There is interest in using MRS to study the effects of transcranial magnetic stimulation (TMS), but a major challenge is B0 inhomogeneities introduced by the TMS coil. Phantom work showed increasing B0 inhomogeneity as the MRS voxel was moved closer to the TMS coil. Distortions in the metabolite signals included increased noise fluctuations and spectral linewidth by ~50% when the voxel center was < 6cm away from the TMS coil B0 inhomogeneity effects were similar whether the TMS coil was pulsing prior to the PRESS sequence or not. Our results suggest TMS/MRS may be able to resolve spectra in vivo.
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