Recently, a direct saturation correction (DISC) method has proved to improve APT quantification in pulsed-RF CEST imaging. In this study, performance of tumor characterization was compared among routine asymmetry analysis (MTRasym), three-point offset (APT3pts) and the DISC methods in glioma patients at 3T. Although all methods revealed significant APT elevation in tumor region compared to that in the contralateral normal appearing white matter, the DISC method exhibited substantially higher contrast-to-noise ratio (2.16±0.90) between the two regions than that of MTRasym (1.78±1.08) and APT3pts (0.87±0.57), demonstrating its superiority in improved sensitivity for tumor characterization.
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