Comparative quantification of dietary supplemented neural creatine concentrations with 1H-MRS peak fitting and basis spectrum methods
Abstract
Magnetic resonance spectroscopy (MRS) is an analytical procedure that can be used to non-invasively measure the concentration of a range of neural metabolites. Creatine is an important neurometabolite with dietary supplementation offering therapeutic potential for neurological disorders with dysfunctional energetic processes. Neural creatine concentrations can be probed using proton MRS and quantified using a range of software packages based on different analytical methods. This experiment examines the differences in quantification performance of two commonly used analysis packages following a creatine supplementation strategy with potential therapeutic application. Human participants followed a seven day dietary supplementation regime in a placebo-controlled, cross-over design interspersed with a five week wash-out period. Spectroscopy data were acquired the day immediately following supplementation and analyzed with two commonly-used software packages which employ vastly different quantification methods. Results demonstrate that neural creatine concentration was augmented following creatine supplementation when analyzed using the peak fitting method of quantification (105.9%±10.1). In contrast, no change in neural creatine levels were detected with supplementation when analysis was conducted using the basis spectrum method of quantification (102.6%±8.6). Results suggest that software packages that employ the peak fitting procedure for spectral quantification are possibly mo…
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Two further studies have confirmed that varying supplementation regimes can increase brain creatine.
“two further studies have confirmed varying supplementation regimes can increase brain creatine [18, 19]”
From The effects of creatine supplementation on cognitive performance—a randomised controlled study (2023) · cites this paper as [18]
Cites
Fast robust automated brain extraction
Smith, S. M. (2002) · Human Brain Mapping · doi:10.1002/hbm.10062 · Cited by 10,496 · see citing works
Zhang, Y., Brady, M., & Smith, S. M. (2001) · IEEE Transactions on Medical Imaging · doi:10.1109/42.906424 · Cited by 7,628 · see citing works
Estimation of metabolite concentrations from localized in vivo proton NMR spectra
Provencher, S. W. (1993) · Magnetic Resonance in Medicine · doi:10.1002/mrm.1910300604 · Cited by 3,659 · see citing works
Localization of the motor hand area to a knob on the precentral gyrus. A new landmark
Yousry, T. A. (1997) · Brain · doi:10.1093/brain/120.1.141 · Cited by 1,840 · see citing works
Automatic quantitation of localized in vivo1H spectra with LCModel
Provencher, S. W. (2001) · NMR in Biomedicine · doi:10.1002/nbm.698 · Cited by 1,640 · see citing works
Improved Method for Accurate and Efficient Quantification of MRS Data with Use of Prior Knowledge
Vanhamme, L., van den Boogaart, A., & Huffel, S. V. (1997) · Journal of Magnetic Resonance · doi:10.1006/jmre.1997.1244 · Cited by 1,631 · see citing works
Java-based graphical user interface for the MRUI quantitation package
Naressi, A., Couturier, C., Devos, J. M., Janssen, M., Mangeat, C., de Beer, R., & Graveron‐Demilly, D. (2001) · Magnetic Resonance Materials in Physics Biology and Medicine · doi:10.1007/bf02668096 · Cited by 1,003 · see citing works
The Role of GABA in Human Motor Learning
Stagg, C. J., Bachtiar, V., & Johansen‐Berg, H. (2011) · Current Biology · doi:10.1016/j.cub.2011.01.069 · Cited by 600 · see citing works
Localization of the motor hand area to a knob on the precentral gyrus.
Yousry, T. A. (1997) · Medical Entomology and Zoology · Cited by 594 · see citing works
Naressi, A., Couturier, C., Castang, I., de Beer, R., & Graveron‐Demilly, D. (2001) · Computers in Biology and Medicine · doi:10.1016/s0010-4825(01)00006-3 · Cited by 461 · see citing works
The NINDS NET-PD Investigators (2006) · Neurology · doi:10.1212/01.wnl.0000201252.57661.e1 · Cited by 453 · see citing works
van der Veen, J. W. C., de Beer, R., Luyten, P. R., & ORMONDT, D. V. (1988) · Magnetic Resonance in Medicine · doi:10.1002/mrm.1910060111 · Cited by 363 · see citing works
SVD-based quantification of magnetic resonance signals
Pijnappel, W. W. F., van den Boogaart, A., de Beer, R., & ORMONDT, D. V. (1992) · Journal of Magnetic Resonance (1969) · doi:10.1016/0022-2364(92)90241-x · Cited by 350 · see citing works
Increase of total creatine in human brain after oral supplementation of creatine-monohydrate
Dechent, P., Pouwels, P. J. W., Wilken, B., Hanefeld, F., & Frahm, J. (1999) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1999.277.3.r698 · Cited by 221 · see citing works
Li, B. S. Y., Wang, H., & Gonen, O. (2003) · Magnetic Resonance Imaging · doi:10.1016/s0730-725x(03)00181-4 · Cited by 207 · see citing works
A Pilot Clinical Trial of Creatine and Minocycline in Early Parkinson Disease
Ninds Net-Pd Investigators (2008) · Clinical Neuropharmacology · doi:10.1097/wnf.0b013e3181342f32 · Cited by 174 · see citing works
Lyoo, I. K., Kong, S. W., Sung, S. M., Hirashima, F., Parow, A., Hennen, J., Cohen, B. M., & Renshaw, P. F. (2003) · Psychiatry Research: Neuroimaging · doi:10.1016/s0925-4927(03)00046-5 · Cited by 140 · see citing works
Quantitation of simulated short echo time 1H human brain spectra by LCModel and AMARES
Kanowski, M., Kaufmann, J., Braun, J., Bernarding, J., & Tempelmann, C. (2004) · Magnetic Resonance in Medicine · doi:10.1002/mrm.20063 · Cited by 122 · see citing works
Hofmann, L., Slotboom, J., Jung, B., Maloca, P. M., Boesch, C., & Kreis, R. (2002) · Magnetic Resonance in Medicine · doi:10.1002/mrm.10246 · Cited by 115 · see citing works
de Graaf, A. A., & Bovée, W. M. M. J. (1990) · Magnetic Resonance in Medicine · doi:10.1002/mrm.1910150212 · Cited by 112 · see citing works
High-dose creatine therapy for Huntington disease: A 2-year clinical and MRS study
Tabrizi, S. J., Blamire, A. M., Manners, D. N., Rajagopalan, B., Styles, P., Schapira, A. H. V., & Warner, T. T. (2005) · Neurology · doi:10.1212/01.wnl.0000160388.96242.77 · Cited by 93 · see citing works
Creatine therapy for Huntington’s disease: Clinical and MRS findings in a 1-year pilot study
Tabrizi, S. J., Blamire, A. M., Manners, D. N., Rajagopalan, B., Styles, P., Schapira, A. H. V., & Warner, T. T. (2003) · Neurology · doi:10.1212/01.wnl.0000070186.97463.a7 · Cited by 87 · see citing works
A method for automatic quantification of one-dimensional spectra with low signal-to-noise ratio
Nelson, S. J., & Brown, T. R. (1987) · Journal of Magnetic Resonance (1969) · doi:10.1016/0022-2364(87)90033-3 · Cited by 65 · see citing works
The trouble with spectroscopy papers
Bottomley, P. A. (1992) · Journal of Magnetic Resonance Imaging · doi:10.1002/jmri.1880020102 · Cited by 40 · see citing works
Spectral Quantification and Pitfalls in Interpreting Magnetic Resonance Spectroscopic Data
Near, J. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-401688-0.00005-7 · Cited by 9 · see citing works
Flagged first, then by citations
1 of the 26 references couldn’t be matched to a known paper.
Cited by
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Dolan, E., Gualano, B., & Rawson, E. S. (2019) · European Journal of Sport Science · doi:10.1080/17461391.2018.1500644 · Cited by 171 · see citing works
Effects of Creatine Supplementation on Brain Function and Health
Forbes, S. C., Cordingley, D. M., Cornish, S. M., Gualano, B., Roschel, H., Ostojić, S. M., Rawson, E. S., Roy, B. D., Prokopidis, K., Giannos, P., et al. (2022) · Nutrients · doi:10.3390/nu14050921 · Cited by 174 · see citing works
Can Creatine Combat the Mental Fatigue–associated Decrease in Visuomotor Skills?
VAN CUTSEM, J., ROELANDS, B., PLUYM, B., TASSIGNON, B., VERSCHUEREN, J., DE PAUW, K., & MEEUSEN, R. (2020) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0000000000002122 · Cited by 86 · see citing works
Kondo, D. G., Forrest, L. N., Shi, X., Sung, Y.-H., Hellem, T. L., Huber, R. S., & Renshaw, P. F. (2016) · Amino Acids · doi:10.1007/s00726-016-2194-3 · Cited by 79 · see citing works
Potential for use of creatine supplementation following mild traumatic brain injury
Ainsley Dean, P. J., Arikan, G., Opitz, B., & Sterr, A. (2017) · Concussion · doi:10.2217/cnc-2016-0016 · Cited by 67 · see citing works
Rahman, M. M., Hussain, M. M., & Asiri, A. M. (2017) · New Journal of Chemistry · doi:10.1039/c6nj04101a · Cited by 38 · see citing works
Dietary guanidinoacetic acid increases brain creatine levels in healthy men
Ostojić, S. M., Ostojic, J. N., Drid, P., Vraneš, M., & Jovanov, P. T. (2016) · Nutrition · doi:10.1016/j.nut.2016.06.001 · Cited by 32 · see citing works
The effects of creatine supplementation on cognitive performance—a randomised controlled study
Sandkühler, J. F., Kersting, X., Faust, A., Königs, E. K., Altman, G., Ettinger, U., Lux, S., Philipsen, A., Müller, H., & Brauner, J. (2023) · BMC Medicine · doi:10.1186/s12916-023-03146-5 · Cited by 29 · see citing works
Creatine as a Therapeutic Target in Alzheimer's Disease
Smith, A. N., Morris, J. K., Carbuhn, A. F., Herda, T. J., Keller, J. E., Sullivan, D. K., & Taylor, M. K. (2023) · Current Developments in Nutrition · doi:10.1016/j.cdnut.2023.102011 · Cited by 29 · see citing works
Does one dose of creatine supplementation fit all?
Candow, D. G., Ostojić, S. M., Forbes, S. C., & António, J. (2024) · Advanced Exercise and Health Science · doi:10.1016/j.aehs.2024.05.002 · Cited by 18 · see citing works
Potential role of creatine as an anticonvulsant agent: evidence from preclinical studies
Alraddadi, E. A., Khojah, A. M., Alamri, F. F., Kecheck, H. K., Altaf, W. F., & Khouqeer, Y. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1201971 · Cited by 11 · see citing works
Principals and clinical applications of magnetic resonance cardiac spectroscopy in heart failure
Qureshi, W., & Nasir, U. (2017) · Heart Failure Reviews · doi:10.1007/s10741-017-9611-x · Cited by 11 · see citing works
Pratt, J., Fuchs, C. J., van Loon, L. J. C., Kennerley, A. J., & Sale, C. (2026) · The Journal of Nutritional Physiology · doi:10.1016/j.jnphys.2026.100017 · Cited by 6 · see citing works
Effects of effective stereotactic radiosurgery for brain metastases on the adjacent brain parenchyma
Wagner, S., Lanfermann, H., Wohlgemuth, W. A., & Gufler, H. (2020) · British Journal of Cancer · doi:10.1038/s41416-020-0853-3 · Cited by 4 · see citing works
Chun, J., Liu, Y., Kibler, G. L., Lee, H., Babakhani, K., Rhoades, N., Bivins, I., Ko, J., Dickerson, B., Gonzalez, D. E., et al. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2716273
Sandkühler, J. F., Kersting, X. A. K., Faust, A., Königs, E. K., Altman, G., Ettinger, U., Lux, S., Philipsen, A., Müller, H., & Brauner, J. (2023) · Figshare · doi:10.6084/m9.figshare.24571822
Silva, J. V., Oliveira, T. N., Sampaio, P., Sá, O. M. D. S., Barreto, G., Roschel, H., & Saunders, B. (2026) · Research in Sports Medicine · doi:10.1080/15438627.2026.2656695
Creatine supplementation for brain metabolic stress: a narrative review
Candow, D. G., Moriarty, T. A., Wong, S., Fabiano, N., Forbes, S. C., & Kerksick, C. M. (2026) · Academia Neuroscience and Brain Research · doi:10.20935/acadneurosci8345
Chun, J., Babakhani, K., Gonzalez, D. E., Dickerson, B. L., Sowinski, R. J., Rasmussen, C. J., & Kreider, R. B. (2026) · Journal of the International Society of Sports Nutrition · doi:10.1080/15502783.2026.2711032
- Authors
- Turner, C. E., Russell, B. R., & Gant, N.
- Affiliations
- University of Auckland (NZ)
- Corresponding author
- Gant, Nicholas
- Venue
- Magnetic Resonance Imaging
- Publisher
- Elsevier BV
- Published
- 2015-11
- Volume
- 33
- Issue
- 9
- Pages
- 1163-1167
- ISSN
- 0730-725X (ISSN-L)
- OpenAlex
- W1414769819
- Cited by
- 19
- References
- 26
- Citations by year
- 2026: 5 · 2024: 1 · 2023: 4 · 2022: 1 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 3 · 2016: 2
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Magnetic Resonance Imaging (publishedVersion)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion)
- Funders
- University of Auckland
- Topics
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced MRI Techniques and Applications
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolomics and Mass Spectrometry Studies
- Physical Sciences › Chemistry › Spectroscopy › Advanced NMR Techniques and Applications
- Keywords
- creatine supplementation, 1H NMR, spectral quantification, peak fitting, software comparison, neurometabolites, dietary supplementation, neurological disorders
- MeSH terms
- Adult, Creatine, Double-Blind Method, Female, Humans, Image Processing, Computer-Assisted, Male, Middle Aged, Cross-Over Studies, Dietary Supplements, Young Adult, Proton Magnetic Resonance Spectroscopy
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