Abstract
Magnetic resonance spectroscopic imaging has potential for non-invasive metabolic imaging of the human brain. Here we report a method that overcomes several long-standing technical barriers associated with clinical magnetic resonance spectroscopic imaging, including long data acquisition times, limited spatial coverage and poor spatial resolution. Our method achieves ultrafast data acquisition using an efficient approach to encode spatial, spectral and J-coupling information of multiple molecules. Physics-informed machine learning is synergistically integrated in data processing to enable reconstruction of high-quality molecular maps. We validated the proposed method through phantom experiments. We obtained high-resolution molecular maps from healthy participants, revealing metabolic heterogeneities in different brain regions. We also obtained high-resolution whole-brain molecular maps in regular clinical settings, revealing metabolic alterations in tumours and multiple sclerosis. This method has the potential to transform clinical metabolic imaging and provide a long-desired capability for non-invasive label-free metabolic imaging of brain function and diseases for both research and clinical applications.
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Data availability
The main data supporting the results in this study are available within the paper and its Supplementary Information. The raw data and quantification results from a representative participant are available at http://mri.beckman.illinois.edu/software.html. Source data supporting the results in Figs. 3–5 and Extended Data Figs. 6–10 are available from figshare at https://doi.org/10.6084/m9.figshare.24962580 (ref. 83). Source data are provided with this paper.
Code availability
The custom code to reconstruct metabolite and neurotransmitter signals from FID/SE hybrid MRSI data is publicly available at https://github.com/Zhi-Pei-Liang-s-Group/FID-SE-joint-reconstruction (ref. 84).
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Acknowledgements
We thank B. Bo (School of Biomedical Engineering, Shanghai Jiao Tong University) for helping with tumour and MS lesion segmentation. We thank W. Li and D. Wang (School of Biomedical Engineering, Shanghai Jiao Tong University) for helping with healthy participant brain segmentation. We thank G. Xiao (School of Molecular and Cellular Biology, University of Illinois at Urbana-Champaign) and Y. Zhang and Z. Xu (Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign) for helping with phantom preparation. We thank Z. Zhu (Huashan Hospital, Fudan University) for helping with tumour biopsy. This work was supported, in part, by the Beckman Institute for Advanced Science and Technology Postdoctoral Fellows Program with support from the Arnold and Mabel Beckman Foundation (Y.Z.).
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Contributions
Y.Z. and Z.-P.L. conceived of the project. Y.Z., R.G. and Z.-P.L. designed and developed the data acquisition scheme. Yudu Li, Y.Z., W.J. and Z.-P.L. developed the data processing scheme. Y.Z., R.G., Yudu Li, C.M., W.T., Yao Li and Z.-P.L. designed the experimental studies. Y.Z. performed the phantom experiments. Y.Z., C.M. and W.T. performed the healthy participant experiments. W.T. and Yao Li performed the tumour and MS patient experiments. Y.Z. analysed the phantom and healthy participant data. Y.Z., Yudu Li, R.G. and W.J. processed the tumour and MS patient data. Y.Z., Yudu Li, R.G., W.J., W.T., C.M., G.E.F., Yao Li and Z.-P.L. analysed the experimental results. Y.Z., Yao Li, Yudu Li, R.G., C.M. and Z.-P.L. wrote the paper. All authors discussed the results and revised the paper. Z.-P.L. conceived of the imaging framework and directed the project.
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R.G. declares the following competing interests. R.G. is currently employed by Siemens Medical Solutions USA, Inc. The work reported in this paper was performed when he was a graduate student at the University of Illinois and is not related to his employment at Siemens Medical Solutions USA, Inc. The other authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Additional spectroscopic phantom results.
a, Structure of a home-made phantom, including fourteen tubes containing neurometabolite solutions at physiological concentrations. These tubes are attached to each other to form the letter “I”. The widths of these tubes are 10 mm. The solutions filled in the left and right-side tubes are different, representing “healthy tissues” and “pathological tissues”. Ground truth molecular concentrations for “healthy tissue” solution are NAA 15 mM, Cr 12 mM, Cho 3 mM, mI 8 mM, Glu 10 mM, GABA 2 mM and Lac 1 mM; for “pathological tissue” solution are NAA 5 mM, Cr 4 mM, Cho 9 mM, mI 4 mM, Glu 5 mM, GABA 3 mM and Lac 5 mM. b, Averaged FID spectra of the measured signals from the “healthy tissue” tubes and the “pathological tissue” tubes, respectively. c, Measured molecular concentrations in the “healthy tissue” tubes (using “pathological tissue” tubes for normalization, n = 343) matched well with the ground truth concentrations. Error bars are shown as mean ± standard deviation. The identity line is shown as a grey line. d, Molecular maps obtained using the proposed method. Distinct molecular levels can be resolved from different tubes, matching our expected concentration differences. Adjacent tubes are clearly separated spatially, demonstrating our high spatial resolution capability. e, Molecular maps obtained using a conventional low-resolution MRSI method. The boundaries between “healthy tissue” and “pathological tissue” cannot be clearly defined based on the molecular maps. Abbreviations: NAA, N-acetyl aspartate; Cr, creatine; Cho, choline; mI, myo-inositol; Glu, glutamate; Gln, glutamine; GABA, gamma-aminobutyric acid; Lac, lactate; FID, free induction decay; a.u., arbitrary unit.
Extended Data Fig. 2 Phantom to demonstrate Lac/lipid separation.
a, Structure of the Lac/lipid phantom, which is made of a commercial spectroscopic phantom with Lac, as well as a bag of vegetable oil attached to it to mimic the subcutaneous lipid in human data. b, Original map before water and lipid removal, showing the unsuppressed water and lipid signals. c, Estimated lipid signals using the proposed method. d, Lac map obtained using the proposed method. e, Localized FID spectra from the yellow voxel indicated in the image in b. No noticeable lipid artifacts could be observed in the Lac map and localized spectra. f-h, Lipid signals, Lac map and localized spectra similar to c-e, but obtained with lower spatial resolution. Substantial lipid leakage was observed in the low-resolution data. Abbreviations: Lac, lactate; FID, free induction decay; a.u., arbitrary unit.
Extended Data Fig. 3 Representative 3D high-resolution metabolite and neurotransmitter maps obtained from a healthy subject.
T1w anatomical image as well as NAA, Cr, Cho, mI, Glu, Gln and GABA maps obtained by the proposed method are displayed. Eight slices from the 3D datasets are shown. As can be seen, high-resolution molecular maps were obtained by the proposed method, showing good tissue contrast. Abbreviations: 3D, three-dimensional; T1w, T1-weighted; NAA, N-acetyl aspartate; Cr, creatine; Cho, choline; mI, myo-inositol; Glu, glutamate; Gln, glutamine; GABA, gamma-aminobutyric acid.
Extended Data Fig. 4 Averaged 3D high-resolution metabolite and neurotransmitter maps from all healthy subjects included in our reproducibility study (n = 26).
The molecular maps from different subjects were spatially aligned to produce the averaged maps. Eight slices from the 3D averaged dataset are shown. As can be seen, the averaged maps of NAA, Cr, Cho, mI, Glu, Gln and GABA showed high spatial resolution and good tissue contrast. Abbreviations: 3D, three-dimensional; T1w, T1-weighted; NAA, N-acetyl aspartate; Cr, creatine; Cho, choline; mI, myo-inositol; Glu, glutamate; Gln, glutamine; GABA, gamma-aminobutyric acid.
Extended Data Fig. 5 Biopsy results obtained from the oligodendroglioma patients.
a, Hematoxylin and Eosin (H&E) histology result from the grade-II oligodendroglioma patient (scale bar = 50 µm). b, H&E histology result from the grade-III oligodendroglioma patient, with the same magnification factor as in a. Noticeably increased number of cells can be seen in the grade-III oligodendroglioma patient result. Histological analysis was performed once for each patient. c, Cell density counting results for these two oligodendroglioma patients. More than a factor of two increase in cell density can be found for the grade-III oligodendroglioma patient.
Extended Data Fig. 6 Quantitative analysis of metabolic imaging results obtained from oligodendroglioma patients.
a, T1C, T1w and T2w FLAIR structural images obtained from grade II oligodendroglioma (tumour 1) and grade III oligodendroglioma (tumour 2) patients, along with the normal and tumour ROIs for regional analysis. b, Box plots of the concentrations of different metabolites in these two oligodendroglioma patients. Metabolite concentrations were shown in arbitrary units. Box plots are represented by median and interquartile range, with ±1.5 interquartile range as whiskers. Significantly elevated Cho (87.6%, P < 0.001) and Lac (107.5%, P < 0.001) levels were observed in grade III oligodendroglioma (n = 337) in comparison with grade II oligodendroglioma (n = 374). Unpaired two-tailed Student’s t-tests were performed. Abbreviations: T1C, T1-weighted contrast-enhanced; T1w, T1-weighted; T2w, T2-weighted; FLAIR, fluid attenuated inversion recovery; ROI: region of interest; NAA, N-acetyl aspartate; Cho, choline; Lac, lactate.
Extended Data Fig. 7 Quantitative analysis of metabolic imaging results obtained from a glioblastoma patient.
a, T1C, T1w, T2w FLAIR and T2w SPACE structural images obtained from the glioblastoma patient. ROIs, including normal (red), oedema (blue) and enhanced tumour (yellow), were determined from structural images. b, Box plots of the concentrations of different metabolites and neurotransmitters in different regions of the glioblastoma. Metabolite and neurotransmitter concentrations were shown in arbitrary units. Box plots are represented by median and interquartile range, with ±1.5 interquartile range as whiskers. Compared with the normal region, elevated levels of Cho (45.7%, P < 0.001), Lac (1573.2%, P < 0.001) and Gln (79.9%, P < 0.001) and decreased levels of NAA (58.2%, P < 0.001) were observed in the enhancing tumour region (n = 97). Decreased levels of NAA (39.8%, P < 0.001) and Cho (13.6%, P < 0.001) were observed in the oedema region (n = 492). Unpaired two-tailed Student’s t-tests were performed. Abbreviations: T1C, T1-weighted contrast-enhanced; T1w, T1-weighted; T2w, T2-weighted; FLAIR, fluid attenuated inversion recovery; SPACE, sampling perfection with application optimized contrasts using different flip angle evolutions; ROI: region of interest; NAA, N-acetyl aspartate; Cho, choline; Gln, glutamine; Lac, lactate.
Extended Data Fig. 8 Quantitative analysis of metabolic imaging for detecting MS lesions prior to the changes observable in conventional structural images.
a, Identification of the prelesion regions (yellow), based on the difference between initial and follow-up T2w images obtained from the patient. b, Regional average (solid line) and standard deviation (shaded area) of FID spectra in NAWM and prelesion regions, respectively. c, Box plots of mI/NAA and Lac levels in NAWM (n = 1103), prelesion 1 (n = 83) and prelesion 2 (n = 45) regions. Lac levels were shown in arbitrary units. Box plots are represented by median and interquartile range, with ±1.5 interquartile range as whiskers. Elevated mI/NAA and Lac were detected in the prelesion regions at the time of the initial scan, prior to noticeable changes in the structural image. The specific molecular changes were: prelesion 1 & 2 mI/NAA: 30.3%, P < 0.001; prelesion 1 mI/NAA: 31.5%, P < 0.001; prelesion 2 mI/NAA: 26.2%, P < 0.001; prelesion 1 & 2 Lac: 120.9%, P < 0.001; prelesion 1 Lac: 73.7%; P < 0.001; prelesion 2 Lac: 200.0%, P < 0.001). Unpaired two-tailed Student’s t-tests were performed. Abbreviations: T2w, T2-weighted; NAWM, normal-appearing white matter; NAA, N-acetyl aspartate; mI, myo-inositol; Lac, lactate.
Extended Data Fig. 9 Quantitative analysis of metabolic imaging for characterizing metabolic profiles in T1w-dark lesion, T1w-hypointense lesion and T1w-isointense lesion of MS.
a, T1w and T2w images along with the identified ROIs, including T1w-dark lesion (purple), T1w-hypointense lesion (green) and T1w-isointense lesion (yellow). b, Regional average (solid line) and standard deviation (shaded area) of FID spectra in these regions. c, Box plots of mI/NAA and Lac levels in these regions. Lac levels were shown in arbitrary units. Box plots are represented by median and interquartile range, with ±1.5 interquartile range as whiskers. A Clear trend of increasing mI/NAA was found from T1w-isointense, T1w-hypointense to T1w-dark lesions (38.3%, n = 292, 51.1%, n = 312, and 73.0%, n = 137, over NAWM, n = 502, P < 0.001). Elevated Lac was found in all types of lesions (T1w-isointense 27.2%, T1w-hypointense 20.9%, and T1w-dark 29.5%, P < 0.001) compared with NAWM. Unpaired two-tailed Student’s t-tests were performed. Abbreviations: T1w, T1-weighted; T2w, T2-weighted; ROI, region of interest; NAWM, normal-appearing white matter; NAA, N-acetyl aspartate; mI, myo-inositol; Lac, lactate.
Extended Data Fig. 10 Quantitative analysis of metabolic imaging for differentiating between active and chronic MS lesions.
a, T2w and T1C images along with the identified ROIs, including active lesions (yellow) and chronic lesions (green). b, Regional average (solid line) and standard deviation (shaded area) of FID spectra in active and chronic lesions. c, Box plots of mI/NAA and Lac levels in active and chronic lesions. Lac levels were shown in arbitrary units. Box plots are represented by median and interquartile range, with ±1.5 interquartile range as whiskers. Significantly increased Lac (237.0%, P < 0.001) as well as reduced mI/NAA (27.9%, P < 0.001) are found in active lesions (n = 228) as compared with chronic lesions (n = 488). Compared with NAWM (n = 1103), the chronic lesion showed significantly increased mI/NAA (37.9%, P < 0.001) and both lesion types showed significantly increased Lac (chronic: 35.8%, P < 0.001; active: 357.8%, P < 0.001). Unpaired two-tailed Student’s t-tests were performed. Abbreviations: T2w, T2-weighted; T1C, T1-weighted contrast-enhanced; ROI, region of interest; NAWM, normal-appearing white matter; NAA, N-acetyl aspartate; mI, myo-inositol; Lac, lactate.
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Zhao, Y., Li, Y., Jin, W. et al. Ultrafast J-resolved magnetic resonance spectroscopic imaging for high-resolution metabolic brain imaging. Nat. Biomed. Eng (2025). https://doi.org/10.1038/s41551-025-01418-4
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DOI: https://doi.org/10.1038/s41551-025-01418-4