Routinely used magnetization transfer (MT) asymmetry in measurement of pH-sensitive amide proton transfer (APT) effect is susceptible to concomitant contributions, including semisolid MT and nuclear overhauser effect (NOE). In this study, multi-pool contribution from NOE, MT, CEST at 2 ppm and APT during the acute stroke was resolved with a sum of five Lorentzian functions. Results confirmed the changes in MT and NOE offset each other, and reduction of APT was approximately two-fold of the CEST effect decrease at 2 ppm, dominating the commonly observed pH-sensitive MTRasym change during acute stroke.
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