Comparison of 3T versus 7T MRS in visualization of metabolic markers in HGGsa

3T7T
SNRLower (–)Higher (+)
Spatial resolutionLower (–)Higher (+)
Resolution of overlapping resonances (ie, PC vs GPC, Lac vs lipids, 2HG vs Glu, Gln, GABA, possibly Glu vs Gln)Poorer (–)Better (+)
Range of metabolitesNarrower (–)Wider (+)
Uncertainty values of metabolite concentrationsGreater (–)Smaller (+)
Differentiation of IDH1/IDH2 gliomas vs wild-type gliomasLess specific (–)More specific (+)
B0 inhomogeneityLower (+)Higher (–)
B1 inhomogeneityLower (+)Higher (–)
RF power deposition (SAR)Lower (+)Higher (–)
CSL errorsLess frequent (+)More frequent (–)
Susceptibility artifactsLess frequent (+)More frequent (–)
T1 relaxation timeShorter (+)Longer (–)
T2 relaxation timeLonger (+)Shorter (–)
RF transmit body coilsMore accessible (+)Inaccessible (–)
Metal hardware (ie, titanium plates placed during craniotomies)Safe (+)Contraindicated (–)
  • Note:—CSL indicates chemical shift localization errors; (+), positive features; (–), negative features.

  • aThe assets and drawbacks of 7T MRS compared with 3T MRS are delineated.