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Abstract #0287

3D MR Spectroscopic Imaging of 2-Hydroxyglutarate in patients with mutant IDH1 glioma

Ovidiu Cristian Andronesi 1 , Franziska Loebel 2 , Wolfgang Bogner 3 , Malgorzata Marjanska 4 , Elizabeth Gerstner 5 , Andrew Chi 5 , Tracy T. Batchelor 5 , Daniel P. Cahill 6 , and Bruce R. Rosen 1

1 Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 2 Department of Neurosurgery, Massachusetts General Hospital, Boston, MA, United States, 3 MR Center of Excellence, Department of Radiology, Medical University Vienna, Vienna, Vienna, Austria, 4 Center for Magnetic Resonance Research, University of Minnesota, MN, United States, 5 Pappas Center of Neuro-Oncology, Department of Neurology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States, 6 Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States

High levels of 2-hydroxyglutarate (2HG) represent the hallmark metabolic alteration in mutant IDH gliomas. 2HG has been proposed as an ideal biomarker to diagnose and monitor treatment response of mutant IDH gliomas. We show here newly that 3D MR spectroscopic imaging (MRSI) of 2HG is feasible clinically in glioma patients. A novel 3D MRSI sequence was designed to edit reliably and efficiently the 2HG levels. Results obtained serially in mutant IDH glioma patients are shown.

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