Evidence map›Paper›PMID 24395553›Full record

ArticleNMR in biomedicine2014

Inverse Z-spectrum analysis for spillover-, MT-, and T1 -corrected steady-state pulsed CEST-MRI--application to pH-weighted MRI of acute stroke.

Moritz Zaiss, Junzhong Xu, Steffen Goerke, Imad S Khan, Robert J Singer, John C Gore, Daniel F Gochberg, Peter Bachert

Abstract read
In one paragraph

Article in NMR in biomedicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 177 papers.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

177 citing papers in PubMed.

  1. Trial
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  6. Limited Contribution of TMolecular imaging and biology · 2026
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  13. Inverting CEST orMagnetic resonance in medicine · 2026
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  17. Clinical MR Biomarkers.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  18. Article
  19. Article
  20. Article

117 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Moritz ZaissDepartment of Medical Physics in Radiology, Deutsches Krebsforschungszentrum (DKFZ, German Cancer Research Center), Heidelberg, Germany.
Junzhong Xu
Steffen Goerke
Imad S Khan
Robert J Singer
John C Gore
Daniel F Gochberg
Peter Bachert

Funding

PROTON RELAXATION AND CONTRAST MECHANISMS IN MRIR01EB000214 · NIBIB · YALE UNIVERSITY · PI GORE, JOHN C · 2002 to 2008
$2.1M
BIOPHYSICAL BASIS OF FUNCTIONAL BRAIN FMRIR01EB002326 · NIBIB · VANDERBILT UNIVERSITY · PI GORE, JOHN C · 2003 to 2003
$454k
NIBIB NIH HHS R01 EB000214NIBIB NIH HHS R01 EB002326
6 · The paper itself

Abstract

Endogenous chemical exchange saturation transfer (CEST) effects are always diluted by competing effects, such as direct water proton saturation (spillover) and semi-solid macromolecular magnetization transfer (MT). This leads to unwanted T2 and MT signal contributions that lessen the CEST signal specificity to the underlying biochemical exchange processes. A spillover correction is of special interest for clinical static field strengths and protons resonating near the water peak. This is the case for all endogenous CEST agents, such as amide proton transfer, -OH-CEST of glycosaminoglycans, glucose or myo-inositol, and amine exchange of creatine or glutamate. All CEST effects also appear to be scaled by the T1 relaxation time of water, as they are mediated by the water pool. This forms the motivation for simple metrics that correct the CEST signal. Based on eigenspace theory, we propose a novel magnetization transfer ratio (MTRRex ), employing the inverse Z-spectrum, which eliminates spillover and semi-solid MT effects. This metric can be simply related to Rex , the exchange-dependent relaxation rate in the rotating frame, and ka , the inherent exchange rate. Furthermore, it can be scaled by the duty cycle, allowing for simple translation to clinical protocols. For verification, the amine proton exchange of creatine in solutions with different agar concentrations was studied experimentally at a clinical field strength of 3 T, where spillover effects are large. We demonstrate that spillover can be properly corrected and that quantitative evaluation of pH and creatine concentration is possible. This proves that MTRRex is a quantitative and biophysically specific CEST-MRI metric. Applied to acute stroke induced in rat brain, the corrected CEST signal shows significantly higher contrast between the stroke area and normal tissue, as well as less B1 dependence, than conventional approaches.

Indexed as

Magnetic Resonance ImagingSpectrum AnalysisAmidesAnimalsCreatineHydrogen-Ion ConcentrationMalePhantoms, ImagingProtonsRatsSolutionsSpin LabelsStrokeAmidesCreatineProtonsSolutionsSpin LabelsCESTcreatineMTpH-weighted imagingspilloverspin-lockstroke

Identifiers

PMID24395553
PMCPMC4520220

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.