffusion weighting.
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http://dx.doi.org/10.1002/mrm.30209 | DOI Listing |
Neurotherapeutics
September 2025
Clintrex, 2 North Tamiami Trail, Suite 308 Sarasota, Florida 34236, USA.
Despite current medical therapy for Parkinson's Disease (PD), many experience persistent motor symptoms and significant unmanaged non-motor issues. Previous studies suggest that light therapy (LT) provides benefits for motor and non-motor features of PD. This study evaluated Circadian Effective LT (CELT) with a spectral band between 460 and 545 nm for the motor and non-motor features of PD.
View Article and Find Full Text PDFContemp Clin Trials
August 2025
University of Pittsburgh School of Pharmacy, Pittsburgh, PA, USA; UPMC, Department of Pharmacy and Therapeutics, Pittsburgh, PA, USA. Electronic address:
Background And Objectives: Tools to assist with drug management for both nephrotoxic medications and renally eliminated drugs are urgently needed. "Multi-hospital Electronic Decision Support for Drug-associated Acute Kidney Injury" (MEnD-AKI) aims to examine the effect of a pharmacist-led intervention augmented with predictive analytics in the form of electronic alerts delivered to pharmacists followed by drug management recommendations provided to physicians via telemedicine for the early management of patients at risk of developing AKI or progressing to higher AKI stages.
Design: Prospective, multi-site, cluster-randomized clinical trial.
Sleep Med Rev
August 2025
Department of Psychiatry, Faculty of Medicine, University of Geneva, Switzerland; Department of Psychiatry, Geneva University Hospitals (HUG), Geneva, Switzerland.
Insomnia disorder is a prevalent health problem with adverse consequences for mental health and quality of life. Although insomnia disorder is defined in diagnostic systems as a subjective complaint about sleep, this understanding is not consistently applied in clinical settings. There remains a lack of clarity regarding the mechanisms underlying subjective sleep complaints and associated daytime impairments.
View Article and Find Full Text PDFSci Rep
August 2025
McGowan Institute for Regenerative Medicine, Department of Surgery, University of Pittsburgh School of Medicine, 408 Bridgeside Point II 450 Technology Drive, Pittsburgh, PA, 15219, USA.
The COVID-19 pandemic highlighted critical limitations in conventional pulse oximetry, especially in diverse populations. This study evaluates the performance of noninvasive devices for assessing tissue oxygenation in a cohort of 20 healthy individuals, with a focus on device sensitivity, physiological and demographic variables. Tissue oxygenation was measured using devices: spatial frequency domain imaging (SFDI), transcutaneous oxygen measurement (TCOM), wearable photoplethysmography (WD), and pulse oximetry (PO) during baseline, ischemia, and reperfusion phases.
View Article and Find Full Text PDFBMC Med
August 2025
Department of Psychiatry, Wuhan Wuchang Hospital, Wuhan University of Science and Technology, Wuhan, China.
Background: Bipolar disorder (BD) is a heterogeneous psychiatric condition characterized by distinct episodes: manic (BipM), depressive (BipD), mixed (mBD), and remission (rBD). Current evidence indicates alterations in brain functional connectivity in BD, yet a comprehensive understanding across all episodes remains incomplete.
Methods: Here, to investigate how different BD episodes alter brain functional organization, we calculated the sensory-association axis using diffusion map embedding on the functional connectome matrix and compared this axis between the four BD groups and neurotypical controls.