Abstract
The aim of this study was to assess magnetic resonance spectroscopy (MRS) in diagnosis of brain lesions. In this cross-sectional descriptive retrospective study we include 50 patients; 18 females (36%) and 32 males (64%) and their age ranged from (4-80 years). This study was conducted at Almoalem Medical City, Khartoum, Sudan, in patients whom referred for MRS by using 1.5 Tesla Toshiba Exclelart Vantage whole body MR systems with standard imaging head coil. Data collection sheet was designed to include a detailed history and demographic data. Chi-square test was used to assess the relationship between qualitative variables. The results revealed that the majority of the patients were in the 5 th decade (24%). Glioma was the most common brain tumor (46%) and the most common tumor site was on the left side (60%) of the brain. In conclusion, diagnosis of benign and malignant brain tumors and differentiate them from other focal intracranial lesions based on imaging procedures alone is still a challenging problem. Combination of proton MRS and conventional MRI protocol provide additive valuable information helping in tissue characterization of intracranial tumors. This leading to improve the diagnosis and thus reducing biopsies. We recommend using MRS routinely in patients with brain lesions to improve the accuracy of neuro diagnosis and for other benefit in patient management.