Evidence map›Paper›PMID 31228076›Full record

ArticleMolecular imaging and biology2020

Evaluating the Role of Amide Proton Transfer (APT)-Weighted Contrast, Optimized for Normalization and Region of Interest Selection, in Differentiation of Neoplastic and Infective Mass Lesions on 3T MRI.

Ayan Debnath, Rakesh Kumar Gupta, Anup Singh

Abstract read
In one paragraph

Article in Molecular imaging and biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. CEST MRI in the Management/Diagnosis of Neuroinfectious Diseases.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Ayan DebnathCentre for Biomedical Engineering, Indian Institute of Technology Delhi, Block II, Room No. 299, New Delhi, 110016, India.
Rakesh Kumar GuptaFortis Memorial Research Institute, Gurgaon, India.
Anup SinghCentre for Biomedical Engineering, Indian Institute of Technology Delhi, Block II, Room No. 299, New Delhi, 110016, India. anupsm@iitd.ac.in.ORCID 0000-0001-6744-8326

Funding

TR&D 4: Algorithms for functional and anatomical brain analysisP41EB015909 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2012 to 2020
$13.1M
NIBIB NIH HHS P41 EB015909
6 · The paper itself

Abstract

purposeTo evaluate the role of amide proton transfer-weighted (APT-w) magnetic resonance imaging (MRI) in differentiating neoplastic and infective mass lesions using different contrast normalizations, region of interest (ROI) selection, and histogram analysis. PROCEDURES: Retrospective study included 32 treatment-naive patients having intracranial mass lesions (ICMLs): low-grade glioma (LGG) = 14, high-grade glioma (HGG) = 10, and infective mass lesions = 8. APT-w MRI images were acquired along with conventional MRI images at 3 T. APT-w contrast, corrected for B

resultsICMLs showed significantly (p < 0.01) higher APT-w contrast in lesion compared with contralateral side. There was a substantial overlap between mean APT-w contrast of neoplastic and infective mass lesions as well as among different groups of ICMLs irrespective of ROI selection and normalizations. APT-w contrast (using type 4 normalization: normalized with reference signal at negative offset frequency and APT-w contrast in normal-appearing white matter) reduced variability of APT-w contrast across different subjects, and overlap was less compared with other types of normalizations. There was a significant difference (p < 0.05) between neoplastic and infective mass lesions using t test for different histogram parameters of type 4 normalized APT-w contrast. ANOVA with post hoc showed significant difference (p < 0.05) for different histogram parameters of APT-w contrast (Type 4 normalization) between LGG and HGG, LGG, and infective mass lesion. Histogram parameters such as standard deviation, mean of top percentiles, and median provided improved differentiation between neoplastic and infective mass lesions compared with mean APT-w contrast. A greater number of histogram parameters of type 4 normalized APT-w contrast corresponding to active lesion region can significantly differentiate between ICMLs than other types of normalizations and ROIs.

conclusionsAPT-w contrast using type 4 normalization and active lesion region (ROI-2) should be used for studying APT. APT-MRI should be combined with other MRI techniques to further improve the differential diagnosis of ICMLs.

Indexed as

AdolescentAdultAgedAged, 80 and overAmidesBrainBrain NeoplasmsChildContrast MediaFemaleGliomaHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMiddle AgedAmidesContrast MediaProtonsAmide proton transfer–weightedChemical exchange saturation transfer (CEST)Infective mass lesionsIntracranial mass lesionsMRINeoplastic mass lesions

Identifiers

PMID31228076
PMCPMC7109008

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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.