Amine-weighted chemical exchange saturation transfer magnetic resonance imaging in brain tumors

NMR Biomed. 2023 Jun;36(6):e4785. doi: 10.1002/nbm.4785. Epub 2022 Jun 29.

Abstract

Amine-weighted chemical exchange saturation transfer (CEST) magnetic resonance imaging (MRI) is particularly valuable as an amine- and pH-sensitive imaging technique in brain tumors, targeting the intrinsically high concentration of amino acids with exchangeable amine protons and reduced extracellular pH in brain tumors. Amine-weighted CEST MRI contrast is dependent on the glioma genotype, likely related to differences in degree of malignancy and metabolic behavior. Amine-weighted CEST MRI may provide complementary value to anatomic imaging in conventional and exploratory therapies in brain tumors, including chemoradiation, antiangiogenic therapies, and immunotherapies. Continual improvement and clinical testing of amine-weighted CEST MRI has the potential to greatly impact patients with brain tumors by understanding vulnerabilities in the tumor microenvironment that may be therapeutically exploited.

Keywords: Amine CEST; Brain Tumor; CEST EPI; Glioblastoma; Treatment Response; pH Imaging.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amines* / chemistry
  • Brain Neoplasms* / chemistry
  • Brain Neoplasms* / diagnostic imaging
  • Humans
  • Hydrogen-Ion Concentration
  • Magnetic Resonance Imaging / methods
  • Protons
  • Tumor Microenvironment

Substances

  • Amines
  • Protons