“…In 31p MRS spectra of regressing tumours in vivo, a frequent observation was a reduction in the ratio of high-energy to inorganic phosphate (ATP/Pi) (Evanochko, 1984;Naruse et al, 1985;Glickson et al, 1987;Smith et al, 1991), as might be expected with cells whose vital functions have been disrupted. However, other 31p MRS studies (Cohen et al, 1987;Werhle et al, 1987;Steen, 1989;Neeman et al, 1990;Berghmans et al, 1992;Ng et al, 1982) showed paradoxical increases in ATP/Pi or ATP posttreatment/ATP pretreatment peak ratios. These changes were observed from a few minutes to 16 h after drug administration, in both small and large tumours, animal and human tumours, in vitro and in vivo, and after administration of a variety of drugs, including doxorubicin, cyclophosphamide, cisplatin and BCNUeach of which in some way affects DNA structure.…”