This study shows the glucoCEST effect in 15 patients with primary malignant brain tumors compared with normal white matter(NWM) at 3-Tesla-MRI. The procedure included a full Z-spectra CEST and a dynamic glucoCEST. The signal % at 2 ppm calculated using mean asymmetric magnetization transfer ratio values were significantly higher in the whole cancer compared to NWM. Similarly, the dynamic glucoCEST presented as mean area-under-the-curve values were significantly different in whole cancer in comparison to normal tissue. This method, using clinical field strength of 3Tesla, was capable of identifying distinct patterns of glucose metabolismand also heterogeneity in the cancer metabolism
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