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Abstract #4535

Inverse Z-spectrum analysis of chemical exchange saturation transfer MRI in orthotopic models of paediatric-type diffuse high grade glioma.

Declan J. Bolster1, Upasana Roy1, Rita Pereira2, Ketty Kessler2, Chris Jones2, Simon P. Robinson1, and Jessica K. R. Boult1
1Division of Radiotherapy & Imaging, Institute of Cancer Research, London, United Kingdom, 2Division of Molecular Pathology, Institute of Cancer Research, London, United Kingdom

Synopsis

Keywords: Biology, Models, Methods, Cancer, Preclinical; CEST & MT

Motivation: The diffuse growth of paediatric-type diffuse high grade glioma (PDHGG) precludes complete delineation with conventional MRI.

Goal(s): Molecular imaging with CEST may improve tumour detection.

Approach: Three orthotopic models of PDHGG were assessed using inverse Z-spectrum analysis of CEST data.

Results: Clear distinction between tumour and contralateral normal-appearing brain in ssMT and rNOE maps, which relate to macromolecular content, was observed in two well-defined tumour models when analysed using MTRRex and AREX. Similar CEST contrast was also apparent in a third more diffuse model, inconspicuous on T2w-MRI. This CEST approach can successfully stratify PDHGG tumours in vivo.

Impact: Relaxation compensated CEST metrics provide novel biochemical contrasts in three orthotopic models of paediatric-type diffuse high grade glioma, enabling detection of diffuse disease, highlighting the clinical potential of CEST contrasts to stratifying tumours.

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Keywords