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Abstract #4439

Glucose Chemical Exchange Saturation Transfer MRI for Predicting the Histological Grade of Rectal Cancer

Nan Meng1, Bo Dai1, Xue Liu1, Yaping Wu1, Xuan Yu1, Zheng Li1, Zhiwei Shen2, and Meiyun Wang1
1Henan Provincial People’s Hospital, zhengzhou, China, 2Philips Healthcare, Beijing, China

Synopsis

Keywords: CEST / APT / NOE, CEST & MT

Motivation: The histological grade of rectal cancer has a considerable involvement in treatment strategies and prognosis in relevant patients.

Goal(s): To evaluate the utility of glucose chemical exchange saturation transfer (glucoCEST) MRI with non-contrast injection in predicting the histological grade of rectal cancer.

Approach: This prospective analysis included 60 patients with rectal cancer who underwent pelvic glucoCEST, APTWI, and DWI.

Results: Elevated MTRasym (1.2 ppm), MTRasym (3.5 ppm) values and lower ADC values were observed in the high-grade group compared with low-grade cases (all P < 0.01). The AUCs of MTRasym (1.2 ppm), MTRasym (3.5 ppm), and ADC were 0.792, 0.839, and 0.855, respectively.

Impact: These preliminary data demonstrate that glucoCEST MRI without contrast injection has the potential to provide a non-invasive assessment of histological grade in rectal cancer and add value to current tools used for the differentiation between high- and low-grade rectal cancer.

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