Evidence map›Paper›PMID 31649157›Full record

Trial reportAJNR. American journal of neuroradiology2019

Cerebral Ketones Detected by 3T MR Spectroscopy in Patients with High-Grade Glioma on an Atkins-Based Diet.

A Berrington, K C Schreck, B J Barron, L Blair, D D M Lin, A L Hartman, E Kossoff, L Easter, C T Whitlow, Y Jung and 5 more

Open access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Efficacy and safety of ketogenic diet in glioblastoma: an updated systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. 2DJournal of magnetic resonance imaging : JMRI · 2025
    Article
  8. Article
  9. Review
  10. Current knowledges in pharmaconutrition: "Frontiers in nutrition · 2023
    Review
  11. Review
  12. Article
  13. Article
  14. Pitfalls in 2HG Detection With TE-Optimized MRS at 3T.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    Article
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

15 authors at 8 institutions in 5 countries.

A BerringtonFrom the Russell H. Morgan Departments of Radiology and Radiological Science (A.B., D.D.M.L., P.B.B.).ORCID 0000-0002-1207-8193
K C SchreckNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0001-7181-3269
B J BarronInstitute of Clinical and Translational Research (B.J.B.), Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-5390-794X
L BlairNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0001-7335-4537
D D M LinFrom the Russell H. Morgan Departments of Radiology and Radiological Science (A.B., D.D.M.L., P.B.B.).ORCID 0000-0002-6001-2383
A L HartmanNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0001-5672-3409
E KossoffNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0002-5260-5314
L EasterClinical and Translational Science Institute (L.E., R.E.S.).ORCID 0000-0002-4591-9411
C T WhitlowDepartments of Radiology (C.T.W., Y.J.).ORCID 0000-0003-2392-8293
Y JungDepartments of Radiology (C.T.W., Y.J.).ORCID 0000-0002-7236-8897
F-C HsuBiostatistics and Data Science (F.-C.H.), Division of Public Health Sciences.ORCID 0000-0002-3310-184X
M C CervenkaNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0002-4760-857X
J O BlakeleyNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0002-1049-0993
P B BarkerFrom the Russell H. Morgan Departments of Radiology and Radiological Science (A.B., D.D.M.L., P.B.B.) pbarker2@jhmi.edu.ORCID 0000-0002-6410-7793
R E StrowdNeurology (K.C.S., L.B., A.L.H., E.K., M.C.C., J.O.B., R.E.S.).ORCID 0000-0001-6651-5267
Norwegian Womens Public Health Association · NOAnna Needs Neuroblastoma Answers · USKennedy Krieger Institute · USMACOM (United States) · USResearch Institute of Radiology · BYData Management (Italy) · ITJohns Hopkins University · USSouthern California Clinical and Translational Science Institute · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
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
Wake Forest Clinical and Translational Science AwardKL2TR001421 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI MILLER, DAVID P · 2015 to 2023
$5.8M
State of the Art 3T Research ScannerS10OD021648 · OD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI VAN ZIJL, PETER CM · 2016 to 2016
$2.0M
NCATS NIH HHS KL2 TR001421NCATS NIH HHS UL1 TR001420NCI NIH HHS P30 CA012197NIBIB NIH HHS P41 EB015909NIH HHS S10 OD021648
6 · The paper itself

Abstract

background and purposeKetogenic diets are being explored as a possible treatment for several neurological diseases, but the physiologic impact on the brain is unknown. The objective of this study was to evaluate the feasibility of 3T MR spectroscopy to monitor brain ketone levels in patients with high-grade gliomas who were on a ketogenic diet (a modified Atkins diet) for 8 weeks. MATERIALS AND

methodsPaired pre- and post-ketogenic diet MR spectroscopy data from both the lesion and contralateral hemisphere were analyzed using LCModel software in 10 patients.

resultsAt baseline, the ketone bodies acetone and β-hydroxybutyrate were nearly undetectable, but by week 8, they increased in the lesion for both acetone (0.06 ± 0.03 ≥ 0.27 ± 0.06 IU,

conclusionsThis study suggests that 3T MR spectroscopy is feasible for detecting small cerebral metabolic changes associated with a ketogenic diet, provided that appropriate methodology is used.

Indexed as

Diet, High-Protein Low-CarbohydrateBrainBrain NeoplasmsFemaleGliomaHumansKetone BodiesMagnetic Resonance SpectroscopyMaleKetone Bodies

Identifiers

PMID31649157
PMCPMC6856437
OpenAlexW2982213667

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.