{Reference Type}: Journal Article {Title}: Improvement of MRS at ultra-high field using a wireless RF array. {Author}: Frankini A;Verma G;Seifert AC;Delman BN;Subramaniam V;Balchandani P;Alipour A; {Journal}: NMR Biomed {Volume}: 0 {Issue}: 0 {Year}: 2024 Jul 31 {Factor}: 4.478 {DOI}: 10.1002/nbm.5224 {Abstract}: We aim to assess a straightforward technique to enhance spectral quality in the brain, particularly in the cerebellum, during 7 T MRI scans. This is achieved through a wireless RF array insert designed to mitigate signal dropouts caused by the limited transmit field efficiency in the inferior part of the brain. We recently developed a wireless RF array to improve MRI and 1H-MRS at 7 T by augmenting signal via inductive coupling between the wireless RF array and the MRI coil. In vivo experiments on a Siemens 7 T whole-body human scanner with a Nova 1Tx/32Rx head coil quantified the impact of the dorsal cervical array in improving signal in the posterior fossa, including the cerebellum, where the transmit efficiency of the coil is inherently low. The 1H-MRS experimental protocol consisted of paired acquisition of data sets, both with and without the RF array, using the semi-LASER and SASSI sequences. The overall results indicate that the localized 1H-MRS is improved significantly in the presence of the array. Comparison of in vivo 1H-MRS plots in the presence versus absence of the array demonstrated an average SNR enhancement of a factor of 2.2. LCModel analysis reported reduced Cramér-Rao lower bounds, indicating more confident fits. This wireless RF array can significantly increase detection sensitivity. It may reduce the RF transmission power and data acquisition time for 1H-MRS and MRI applications, specifically at 7 T, where 1H-MRS requires a high-power RF pulse. The array could provide a cost-effective and efficient solution to improve detection sensitivity for human 1H-MRS and MRI in the regions with lower transmit efficiency.