Evidence map›Paper›PMID 40096575›Full record

ArticleMagnetic resonance in medicine2025

Dynamic glucose enhanced imaging using direct water saturation.

Linda Knutsson, Nirbhay N Yadav, Sajad Mohammed Ali, David Olayinka Kamson, Eleni Demetriou, Anina Seidemo, Lindsay Blair, Doris D Lin, John Laterra, Peter C M van Zijl

Abstract read
In one paragraph

Article in Magnetic resonance in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Effective Modeling of Continuous WaveMagnetic resonance in medicine · 2026
    Article
  3. Article
  4. Dynamic glucose-enhanced MRI in brain tumors.Magma (New York, N.Y.) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Linda KnutssonF.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, USA.ORCID 0000-0002-4263-113X
Nirbhay N YadavF.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, USA.
Sajad Mohammed AliDepartment of Medical Radiation Physics, Lund University, Lund, Sweden.ORCID 0000-0002-4707-8206
David Olayinka KamsonDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Eleni DemetriouF.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, USA.
Anina SeidemoDiagnostic Radiology, Department of Clinical Sciences, Lund University, Lund, Sweden.ORCID 0000-0002-0919-9680
Lindsay BlairDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Doris D LinRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
John LaterraDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Peter C M van ZijlF.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, Maryland, USA.

Funding

Development and Translation of D-glucose as a Diagnostic Agent for MRI of CancerR01EB034978 · NIBIB · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Linda Knutsson, Peter CM Van Zijl · 2023 to 2026
$2.5M
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
Cancerfonden 21 1652 PjNIBIB NIH HHS R01 EB034978NIBIB NIH HHS RO1 EB034978NIBIB NIH HHS S10OD021648NIH HHS S10 OD021648Vetenskapsrådet 2019-03637
6 · The paper itself

Abstract

purposeDynamic glucose enhanced (DGE) MRI studies employ CEST or spin lock (CESL) to study glucose uptake. Currently, these methods are hampered by low effect size and sensitivity to motion. To overcome this, we propose to utilize exchange-based linewidth (LW) broadening of the direct water saturation (DS) curve of the water saturation spectrum (Z-spectrum) during and after glucose infusion (DS-DGE MRI).

methodsTo estimate the glucose-infusion-induced LW changes (ΔLW), Bloch-McConnell simulations were performed for normoglycemia and hyperglycemia in blood, gray matter (GM), white matter (WM), CSF, and malignant tumor tissue. Whole-brain DS-DGE imaging was implemented at 3 T using dynamic Z-spectral acquisitions (1.2 s per offset frequency, 38 s per spectrum) and assessed on four brain tumor patients using infusion of 35 g of D-glucose. To assess ΔLW, a deep learning-based Lorentzian fitting approach was used on voxel-based DS spectra acquired before, during, and post-infusion. Area-under-the-curve (AUC) images, obtained from the dynamic ΔLW time curves, were compared qualitatively to perfusion-weighted imaging parametric maps.

resultsIn simulations, ΔLW was 1.3%, 0.30%, 0.29/0.34%, 7.5%, and 13% in arterial blood, venous blood, GM/WM, malignant tumor tissue, and CSF, respectively. In vivo, ΔLW was approximately 1% in GM/WM, 5% to 20% for different tumor types, and 40% in CSF. The resulting DS-DGE AUC maps clearly outlined lesion areas.

conclusionsDS-DGE MRI is highly promising for assessing D-glucose uptake. Initial results in brain tumor patients show high-quality AUC maps of glucose-induced line broadening and DGE-based lesion enhancement similar and/or complementary to perfusion-weighted imaging.

Indexed as

Brain NeoplasmsGlucoseMagnetic Resonance ImagingAdultAlgorithmsBrainFemaleGray MatterHumansImage Processing, Computer-AssistedMaleWaterWhite MatterGlucoseWaterCESTdirect saturation (DS)dynamic glucose enhanced (DGE) MRIglucoCESTZ‐spectra

Identifiers

PMID40096575
PMCPMC12021318

What OpenQuestion holds

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LicenceCC BY
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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.