Evidence map›Paper›PMID 34255437›Full record

ArticleBrain and behavior2021

Volumetric glutamate imaging (GluCEST) using 7T MRI can lateralize nonlesional temporal lobe epilepsy: A preliminary study.

Peter N Hadar, Lohith G Kini, Ravi Prakash Reddy Nanga, Russell T Shinohara, Stephanie H Chen, Preya Shah, Laura E M Wisse, Mark A Elliott, Hari Hariharan, Ravinder Reddy and 4 more

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  9. Hyperpolarized [1-Brain communications · 2025
    Article
  10. Article
  11. Neuroimaging at 7 Tesla: a pictorial narrative review.Quantitative imaging in medicine and surgery · 2022
    Review
  12. Advanced neuroimaging techniques in epilepsy.Current opinion in neurology · 2022
    Review
  13. 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

14 authors at 4 institutions in 1 country.

Peter N HadarPenn Epilepsy Center, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-1681-4717
Lohith G KiniDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA.
Ravi Prakash Reddy NangaCenter for Magnetic Resonance & Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Russell T ShinoharaDepartment of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA, USA.
Stephanie H ChenPenn Epilepsy Center, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Preya ShahDepartment of Bioengineering, University of Pennsylvania, Philadelphia, PA, USA.
Laura E M WissePenn Image Computing & Science Lab, University of Pennsylvania, Philadelphia, PA, USA.
Mark A ElliottCenter for Magnetic Resonance & Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Hari HariharanCenter for Magnetic Resonance & Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Ravinder ReddyCenter for Magnetic Resonance & Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
John A DetreCenter for Magnetic Resonance & Optical Imaging, Department of Radiology, University of Pennsylvania, Philadelphia, PA, USA.
Joel M SteinDepartment of Radiology, University of Pennsylvania, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Sandhitsu DasPenn Image Computing & Science Lab, University of Pennsylvania, Philadelphia, PA, USA.
Kathryn A DavisPenn Epilepsy Center, Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Resonance Research (United States) · USHospital of the University of Pennsylvania · USUniversity of Pennsylvania · USPenn Center for AIDS Research · US

Funding

Training and DisseminationP41EB015893 · NIBIB · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2012 to 2019
$11.3M
NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Optimized Intracranial EEG Targeting in Focal Epilepsy based upon Neuroimaging ConnectomicsR01NS116504 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVIS, KATHRYN ADAMIAK · 2021 to 2025
$3.3M
A Novel Method for Glutamate ImagingR01NS087516 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI REDDY, RAVINDER · 2014 to 2018
$1.7M
NCATS NIH HHS TL1 TR001880NIBIB NIH HHS P41 EB015893NINDS NIH HHS K23-NS073801NINDS NIH HHS R01 NS087516
6 · The paper itself

Abstract

introductionDrug-resistant epilepsy patients show worse outcomes after resection when standard neuroimaging is nonlesional, which occurs in one-third of patients. In prior work, we employed 2-D glutamate imaging, Glutamate Chemical Exchange Saturation Transfer (GluCEST), to lateralize seizure onset in nonlesional temporal lobe epilepsy (TLE) based on increased ipsilateral GluCEST signal in the total hippocampus and hippocampal head. We present a significant advancement to single-slice GluCEST imaging, allowing for three-dimensional analysis of brain glutamate networks.

methodsThe study population consisted of four MRI-negative, nonlesional TLE patients (two male, two female) with electrographically identified left temporal onset seizures. Imaging was conducted on a Siemens 7T MRI scanner using the CEST method for glutamate, while the advanced normalization tools (ANTs) pipeline and the Automated Segmentation of the Hippocampal Subfields (ASHS) method were employed for image analysis.

resultsVolumetric GluCEST imaging was validated in four nonlesional TLE patients showing increased glutamate lateralized to the hippocampus of seizure onset (p = .048, with a difference among ipsilateral to contralateral GluCEST signal percentage ranging from -0.05 to 1.37), as well as increased GluCEST signal in the ipsilateral subiculum (p = .034, with a difference among ipsilateral to contralateral GluCEST signal ranging from 0.13 to 1.57).

conclusionsThe ability of 3-D, volumetric GluCEST to localize seizure onset down to the hippocampal subfield in nonlesional TLE is an improvement upon our previous 2-D, single-slice GluCEST method. Eventually, we hope to expand volumetric GluCEST to whole-brain glutamate imaging, thus enabling noninvasive analysis of glutamate networks in epilepsy and potentially leading to improved clinical outcomes.

Indexed as

Epilepsy, Temporal LobeGlutamic AcidFemaleHippocampusHumansMagnetic Resonance ImagingMaleNeuroimagingGlutamic Acidepilepsyglutamate imagingMRI

Identifiers

PMID34255437
PMCPMC8413808
OpenAlexW3181432840

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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.