A new method, based on a deformable shape-intensity model (DSM), was developed to improve the signal-to-noise ratio (SNR) of multidimensional magnetic resonance spectroscopic imaging (MRSI) data sets without affecting spectral lineshapes and linewidths. Improvements with DSM, compared to digital filters using conventional signal apodization, were demonstrated on both simulated and experimental in vivo 1 H MRS images from 22 cognitively normal (CN) elderly subjects and 25 patients with Alzheimer's disease (AD). Simulated MRSI data showed that DSM achieved superior noise suppression compared to a matched apodization filter. Experimental MRSI data showed that SNR could be increased 2.1-fold with DSM without distorting spectral resolution, thus maintaining all spectral features of the raw, unfiltered data. In conclusion, DSM should be used to achieve high SNR in reconstructing MRSI data. Key words: deformable shape-intensity model; magnetic resonance spectroscopic imaging; noise reduction; spectral analysisIn vivo magnetic resonance spectroscopic imaging (MRSI) suffers generally from poor signal-to-noise ratio (SNR), because of a combination of a weak MR signal and low metabolite concentrations. Low SNR limits the technique's ability to detect metabolite abnormalities in subjects. Therefore, an increase of SNR is a key factor in the success of many MRSI applications. Signal averaging is one way to improve SNR. However, this approach is often not practical because of long acquisition times. In addition, signal averaging can become inefficient with higher B 0 fields, because physiological noise, which scales with the magnetic field strength, increasingly contributes to variations of the signal (1). Another way to improve SNR is by noise suppression using digital filters. This is conventionally achieved by multiplying MRSI data in the time domain with exponential functions (apodization filters) that are designed to attenuate high-frequency noise in MR spectra (2,3). A carefully designed apodization filter that "matches" linewidth of the metabolite signal can reduce noise without degrading spectral resolution (2). However, matched filtering is difficult to accomplish in MRSI because linewidths, as well as lineshapes, often vary substantially over large regions in the brain (4,5).Methods that model spectral signal characteristics, such as intensity and frequency, may help resolve the difficulties that arise with the use of spectral apodization filters. Deformable shape-intensity models (DSMs) are being used in digital image analysis (6 -8) to maintain essential characteristics of image shape and intensity while accommodating fluctuations. These models have not been applied before to MRSI; however, the frequency and intensity variations of MRSI may be interpreted in a similar manner as for the shape and intensity fluctuations of images, which suggests that DSM might be useful in analyzing MRSI data. In this study, we applied DSM to process MRSI data to improve SNR. The specific goals were to 1) develop DSM for separating ...