A 38-year-old man with anaplastic (grade III) oligodendroglioma.
A, Axial FLAIR image reveals a infiltrating tumor in the right parietal lobe with a square voxel (4.2 cm3).
B, 1H-MR spectrum obtained at short TE (2000/35) shows increased Cho/Cr ratio (2.4:1), increased Cho/NAA ratio (4.1:1), and increased lipid-lactate (LL)/Cr ratio (2.1:1).
C, 1H-MR spectrum obtained at intermediate TE (1500/144) shows more increased Cho/Cr ratio (2.9:1), more increased Cho/NAA ratio (5.7:1), and much smaller peaks of lipid-lactate at 1.3 ppm (LL/Cr: 0.8:1). The baseline of the spectrum is noisier than B.