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Abstract #2423

Proton MRS monitoring of Atkins-based dietary therapy in patients with glioma

Peter B Barker1,2, Subechhya Pradhan1, Yanqin Lin1,3, Karisa C Schreck4, Doris D.M. Lin1, Jaishri Blakeley4,5, and Roy E Strowd5,6

1Radiology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 2F.M. Kirby Research Center for Functional Brain Imaging, Kennedy Krieger Institute, Baltimore, MD, United States, 3Department of Electronic Science, Xiamen University, Xiamen, China, People's Republic of, 4Neurology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 5Oncology, Johns Hopkins Univ School of Medicine, Baltimore, MD, United States, 6Department of Neurology and Internal Medicine, Wake Forest School of Medicine, Winston Salem, NC, United States

5 patients with high grade glioma were enrolled in an 8-week dietary therapy program based on the modified Atkin’s diet. Tumor and contralateral brain metabolism was monitored before and after therapy using proton MRS. Significant reductions in contralateral NAA were observed post treatment, as well as increases in acetone in both lesion and contralateral brain. MRS may be useful for monitoring the efficacy of dietary therapy in patients with malignant glioma.

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