1. Bimonthly Meeting on July 7, 2008 Analysis of Recent MRS Exam Amarjeet Bhullar

2. S9.6 S19.6 S29.6 3 scans from the patient Patient Name: AD Exam ID: 4465

3. S9.6 Image PRESS ROI Superimposed on S9.6 Image: 7x7=49 Voxels

4. Metabolitesppm rangeImage range Choline3.35 to 3.2164 to 74 Creatine3.15 to 3.0078 to 88 N-Acetyl Aspartate NAA2.18 to 2.01143 to 154 Functional Map: Metabolites and Metabolite ratios 4.30 0.49

5. Metabolites view: the numerical values of the metabolites and metabolite ratios for each ROI on the image Voxel # 2Voxel # 3

6. Voxel # 9Voxel # 10

7. Voxel # 16Voxel # 17

8. Voxel # 23 Voxel # 24

9. S19.6 Image PRESS ROI Superimposed on S19.6 Image: 7x7=49 Voxels

10. Metabolites view: the numerical values of the metabolites and metabolite ratios for each ROI on the image Voxel # 2Voxel # 3

11. Voxel # 9Voxel # 10

12. Voxel # 16Voxel # 17

13. Voxel # 23 Voxel # 24

14. S29.6 Image PRESS ROI Superimposed on S29.6 Image: 7x7=49 Voxels I0.4 ?

19. Next Steps: Analysis of all existing four exams Compare them and draw the conclusion Suggestions are welcome