A 35-year-old man with low-grade (grade II) astrocytoma.
A, Axial T2-weighted image reveals diffuse infiltrating glioma involving left basal ganglia and frontotemporal area with a square voxel (6.2 cm3).
B, 1H-MR spectrum obtained at short TE (2000/35) shows increased Cho/Cr ratio (1.9:1), increased Cho/NAA ratio (2.3:1) and increased lipid-lactate (LL)/Cr ratio (1.6:1).
C, 1H-MR spectrum obtained at intermediate TE (1500/144) shows more increased Cho/Cr ratio (2.4:1), more increased Cho/NAA ratio (4.9:1) and hardly discernible peak of lipid-lactate between 0.9 and 1.3 ppm (LL/Cr ratio: 0.3:1). The baseline of the spectrum is noisier than B.