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Global Translational Medicine                                           Deep learning by NMR-biochemical




            Table 2. Clinical trials on NMR‑biochemical correlation (MRI+MRS and other biomarkers) using deep learning
            Clinical trial      Outcomes of MRS in the clinical trials and reviews                    References
            Sleep apnea         Echo-planar J-resolved spectroscopic imaging and compressed sensing validation study in obstructive sleep apnea.   [20]
            Multiple sclerosis  Brain MRS of secondary progressive multiple sclerosis: MRSI study       [21]
            Multiple sclerosis  i. Clinical trials and clinical practice in multiple sclerosis.         [22]
                                ii.  High-field MR imaging and  H-MR spectroscopy in multiple sclerosis: diagnostic MR imaging criteria.  [23]
                                                    1
                                iii.  The role of MRS and fMRI in monitoring the treatment of multiple sclerosis: US National MS Society   [24]
                                  guidelines                                                            [25]
            Brain tumor         Reproducibility of localized 2D correlated MR spectroscopy.             [26]
            Prostate cancer     Standard evaluation system in prostate endorectal MRSI.                 [27]
            SCA2/MSA-C          Proton MRSI in differentiation of SCA2 from MSA-C                       [28]
            Obesity             Effect of low-fat diets on intramyocellular and hepatocellular lipids: a randomized clinical trial  [29]
            Brain tumor         MRI biomarkers in neuro-oncology                                        [30]
            Prion disease       Combined diffusion imaging and MR spectroscopy in human prion diseases   [31]
            Glioblastoma        Impact of MRSI on response assessment: glioblastoma clinical trials.    [32]
            Neurodegeneration   In vivo imaging markers of neurodegeneration in substantia nigra        [33]
            Glioblastoma        The theranostic ability of temozolomide follow‑up MRI+MRS and apparent diffusion coefficient mapping.  [34]
            Amyotrophic lateral sclerosis  Diffusion tensor MRI and MRS in the upper motor neuron in amyotrophic lateral sclerosis.  [35]
            Non-Hodgkin’s lymphoma  MRS in multi-center trials and early results in non-Hodgkin’s lymphoma   [36]
            Breast cancer       i. Hybrid multiparametric MRI-MRS-sodium MRI monitoring of breast cancers  [37]
                                ii.  7 Tesla breast proton MRI-MRS, diffusion-weighted imaging for intrinsic sensitivity in breast cancer   [38]
                                  patients receiving non-adjuvant therapy
            Low back pain       In vivo MRS and T1ρ imaging: discography and Oswestry Disability Index questionnaires: SF-36 Health survey.   [39]
            Ischemia syndrome   MRSI study on woman ischemia: Woman Ischemia syndrome evaluation WISE study   [40]
            Neurofibromatosis   Randomized controlled trial for autism neurofibromatosis type 1 (SANTA)   [41]
            Aorta coarctation   Perfusion imaging of surgical repair of coarctation of aorta study      [42]
            Brain pH            Detecting activity-evoked pH changes in the human brain                 [43]
            Thalamic GABA       GABA levels in depressive disorder                                      [44]
            Glioma              i. Volumetric and metabolic evolution in diffused intrinsic pontine gliomas.  [45]
                                ii. Use of multiparametric MRI‑FDG PET screening in diffused brain glioma: A prospective phase II study  [46]
                                iii. Dynamic susceptibility-weighted and spectroscopic MRI monitoring.  [47]
            Coronary plaque     Multi-modality intra-coronary plaque characterization: a pilot study.   [48]
            HIV and dementia    An in vivo proton MRS of HIV-associated dementia and its relationship to age.  [49]
            Renal disease       MRS to predict radiofrequency-ablated renal tissue: phase 1 trial.      [50]
            Brain fMRI          An evidence based analysis by functional MRI and MRS                    [51]
            Soft-tissue tumor   A prospective study by  Phosphorus MRS and histology on tumor response after perfusion in soft tumors   [52]
                                               31
            Cerebral astrocytoma  i.  Short TE multi-voxel spectroscopy for choline/N-acetyl aspartate ratio in grading of cerebral astrocytomas  [53]
                                ii.  Chemotherapy monitoring of high-grade malignant astrocytoma: comparison by  Thallium SPECT and   [54]
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                                  proton MRI/MRS
            Colorectal liver metastasis  Pre-operative MRS of steatohepatitis in patients with colorectal liver metastasis  [55]
            Alzheimer’s disease   Proton‑MRS of Alzheimer’s disease and Binswanger’s disease            [56]
            Prostate cancer     i. Prostate cancer MRI screening: Göteborg prostate cancer screening 2 trial  [57]
                                ii. Dynamic MRI and choline MRS in prostate cancer: Metabolites versus CAD  [58]
            Bone metastasis     3T-MR-HIFU for bone metastases of solid tumors.                         [59]
            Serotonin reuptake syndrome  Selective serotonin reuptake inhibitor in rostral anterior cingulate choline metabolite decrease.   [60]
            Depressive disorder  A 31P MRS study on creatine in female adolescents with SSRI-resistant major depressive disorder  [61]
            Abbreviations: CAD Computer‑aided diagnosis, FDG‑PET: Fluorodeoxyglucose‑positron emission tomography, fMRI: Functional magnetic
            resonance imaging, HIV: Human immunodeficiency virus, MR: Magnetic resonance, MRI: Magnetic resonance imaging, MRS: Magnetic resonance
            spectroscopy, MRSI: Magnetic resonance spectroscopic imaging, MSA‑C: Multiple system atrophy‑cerebellar subtype, SCA2; Spinocerebellar ataxia
            type 2, SPECT: Single-photon emission computerized tomography, TE: Echo time, GABA: Gamma‑aminobutyric acid, 3T‑MR‑HIFU: 3T MRI‑guided
            high-intensity focused ultrasound.


            Volume 2 Issue 3 (2023)                         6                         https://doi.org/10.36922/gtm.337
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