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1.
Figure 3

Figure 3. Spectra acquired from the phantom with the uniformly labeled 13C tracer with increasing t1 in the 1D ge-HSQC (heteronuclear single quantum coherence).. From: Quantum coherence spectroscopy to measure dietary fat retention in the liver.

The evolution time (t1) was increased with 1 ms every step and started at 4.2 ms. Due to the 13C-13C couplings in the tracer, the signal now decays rapidly with increasing t1.

Lucas Lindeboom, et al. JCI Insight. 2016 Aug 18;1(13):e84671.
2.
Figure 2

Figure 2. Spectra acquired from the Intralipid phantom with increasing t1 in the 1D ge-HMQC (heteronuclear multiple quantum coherence) and the 1D ge-HSQC (heteronuclear single quantum coherence).. From: Quantum coherence spectroscopy to measure dietary fat retention in the liver.

(A and B) In A, the results for the 1D ge-HMQC are shown, while in B, the outcome of the 1D ge-HSQC sequence is presented. The evolution time (t1) was increased with 1 ms every step and started at, respectively, 7.6 and 4.2 ms. It is apparent that the signal acquired with the ge-HMQC decays rapidly with an increasing t1.

Lucas Lindeboom, et al. JCI Insight. 2016 Aug 18;1(13):e84671.
3.
Figure 1

Figure 1. Spectra acquired from the phantom containing naturally abundant 13C Intralipid.. From: Quantum coherence spectroscopy to measure dietary fat retention in the liver.

(A and B) The result from the conventional quantum coherence sequences. In both cases, the 13C chemical shift evolution during the t1 period resulted in phase distortions in the spectrum. Addition of the 13C inversion pulse led to nonphase distorted lipid spectra, in which both CH2 and CH3 signals were observable. (C and D) Both relative and absolute signals were higher in the 1D ge-HSQC (heteronuclear single quantum coherence) as compared with the 1D ge-HMQC (heteronuclear multiple quantum coherence).

Lucas Lindeboom, et al. JCI Insight. 2016 Aug 18;1(13):e84671.
4.
Figure 4

Figure 4. Results from the in vivo experiments.. From: Quantum coherence spectroscopy to measure dietary fat retention in the liver.

(A and B) Typical example of the total lipid spectrum, acquired with STEAM (stimulated echo acquistion mode) 1H-MRS, and the concomitant 13C-edited lipid spectrum, acquired with the ge-HSQC (heteronuclear single quantum coherence) sequence. As no decoupling was applied, two lipid CH2 peaks are visible, which are separated by approximately 127 Hz. (C) The total IHL (intrahepatic lipid) pool (g/kg ww) for both lean (n = 5) and obese (n = 6) subjects at 1,5, 3.0, 4.5, and 6.0 hours after a high-fat meal. Total IHL did not change after the meal (repeated-measures ANOVA, P = 0.35). (D) The absolute concentration of 13C lipids (g/kg ww) in the liver is plotted in time, showing retention of 13C-labeled fatty acids after the meal (repeated-measures ANOVA, P < 0.01).

Lucas Lindeboom, et al. JCI Insight. 2016 Aug 18;1(13):e84671.
5.
Figure 5

Figure 5. Pulse sequences used in this study.. From: Quantum coherence spectroscopy to measure dietary fat retention in the liver.

(A) The 1D ge-HMQC (heteronuclear multiple quantum coherence) sequence is shown. The HMQC block was placed after PRESS (point resolved spectroscopy) localization. Two additional 13C inversion pulses were used to refocus the 13C chemical shift evolution. Minimum evolution time (t1) was 7.6 ms. In contrast to the conventional ge-HMQC sequence, 5 gradients were used for coherence selection. Gradients were applied in a ratio of 1:–1:–1:1:1. (B) The 1D ge-HSQC (heteronuclear single quantum coherence) sequence, based on STEAM (stimulated echo acquistion mode) localization. The inversion pulse during the t1, which was used on the 1H channel previously, was now applied on the 13C channel to again refocus 13C chemical shift evolution. Minimum t1 was 4.2 ms, and gradients were applied in a 2:–2:1 ratio. In both sequences, 1/2JCH was chosen as 3.95 (J = 127 Hz for CH2 lipids). No decoupling was applied.

Lucas Lindeboom, et al. JCI Insight. 2016 Aug 18;1(13):e84671.

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