Table 1.
Ref | HC Participants | Age (Range or Mean ± SD) |
Scanner | Method | Site of Detection (VOI Dimension and Brain Area) |
GSH Concentration (HC) | Results |
---|---|---|---|---|---|---|---|
[33] | Phantoms | 3 T GE + 8 channels head coil | Edited: MEGA-PRESS TR/TE = 1800/131 ms + LCModel Unedited: PRESS TR/TE = 3000/30 ms + LCModel |
MEGA-PRESS appears more precise at a lower GSH concentration | |||
[91] | Phantoms + 10 HC | 26 ± 3.3 | 3 T Siemens + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/120 ms + Gannet Unedited: PRESS TR/TE = 2000/30 ms SPECIAL TR/TE = 2000/8 ms PR-STEAM TR/TE = 2000/6.5 ms + LCModel |
24 cm3 in MFC | MEGA-PRESS 1.87 ± 0.36 mM PRESS: 1.69 ± 0.13 mM SPECIAL = 2.3 ± 027 mM PR-STEAM: 2.29 ± 0.16 mM |
Reliability comparison shows more reproducible GSH measurements for unedited sequences (only for highest values, above 3 mM) |
[23] | Phantoms + 5 HC | 24–36; 30 ± 3 |
3 T Siemens + 32 channels head coil | Unedited: PRESS TR/TE = 2000/30 ms + CNN for GSH quantification | 20 × 20 × 20 mm3 in left FC | GSH/tNAA = ~0.07–0.15 | Implementation of a robust method for GSH quantification in MRS using CNN |
[59] | Phantoms + 4 HC | 30–45 | 7 T Siemens + 32 channels head coil | Unedited: 2D-COSY TR/TE = 2000/20 ms | 25 × 25 × 25 mm3 in OC | GSH/Cr = 0.05 ± 0.01 | Non-uniformly weighted sampling (NUWS) sequences produced a higher SNR |
[66] | Phantoms + 13 HC | 28 ± 9 | 3 T Magnex Scientific | Edited: Multiple Quantum Chemical Shift Imaging + Levenberg−Marquardt least square minimization algorithm | 40 × 40 × 40 mm3 in FPC | 1.2 ± 0.16 mmol/Kg | DQC filtering-based chemical shift imaging of GSH at 3T implementation |
[86] | Phantoms + 6 HC | 34 ± 13 | 3 T Siemens/Philips/GE/Canon + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/80 ms + Gannet | 27 cm3 in MCC | GSH/Cr = 0.045 ± 0.013 (Philips scanner) GSH/Cr = 0.051 ± 0.007 (Siemens scanner) |
In vivo GSH/Cr ratio shows relatively low variations between scanners using the universal sequence |
[75] | Phantoms + 10 HC | 32.6 ± 8.8 | 3 T Philips + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/120 ms MEGA-PRIAM TR/TE = 2000/120 ms + Gannet |
33 × 33 × 33 mm3 in left and right FC | MEGA-PRESS: 2.61 ± 0.50 i.u. (left FC) 2.95 ± 0.65 i.u. (right FC) MEGA-PRIAM 2.44 ± 0.60 i.u. (left FC) 2.81 ± 0.67 i.u. (right FC) |
No significant difference between MEGA-PRESS and MEGA-PRIAM in GSH estimates |
[69] | Phantoms + 5 HC + simulations | 31 ± 8 | 3 T Philips + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/120 ms + Gannet | 36 × 36 × 36 mm3 in midline PC | GSH integrals normalized by the sum of the integrals from each subject averaged across all subjects ~0.4–0.5 |
TE of 120 ms appears to be optimal for in vivo GSH detection |
[94] | Phantoms + 7 HC | 23–35 | 3 T Philips + 8 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/130 ms + AMARES Unedited: PRESS TR/TE = 2000/35 ms + jMRUI |
40 × 25 × 25 mm3 in ACC and 30 × 30 × 30 mm3 in OC | MEGA-PRESS: 3.2 ± 0.6 mM (ACC) 1.4 ± 0.4 mM (OC) PRESS: 2.8 ± 0.3 mM (ACC) 2.5 ± 0.7 mM. (OC) |
Physiological concentrations (<4 mM) of GSH cannot be reliably quantified from PRESS spectra at 3 T |
[65] | Phantoms + 9 HC | 25 | 4 T Varian INOVA | Edited: MEGA-PRESS TR/TE = 4000/60 ms + LCModel |
30 × 30 × 30 mm3 in OC | 1.3 ± 0.2 µmol/g | GSH concentration estimation |
[25] | Phantoms + 2 HC | 18–32 | 1.5 T Philips | Edited: DQC Unedited: PRESS |
15.6–17.4 cm3 | DQC filter for the selective in vivo detection of GSH in the human brain presentation | |
[84] | Phantoms + 10 HC | 34.7 ± 8.8 | 3 T Philips + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 2000/80 ms HERMES TR/TE = 2000/80 ms + Gannet |
30 × 30 × 30 mm3 in Ins | SNR of the HERMES spectra is similar to those of MEGA-PRESS, with the benefit of saving half the acquisition time |
|
[47] | Phantoms + 6 HC + simulations | N.D | 7 T Philips | Unedited: asymmetric PRESS TE1/TE2 = 37/63 ms STEAM TR/TE = 2500/14–74 ms + LCModel |
25 × 30 × 30 mm3 in MPFC | Optimization of the TE delays in asymmetric PRESS enables the separation of GSH without editing | |
[48] | Phantoms + 8 HC + simulations | 32 ± 11 | 7 T Siemens + 32 channels head coil | Unedited: asymmetric PRESS TR/TE = 3000/3.9 ms | 20 × 20 × 20 mm3 in MPFC and FC | GSH/tCr = 0.216 ± 0.02 (MPFC) GSH/tCr = 0.27 ± 0.03 (FC); | Glu and Gln higher in GM. GSH and Gln have a similar concentration (20–27% of Cr) |
[46] | 6 HC | 22–26 | 3 T/7 T Siemens | Unedited: SPECIAL TR/TE = 4000/6 ms + LCModel | 20 × 20 × 20 mm3 in OC | 1.4 ± 0.11 mmol/Kg (3 T); 1.3 ± 0.2 mmol/Kg (7 T) | SPECIAL with ultrashort TEs resulted in a high SNR and allow to reduce RF power requirements and improve chemical shift displacement errors |
[56] | 15 HC | 24.9 ± 3.5 | 3 T Siemens + 32 channels head coil | Edited: MEGA-PRESS TR/TE = 3200/68 ms + LCModel Unedited: SPECIAL TR/TE = 3200/8.5 ms + LCModel |
30 × 30 × 20 mm3 in DLPC and M1 | MEGA-PRESS: 0.5–3 mmol/L (M1) 3–4 mmol/L (DLPC) SPECIAL: 1.3–2.4 mmol/L (M1 and DLPC) |
GSH levels detected with reasonably good precision using SPECIAL, but poor precision using MEGA-PRESS |
[55] | 21 HC | 32.2 ± 8.1 | 3 T Siemens + quadrature head coil | Unedited: SPECIAL TR/TE = 3000/6 ms + LCModel | 15 × 15 × 15 mm3 in left A | 1.03 ± 0.38 mmol/L (CRLBs: 24 ± 11 only in 16/21 HC) | Only in a small portion of the acquired spectra GSH passed the CRLB threshold of 20% |
[43] | 18 HC | N.D. | 3 T Siemens | Unedited: PRESS TR/TE = 2000/30 ms + LCModel | 25 × 25 × 15 mm3 in SMA | ~2.2–2.6 mmol/Kg | No difference in GSH concentration recorded between HC and PSP |
[90] | 22 HC | 12–14 | 3 T Siemens | Unedited: 2D J-resolved PRESS TR/TE = 2000/22 ms + LCModel | 20 × 20 × 30 mm3 in RACC | GSH variation factor results of 8.6 ± 4.1%, significant Pearson correlation (0.821) resulted between test and retest | |
[152] | 63 HC | 40–60 | 3 T Siemens | Unedited: 2D J-resolved MRS TR/TE = 2000/31–229 ms + ProFit | 19 cm3 in RACC | GSH/H20 = 0.003–0.004 | GSH significantly increased for HC receiving supplements when compared with the placebo |
[9] | 5 HC | 32 ± 8 | 7 T Agilent + 8 channels head coil | Edited: JDE semi-LASER TR/TE = 3200/72 ms + LCModel Unedited: STEAM TR/TE = 3000/10 ms + LCModel |
30 × 30 × 30 mm3 for JDE semi-LASER and 20 × 20 × 20 mm3 for STEAM in midline OC | 1.34 ± 0.13 mM (JDE semi-LASER) 2.15 ± 0.16 mM (STEAM) |
Better reliability results (in terms of Coefficient of variation CV) for JDE semi-LASER when compared to STEAM |
[45] | 21 HC | Neonates | 1.5 T GE | Unedited: PRESS TR/TE = 3000/20 ms + LCModel | 29 × 10 × 11 mm3 in WM; 11 × 24 × 11 in Th; 22 × 13 × 15 in GM | 2.1 ± 0.7 mmol/Kg (WM) 2.4 ± 0.8 mmol/Kg (Th) 2.5 ± 0.5 mmol/Kg (GM) |
Absolute brain GSH content in premature infants at term was not considerably different from that in fullterm infants |
[35] | 5 HC | 25–32 | 3 T Siemens + quadrature head coil | Edited: DQF TR/TE = 3000/70 ms | 30 × 30 × 30 mm3 in left and right PC | 0.91 ± 0.16 mM (left PC) 0.89 ± 0.16 mM (right PC) | Sequence shown to be invariant to phase difference between excitation and DQF generating pulse. |
[51] | 10 HC | 26.1 ± 9 | 3 T Siemens | Unedited: STEAM TR/TE = 2000/6.5 ms + LCModel | 6 cm3 in ACC and PCC | 2.74 ± 0.2 i.u. (ACC) 2.07 ± 0.0025 i.u. (PCC) |
Good reliability results in terms of coefficient of variation CV (<10%) |
[153] | 60 HC | 60–85 | 3 T Siemens | Edited: Multiple Quantum Chemical Shift Imaging + Levenberg−Marquardt least square minimization algorithm | 50 × 50 × 30 mm3 in FC and PC | 1.27 ± 0.32 mmol/Kg (FC) 1.28 ± 0.27 mmol/Kg (PC) |
glutathione concentrations in brain regions were positively correlated with milk servings |
[85] | 18 HC | Neonates | 3 T Philips | Edited: HERMES TRT/E = 2000/80 ms + Gannet | 31 × 25 × 20 mm3 in Th and ACC | 0.55–0.7 i.u. (ACC) 0.5–0.58 i.u (Th) |
lower GSH levels in Th compared to the ACC and higher GSH levels in the ACC following tissue-correction |
[87] | 20 HC | 21–35; 29 ± 5 |
3 T Philips + 32 channel head coil | Edited: HERMES TRT/E = 2000/80 ms + LCModel | 25 × 25 × 25 mm3 in MACC | GSH/tCr = 0.18 ± 0.04 | HERMES showed to be more sensitive to motion, as variability of spectral quality measures were observed for GSH when only retrospective outlier removal was applied. |
[81] | 40 HC | 3 T Philips | Edited: HERMES TRT/E = 2000/80 ms + Gannet | Ranging from 30 × 30 × 30 to 36 × 36 × 36 mm3 in medial PC | The multi step Frequency and Phase Correction approach (msFPC) results in improved correction of frequency/phase errors in multiplexed GABA-/GSH-edited MRS experiments. | ||
[72] | 67 HC | 8–12 | 3 T Philips | Edited: HERMES TR/TE = 2000/80 ms + Gannet | 30 × 30 × 30 mm3 in right SM, SMA, and right Ins | 0.56 ± 0.14 i.u. (SM) 0.57 ± 0.15 i.u. (SMA) 0.69 ± 0.19 i.u. (Ins) |
Robust Spectral Registration (rSR) reduced more subtraction artifacts than the multistep method |
[93] | 12 HC | 25 ± 2.5 | 3 T Siemens + 32 channel head coil | Edited:MEGA-PRESS TR/TE = 2000/120 ms HERMES TRT/E = 2000/80 ms + Gannet |
30 × 25 × 25 mm3 in DACC | 1.96 ± 0.49 i.u. (MEGA-PRESS) 3.95 ± 0.44 i.u. (HERMES) |
MEGA-PRESS provide more reproducible GSH (in terms of CV%) quantification compared to HERMES |
[73] | 4 HC | 47.3 ± 5.6 | 3 T GE | Edited: MEGA-PRESS TR/TE = 2000/80 ms | 30 × 30 × 30 mm3 in PC | 2 mM | Phantoms confirm GSH MEGA-PRESS signal and that GSSG would be undetectable at concentrations expected in vivo |
[82] | 9 HC | 23 | 4 T Varian INOVA | Edited: DWE with MEGA-PRESS TR/TE = 4500/112 ms + LCModel | 30 × 30 × 30 mm3 in midsagittal OC | 0.8 ± 0.1 µmol/g | Double editing did not compromise sensitivity |
[3] | 44 HC (22 young + 22 elderly) | Young = 20.4 ± 1.4 Elderly = 76.6 ± 6.1 |
4 T Varian INOVA | Edited: DWE with MEGA-PRESS TR/TE = 4500/122 ms + LCModel | 30 × 30 × 30 mm3 in midsagittal OC | Young = 0.31 ± 0.05 i.u. Elderly = 0.20 ± 0.08 i.u. |
Elderly subjects had a lower GSH concentration than younger subjects |
[83] | 12 HC | 4 T Varian INOVA | Edited: DWE with MEGA-PRESS TR/TE = 4500/102 ms + LCModel | 30 × 30 × 30 mm3 in OC | 0.7–0.9 µmol/g | GSH concentration remains costant after intravenous vitamin C infusion | |
[67] | 11 HC | 61.5 ± 10.5 | 3 T GE + 8 channels head coil | Edited: MEGA-PRESS TR/TE = 1500/68 ms + in-house software developed in MATLAB | 20 × 25 × 25 mm3 in PG and MC | GSH/W = 1.6 ± 0.4 × 10−3 i.u. (MC) | Significantly lower GSH in ALS patients when compared with HC |
[77] | 11 HC | 30 ± 11 | 3 T Philips | Edited: MEGA-PRESS TR/TE = 2000/131 ms | 50 × 30 × 30 mm3 in PC | 1.20 ± 0.14 mM | Optimal TE = 130 ms. Stroke patients not significantly different from HC |
[154] | 10 HC | 18–65 | 3 T | Edited: MEGA-PRESS TR/TE = 1500/68 ms | 30 × 30 × 20 mm3 in OC | Anhedonia and GSH negatively correlated | |
[155] | 13 HC | 18–45 | 3 T GE | Edited: MEGA-PRESS TR/TE = 1500/68 ms | 30 × 30 × 20 mm3 in OC | No differences between HC and CFS patients | |
[96] | 44 HC (25 males and 19 females) | 23.6 ± 2.1 | 3 T Philips | Edited: MEGA-PRESS TR/TE = 2500/120 ms | 2.5 cm3 in FC PC, Hyp and C | ~20–22 a.u. (FC females) ~15–22 a.u. (FC males) ~30 a.u. (PC females) ~17–25 a.u. (PC males) ~15 a.u. (Hyp females) ~15 a.u. (Hyp males) ~14–17 a.u. (C females) ~10–15 a.u. (C males) |
Higher GSH in young, gender matched parietal cortex hippocampus vs. older patients |
[10] | 21 HC | 65 ± 5 | 3 T Philips | Edited: MEGA-PRESS TR/TE = 2500/120 ms + KALPANA | 15–16 cm3 in FP Hyp | 1.12 ± 0.18 mmol/L (FC) 1.02 ± 0.17 mmol/L (Hyp) |
Significant reductions in GSH in both the frontal cortex and hippocampus in disease |
[97] | 17 HC | 38.8 ± 13.1 | 3 T GE | Edited: MEGA-PRESS TR/TE = 1800/68 ms + LCModel | 25 × 40 × 30 mm3 in DLPC 28 × 30 × 25 mm3 in ACC |
GSH/Cr = 0.11 ± 0.03 (ACC) GSH/Cr = 0.11 ± 0.03 (left DLPC); |
Higher GSH in patients |
[74] | 16 HC | 21–41; 30 ± 7.2 | 3 T GE + standard quadrature coil | Edited: MEGA-PRESS TR/TE = 1500/94 ms + GE software | 28 × 30 × 22 mm3 in PMPC | 0.928 ± 0.24 mM | No significant differences between GSH concentration of HC and patients |
[3] | 14 HC | 32 ± 10 | 7 T Magnex Scientific | Unedited: STEAM TR/TE = 5000/8 ms + LCModel | Ranging from 6 × 6 × 13 to 20 × 20 × 20 mm3 in FWM, LS, PCC, OC, P, SN, and CV | Ranging from 0.50 ± 0.1 μmol/g (OC) to 1.2 ± 0.2 μmol/g (CV) | Lower GSH concentration in elderly subjects than in younger subjects |
[89] | 10 HC | 25 ± 3 | 7 T Philips + 16 channels head coil | Unedited: STEAM TR/TE = 3000/15 ms + LCModel | 20 × 20 × 20 mm3 in OC | 2.28 ± 0.1 µmol/g | GSH increased during visual stimulation |
[50] | 10 HC | 20 ± 3 | 4 T Varian INOVA | Edited: MEGA-PRESS TR/TE = 4500/68 ms + LCModel Unedited: STEAM TR/TE = 4500/5 ms + LCModel |
17 cm3 in ACC and 8 cm3 in OC | 1.6 ± 0.4 µmol/g (ACC) 1.6 ± 0.2 µmol/g (OC) |
Validation of glutathione quantitation from the STEAM spectra |
[7] | 10 HC | 20–70; 39.2 ± 15.3 |
7 T Siemens + 32 channels head coil | STEAM TR/TE = 8500 (9 subjects)−9300 (1 subject)/6 ms + LCModel | 20 × 20 × 20 mm3 in PCC/precuneus | 1.9 ± 0.3 mmol/L | GSH levels higher in IGE (idiopathic generalized epilepsy) compared with HC |
[137] | 8 HC | 19–53; 28.4 ± 10.7 |
1.5 T Philips + birdcage head coil | PRESS + DCQ (double quantum coherence) filtering | 25 × 25 × 25 cm3 POC | GSH/H2O = 2.3 ± 0.9 × 10−5 (right POC) 2.5 ± 1.2 × 10−5 (left POC) |
GSH/water ratio significantly reduced in both hemisphere Ins epileptic patients compared with HC |
[44] | 7 HC | 6–17 | 3 T Siemens + 32 channels head coil | PRESS TR/TE = 1980/30 ms + LCModel | variable from 3 to 8 cm3 in the right gangliocapsular region | 2.0 ± 0.5 mM | Higher levels of brain GSH in KD patients compared with HC |
[68] | 17 HC | 7 T and 3 T Siemens + 16 channels head coil (7 T) | MEGA-PRESS TR/TE = 2000/68 ms | 3.5 × 2.5 × 2.3 cm3 in left or right M1 (3 T and 7 T) and pons (3 T) | No significative difference in brain GSH between ALS patients and HC using 3 T scanner | ||
[67] | 11 HC | 58.5 ± 6.6 | 3 T GE + 8 channels head coil | PRESS with J-edited spin echo method TR/TE 1500/68 ms | single voxel on primary motor cortex (M1) | GSH/H2O = 1.6 ± 0.5 × 10−3
GSH/Cr 1.9 ± 0.8 × 10−2 |
Reduced GSH in ALS patients compared with HC |
[131] | 15 HC | 55–75 | 3 T GE + 8 channels head coil | PRESS with J-edited spin echo method TR/TE 1500/68 ms | 2.5 × 2.5 × 2.5 cm3 PCC and precuneus | GSH reduction with increased levels of amyloidosis | |
[96] | 85 HC | males 26.4 ± 3.0; females 23.6 ± 2.1 |
3 T Philips + 32 channels head coil | MEGA-PRESS TR/TE = 2500/120 ms | 2.5 × 2.5 × 2.5 cm3 in several brain regions | Female HC have higher GSH levels compared to male HC with a specific distribution pattern | |
[128] | 29 HC | 18–50 | 3 T GE | PRESS TR/TE = 3000/30 ms + LCM model | 20 × 20 × 15 mm3 in BG and 16 × 24 × 20 mm3 in DMPFC | 2–3 mM (DMPFC and BG) | No difference between GSH levels in ASD patients and HC |
[99] | 40 HC | 18–30 | 3 T Philips + 32 channels head coil | MEGA-PRESS TR/TE = 2048/68 ms | 3 × 3 × 3 cm3 in five different regions (OC, left/right MT, TC, and PC) | Occipital 6.91 (0.68) i.u. Left MT+ 5.51 (0.86) i.u. Right MT+ 6.59 (0.67) i.u. Temporal 7.17 (0.93) i.u. Parietal 5.17 (0.59) i.u |
No difference in GLX metabolites between ASD patients and HC |
[15] | 12 HC | 50–84; 61.5 ± 4.9 | 3 T GE + 8 channel head coil | PRESS TR/TE = 2000/35 ms + LCModel | 20 × 20 × 20 mm3 in ACC | GSH/Cr = 0.22 ± 0.06 | Increased GSH in patients with depressive symptoms |
[62] | 17 HC | 20–29 | 3 T GE + 8 channel head coil | PRESS TR/TE = 2000/35 ms + LCModel | 20 × 20 × 20 mm3 in ACC | 1.47 ± 0.47 i.u. | Less GSH in the ACC of patients with high risk of alcohol abuse |
[14] | 49 HC | 18–30 | 3 T GE + 8 channel head coil | PRESS TR/TE = 2000/35 ms + LCModel | 20 × 20 × 20 mm3 in ACC and 1.5 × 3.0 × 1.0 in left Hyp | Decreased ACC-GSH with tobacco use in patients with bipolar disorder. No differences in GSH levels with alcohol use | |
[61] | 25 HC | 3 T GE + 8 channel head coil | PRESS TR/TE = 2000/35 ms + LCModel | 320 × 20 × 20 mm3 in ACC | Distinct neurometabolic profiles are evident in young people with major psychiatric disorders | ||
[24] | 45 HC | 7 T Philips | STEAM TR/TE = 2000/17 ms + LCModel | 20 × 18 × 25 mm3 in ACC, 40 × 12 × 18 mm3 in left Ins, 20 × 22 × 20 mm3 in OC | 1.75 ± 0.31 mM (ACC) 1.72 ± 0.20 mM (left Ins) 1.5 ± 0.17 mM (OC) |
Reduced GSH in ACC of patients with schizophrenia | |
[127] | 25 HC | 34.0 ± 12.3 | 3 T Siemens + 32 channels head coil | 2DJ PRESS | 20 × 20 × 20 mm3 in PCC | GSH/Cr = 0.25 | Lower GSH/Cr in PCC of patients with obsessive compulsive disorder |
[95] | 26 HC | 22.77 ± 4.05 | 3 T GE + 8 channel head coil | MEGA-PRESS TR/TE = 1500/68 ms | 20 × 40 × 30 mm3 in MPFC | GSH/H2O = 0.0015–0.0018 | No difference in GSH levels between HC and patients at a clinical high risk for psychosis |
[98] | 9 HC | 22.56 ± 2.35 | 3 T GE + 8 channel head coil | MEGA-PRESS TR/TE = 1500/68 ms | 4.5 × 2.5 × 2.5 mm3 in striatum | GSH/H2O = 1.10 ± 0.10 × 10−3 | Striatal GSH deficit in patients with a first episode of psychosis |
[97] | 17 HC | 40.4 ± 12.3 | 3 T GE + 8 channel head coil | MEGA-PRESS TR/TE = 1800/68 ms + LCModel | 28 × 30 × 25 mm3 in ACC and 25 × 40 × 30 mm3 in DPLFC | GSH/Cr = 0.11 ± 0.03 (ACC) | Higher GSH levels in PTSD patients |
[42] | 41 HC | 56–80; 68.7 ± 5.8 | 3 T GE + 8 channel head coil | PRESS TR/TE = 2000/35 ms + LCModel | 20 × 20 × 20 mm3 in ACC | Elevated ratios of GSH in subjects with mild cognitive impairment | |
[126] | 18 HC | 15–29 | 3 T GE | PRESS TE 30 ms + LCModel | 2 cm in both TC | 1.5–2 mM | GSH levels significantly higher in patients with a first episode of psychosis |