Evidence map›Paper›PMID 27454352›Full record

ArticleMagnetic resonance in medicine2017

Detection of 2-hydroxyglutarate in brain tumors by triple-refocusing MR spectroscopy at 3T in vivo.

Zhongxu An, Sandeep K Ganji, Vivek Tiwari, Marco C Pinho, Toral Patel, Samuel Barnett, Edward Pan, Bruce E Mickey, Elizabeth A Maher, Changho Choi

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  10. Spectral editing inNMR in biomedicine · 2021
    Article
  11. Magnetic resonance spectroscopy for the study of cns malignancies.Progress in nuclear magnetic resonance spectroscopy · 2021
    Article
  12. In vivo 2-hydroxyglutarate-proton magnetic resonance spectroscopy (3 T, PRESS technique) in treatment-naïve suspect lower-grade gliomas: feasibility and accuracy in a clinical setting.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
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  18. An Update on the Approach to the Imaging of Brain Tumors.Current neurology and neuroscience reports · 2017
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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

10 authors at 3 institutions in 1 country.

Zhongxu AnAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0003-3759-5645
Sandeep K GanjiAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Vivek TiwariAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Marco C PinhoAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Toral PatelDepartment of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Samuel BarnettDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Edward PanDepartment of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Bruce E MickeyDepartment of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Elizabeth A MaherDepartment of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Changho ChoiAdvanced Imaging Research Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Southwestern Medical Center · USNeurological Surgery · USThe University of Texas Southwestern Medical Center · US

Funding

Clinical development of cancer-specific MRS biomarkers in malignant gliomasR01CA184584 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI CHOI, CHANGHO · 2014 to 2018
$1.6M
NCI NIH HHS R01 CA184584
6 · The paper itself

Abstract

purposeTo test the efficacy of triple-refocusing MR spectroscopy (MRS) for improved detection of 2-hydroxyglutarate (2HG) in brain tumors at 3T in vivo.

methodsThe triple-refocusing sequence parameters were tailored at 3T, with density-matrix simulations and phantom validation, for enhancing the 2HG 2.25-ppm signal selectivity with respect to the adjacent resonances of glutamate (Glu), glutamine (Gln), and gamma-aminobutyric acid (GABA). In vivo MRS data were acquired from 15 glioma patients and analyzed with LCModel using calculated basis spectra. Metabolites were quantified with reference to water.

resultsA triple-refocusing sequence (echo time = 137 ms) was obtained for 2HG detection. The 2HG 2.25-ppm signal was large and narrow while the Glu and Gln signals between 2.2 and 2.3 ppm were minimal. The optimized triple refocusing offered improved separation of 2HG from Glu, Gln and GABA when compared with published MRS methods. 2HG was detected in all 15 patients, the estimated 2HG concentrations ranging from 2.4 to 15.0 mM, with Cramer-Rao lower bounds of 2%-11%. The 2HG estimates did not show significant correlation with total choline.

conclusionThe optimized triple refocusing provides excellent 2HG signal discrimination from adjacent resonances and may confer reliable in vivo measurement of 2HG at relatively low concentrations. Magn Reson Med 78:40-48, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Indexed as

AlgorithmsSignal Processing, Computer-AssistedAdultAgedBiomarkers, TumorBrain NeoplasmsFemaleGlutaratesHumansMagnetic Resonance SpectroscopyMaleMiddle AgedReproducibility of ResultsSensitivity and Specificityalpha-hydroxyglutarateBiomarkers, TumorGlutarates1H MRS2-hydroxyglutarate3Tgliomahuman brain tumorisocitrate dehydrogenasetriple refocusing

Identifiers

PMID27454352
PMCPMC5266748
OpenAlexW2476469796

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.