40,000+ Publications. Decades of Validation.

MR spectroscopy is one of the most extensively studied neuroimaging techniques. BrainSpec brings this vast body of evidence into clinical practice with FDA-cleared software.

Publications Library

Selected Publications

Key publications supporting the use of MRS.

Associations Between Neurochemistry and Gait Performance Following Concussion in Collegiate Athletes

Charney MF, Howell DR, Lanois C, Starr TC, Liao H, Coello E, Breedlove KM, Meehan WP 3rd, Koerte IK, Lin AP

Journal of Head Trauma Rehabilitation

Links MRS-identified neurochemical changes in the brain to measurable gait abnormalities following concussion, providing objective evidence of functional impairment correlated with metabolic injury.
Traumatic Brain Injury
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Proton MR spectroscopic findings correspond to neuropsychological function in traumatic brain injury

Friedman SD, Brooks WM, Jung RE, Hart BL, Yeo RA

American Journal of Neuroradiology

Establishes a direct correlation between MRS-measured metabolite levels and neuropsychological test performance in TBI patients, supporting MRS as an objective biomarker of cognitive function.
Traumatic Brain Injury
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Metabolic and cognitive response to human traumatic brain injury: a quantitative proton magnetic resonance study

Brooks WM, Stidley CA, Petropoulos H, Jung RE, Weers DC, Friedman SD, Barlow MA, Sibbitt WL Jr, Yeo RA

Journal of Neurotrauma

NAA reduced and choline elevated in TBI gray and white matter.
Traumatic Brain Injury
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Proton MR spectroscopy and MRI-volumetry in mild traumatic brain injury

Cohen BA, Inglese M, Rusinek H, Babb JS, Grossman RI, Gonen O

American Journal of Neuroradiology

Combines volumetric MRI with MR spectroscopy to identify neurochemical changes in mild TBI patients, demonstrating that metabolic alterations are detectable even when structural imaging appears normal.
Traumatic Brain Injury
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Proton MRS in acute traumatic brain injury: role for glutamate/glutamine and choline for outcome prediction

Shutter L, Tong KA, Holshouser BA

Journal of Neurotrauma

Demonstrates the utility of proton MRS for detecting metabolic disruption in the acute phase of TBI, showing NAA reduction and choline elevation as early biomarkers of injury severity.
Traumatic Brain Injury
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Repeated Sub-Concussive Impacts and the Negative Effects of Contact Sports on Cognition and Brain Integrity

Ntikas M, Binkofski F, Shah NJ, Ietswaart M

International Journal of Environmental Research and Public Health

MRS can help detect repetitive sub-concussive injury even when neurocognitive testing is normal.
Traumatic Brain Injury
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Altered Neurochemistry in Former Professional Soccer Players without a History of Concussion

Koerte IK, Lin AP, Muehlmann M, Merugumala S, Liao H, Starr T, Kaufmann D, Mayinger M, Steffinger D, Fisch B, Karch S, Heinen F, Ertl-Wagner B, Reiser M, Stern RA, Zafonte R, Shenton ME

Journal of Neurotrauma

Former professional soccer players with no diagnosed concussions showed elevated choline and myo-inositol, correlating with cumulative head impact exposure.
Traumatic Brain Injury
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The clinical utility of proton magnetic resonance spectroscopy in traumatic brain injury: recommendations from the ENIGMA MRS working group

Bartnik-Olson BL, Alger JR, Babikian T, Harris AD, Holshouser B, Kirov II, Maudsley AA, Thompson PM, Dennis EL, Tate DF, Wilde EA, Lin A

Brain Imaging and Behavior

Major consensus paper recommending clinical utility of MRS in TBI. Co-authored by BrainSpec co-founder Alexander Lin, PhD.
Traumatic Brain Injury
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Magnetic Resonance Spectroscopy of Traumatic Brain Injury and Subconcussive Hits: A Systematic Review and Meta-Analysis

Joyce JM, La PL, Walker R, Harris AD

Journal of Neurotrauma

Meta-analysis found NAA reduction across all severities of TBI. MRS identified injury even when neurocognitive testing was normal.
Traumatic Brain Injury
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Rate of Quantitative Neuroimaging Abnormalities in Chronic Traumatic Brain Injury

Raji CA, Rahmani F, et al.

BMC Neurology

BrainSpec MRS identified abnormalities in 91.5% of chronic TBI cases, compared to 24.6% with visual MRI and 16.9% with DTI. Study of 65 individuals scanned median 37 months post-injury.
Traumatic Brain Injury
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