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result sql = This article describes proton MR spectroscopic analysis of cerebrospinal fluid of 167 children suffering from meningitis and 24 control cases. Quantification of 12 well-separated and commonly observed cerebrospinal fluid metabolites viz., beta-hydroxybutyrate, lactate, alanine, acetate, acetone, acetoacetate, pyruvate, glutamine, citrate, creatine/creatinine, glucose (total) and urea was carried out using Bruker's NMRQUANT software with respect to a known concentration of sodium-3-(trimethylsilyl)-2,2,3,3-d4-propionate (TSP), serving as an external reference. The assignment of urea in CSF is reported for the first time by NMR. The presence of cyclopropane, observed for the first time in tuberculous meningitis overall in 85.1% of cases, acts as a finger-print marker for the differential diagnosis. Multivariate discriminant function analysis was carried out for the proton MR-detected metabolite information and the clinical symptoms data of the meningitis and control cases to find the important descriptors for classification, followed by a re-validation of the entire database. It was found that the control could be differentiated from the disease group with a success rate of 96.4%, followed by the differential diagnosis of tuberculous meningitis with a corresponding value of 77.2%. Excluding the presence of cyclopropane, bacterial meningitis could be classified 84.4% correct and viral meningitis with a rate of 83.3%. It is proposed that the NMR spectroscopic information, along with other routine clinical features, may serve as an additional diagnostic tool for the differential diagnosis of meningitis in children.
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char = o;code = 111
char = r;code = 114
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
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char = d;code = 100
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char = f;code = 102
char = f;code = 102
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char = e;code = 101
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char = t;code = 116
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char = a;code = 97
char = t;code = 116
char = i;code = 105
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char = n;code = 110
char = ;code = 32
char = o;code = 111
char = f;code = 102
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char = n;code = 110
char = g;code = 103
char = i;code = 105
char = t;code = 116
char = i;code = 105
char = s;code = 115
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char = i;code = 105
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char = i;code = 105
char = l;code = 108
char = d;code = 100
char = r;code = 114
char = e;code = 101
char = n;code = 110
char = .;code = 46
result sql = Proton MR CSF analysis and a new software as predictors for the differentiation of meningitis in children.
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char = s;code = 115
char = ;code = 32
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char = c;code = 99
char = l;code = 108
char = e;code = 101
char = ;code = 32
char = d;code = 100
char = e;code = 101
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char = c;code = 99
char = r;code = 114
char = i;code = 105
char = b;code = 98
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char = ;code = 32
char = p;code = 112
char = r;code = 114
char = o;code = 111
char = t;code = 116
char = o;code = 111
char = n;code = 110
char = ;code = 32
char = M;code = 77
char = R;code = 82
char = ;code = 32
char = s;code = 115
char = p;code = 112
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char = c;code = 99
char = t;code = 116
char = r;code = 114
char = o;code = 111
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char = c;code = 99
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char = c;code = 99
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char = a;code = 97
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char = y;code = 121
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char = ;code = 32
char = c;code = 99
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char = e;code = 101
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char = f;code = 102
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char = d;code = 100
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char = f;code = 102
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char = a;code = 97
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char = e;code = 101
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char = .;code = 46
char = ;code = 32
char = Q;code = 81
char = u;code = 117
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char = i;code = 105
char = f;code = 102
char = i;code = 105
char = c;code = 99
char = a;code = 97
char = t;code = 116
char = i;code = 105
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char = n;code = 110
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char = o;code = 111
char = f;code = 102
char = ;code = 32
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char = 2;code = 50
char = ;code = 32
char = w;code = 119
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char = l;code = 108
char = l;code = 108
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char = e;code = 101
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char = e;code = 101
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char = a;code = 97
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char = e;code = 101
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char = e;code = 101
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char = ;code = 32
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char = ;code = 32
char = c;code = 99
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char = a;code = 97
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char = r;code = 114
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char = d;code = 100
char = ;code = 32
char = o;code = 111
char = u;code = 117
char = t;code = 116
char = ;code = 32
char = u;code = 117
char = s;code = 115
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ;code = 32
char = B;code = 66
char = r;code = 114
char = u;code = 117
char = k;code = 107
char = e;code = 101
char = r;code = 114
char = ';code = 39
char = s;code = 115
char = ;code = 32
char = N;code = 78
char = M;code = 77
char = R;code = 82
char = Q;code = 81
char = U;code = 85
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char = T;code = 84
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char = n;code = 110
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result sql = This article describes proton MR spectroscopic analysis of cerebrospinal fluid of 167 children suffering from meningitis and 24 control cases. Quantification of 12 well-separated and commonly observed cerebrospinal fluid metabolites viz., beta-hydroxybutyrate, lactate, alanine, acetate, acetone, acetoacetate, pyruvate, glutamine, citrate, creatine/creatinine, glucose (total) and urea was carried out using Bruker's NMRQUANT software with respect to a known concentration of sodium-3-(trimethylsilyl)-2,2,3,3-d4-propionate (TSP), serving as an external reference. The assignment of urea in CSF is reported for the first time by NMR. The presence of cyclopropane, observed for the first time in tuberculous meningitis overall in 85.1% of cases, acts as a finger-print marker for the differential diagnosis. Multivariate discriminant function analysis was carried out for the proton MR-detected metabolite information and the clinical symptoms data of the meningitis and control cases to find the important descriptors for classification, followed by a re-validation of the entire database. It was found that the control could be differentiated from the disease group with a success rate of 96.4%, followed by the differential diagnosis of tuberculous meningitis with a corresponding value of 77.2%. Excluding the presence of cyclopropane, bacterial meningitis could be classified 84.4% correct and viral meningitis with a rate of 83.3%. It is proposed that the NMR spectroscopic information, along with other routine clinical features, may serve as an additional diagnostic tool for the differential diagnosis of meningitis in children.
Publication: NMR Biomed 2005 Jun ;18(4)::213-25.
Publication Date: 2005 Jun
Study Author(s): Subramanian, Arunachalam;Gupta, Abhishek;Saxena, Swapnil;Gupta, Ashish;Kumar, Raj;Nigam, Anjali;Kumar, Rashmi;Mandal, Sudhir K;Roy, Raja;
Institution: NMR Laboratory, Division of Sophisticated Analytical Instruments Facility (SAIF), Central Drug Research Institute, Lucknow, India.
Shortcut link to this study:
Publication Date: 2005 Jun
Study Author(s): Subramanian, Arunachalam;Gupta, Abhishek;Saxena, Swapnil;Gupta, Ashish;Kumar, Raj;Nigam, Anjali;Kumar, Rashmi;Mandal, Sudhir K;Roy, Raja;
Institution: NMR Laboratory, Division of Sophisticated Analytical Instruments Facility (SAIF), Central Drug Research Institute, Lucknow, India.
Shortcut link to this study:
This article describes proton MR spectroscopic analysis of cerebrospinal fluid of 167 children suffering from meningitis and 24 control cases. Quantification of 12 well-separated and commonly observed cerebrospinal fluid metabolites viz., beta-hydroxybutyrate, lactate, alanine, acetate, acetone, acetoacetate, pyruvate, glutamine, citrate, creatine/creatinine, glucose (total) and urea was carried out using Bruker's NMRQUANT software with respect to a known concentration of sodium-3-(trimethylsilyl)-2,2,3,3-d4-propionate (TSP), serving as an external reference. The assignment of urea in CSF is reported for the first time by NMR. The presence of cyclopropane, observed for the first time in tuberculous meningitis overall in 85.1% of cases, acts as a finger-print marker for the differential diagnosis. Multivariate discriminant function analysis was carried out for the proton MR-detected metabolite information and the clinical symptoms data of the meningitis and control cases to find the important descriptors for classification, followed by a re-validation of the entire database. It was found that the control could be differentiated from the disease group with a success rate of 96.4%, followed by the differential diagnosis of tuberculous meningitis with a corresponding value of 77.2%. Excluding the presence of cyclopropane, bacterial meningitis could be classified 84.4% correct and viral meningitis with a rate of 83.3%. It is proposed that the NMR spectroscopic information, along with other routine clinical features, may serve as an additional diagnostic tool for the differential diagnosis of meningitis in children.
PMID: 15627241
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