Differentiation between glioma and radiation necrosis using molecular magnetic resonance imaging of endogenous proteins and peptides

Jinyuan Zhou*, Erik Tryggestad, Zhibo Wen, Bachchu Lal, Tingting Zhou, Rachel Grossman, Silun Wang, Kun Yan, De Xue Fu, Eric Ford, Betty Tyler, Jaishri Blakeley, John Laterra, Peter C.M. Van Zijl

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

439 Scopus citations

Abstract

It remains difficult to distinguish tumor recurrence from radiation necrosis after brain tumor therapy. Here we show that these lesions can be distinguished using the amide proton transfer (APT) magnetic resonance imaging (MRI) signals of endogenous cellular proteins and peptides as an imaging biomarker. When comparing two models of orthotopic glioma (SF188/V+ glioma and 9L gliosarcoma) with a model of radiation necrosis in rats, we could clearly differentiate viable glioma (hyperintense) from radiation necrosis (hypointense to isointense) by APT MRI. When we irradiated rats with U87MG gliomas, the APT signals in the irradiated tumors had decreased substantially by 3 d and 6 d after radiation. The amide protons that can be detected by APT provide a unique and noninvasive MRI biomarker for distinguishing viable malignancy from radiation necrosis and predicting tumor response to therapy.

Original languageEnglish
Pages (from-to)130-134
Number of pages5
JournalNature Medicine
Volume17
Issue number1
DOIs
StatePublished - Jan 2011
Externally publishedYes

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