Abstract #2285

Rates of Change of 1H & 31P MRS Cerebral Metabolites Vs Lactate/NAA in the 48h Following Global Transient Global Hypoxia-Ischaemia in the Newborn Piglet

Nicola Jayne Robertson¹, Stuart Faulkner¹, Alan Bainbridge², Manigandan Chandrasekaran¹, Dorottya Kelen¹, Sudhin Thayyil¹, Ernest Cady², Xavier Golay³, Gennadij Raivich¹

¹Institute for Women's Health, University College London, London, United Kingdom; ²Medical Physics & Bioengineering, University College Hospitals, London, United Kingdom; ³UCL Institute of Neurology, London, United Kingdom

1H MRS lactate/NAA is the most sensitive and specific MR biomarker of outcome following perinatal asphyxia in babies. In this validated large animal model of perinatal asphyxia we compared the rates of change of different 1H and 31P metabolite peak area ratios vs lactate/NAA during the 48 hours after a global transient hypoxic-ischaemic insult. Compared to Lac/NAA, Lac/Cr changed most rapidly and was most sensitive to lower degrees of injury while NAA/Cr, NTP/EPP and pHi/EPP were least sensitive to injury and responded last. Lac/NAA appears to provide sufficient sensitivity detect moderate to severe brain injury following global hypoxia-ischaemia.