Conventional structural MRI has limited specificity in defining the extent and grade of glioma. MRSI complements MRI in tumor tissue characterization with neurometabolic fingerprints. In this study, we investigated the use of high-resolution 3D MRSI for glioma grading and evaluation of patient overall survival. Our results showed that the neurometabolic biomarkers could differentiate low-grade from high-grade gliomas and provide prognostic value for overall survival of newly diagnosed glioma patients.
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