The clinical value of Amide proton transfer (APT) imaging in brain tumors has been intensively studied and validated. However, whether and how much Gadolinium-based (Gd) agent in clinical dosage has impact on the APT-weighted signal in clinical scenarios remains controversial. Hence, this study designed an in vitro study using a phantom with a gradient dosage of Gd-based agent and then validated the result in 6 patients with brain tumors. The result revealed that APT effect was significantly influenced by Gd contrast agent both in the phantom in vitro study and in vivo study.
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