magnetic resonance spectroscopy

磁共振波谱
  • 文章类型: Journal Article
    谷胱甘肽(GSH)是氧化应激的大脑标志物,以前与大脑淀粉样蛋白沉积和记忆力下降有关。然而,到目前为止,没有研究检查GSH之间的联系,性别,年龄,淀粉样蛋白,和载脂蛋白E(APOE)基因型在一个大型非临床老年人队列中。我们进行了APOE基因分型,磁共振波谱(MRS)以及与放射性示踪剂Flutemetamol(淀粉样蛋白-PET)同时进行的正电子发射断层扫描,在一群老年人中。最终分析集包括140名健康的老年人(平均年龄:64.7岁)和49名患有轻度认知障碍的参与者(平均年龄:71.4岁)。我们通过GSH编辑的MEGAPRESS序列记录了后扣带回皮质(PCC)中的代谢物。结构方程模型显示,较高的GSH水平与女性相关,但是APOE-epsilon4携带者状态和年龄均未显示与GSH的显着关联。相反,年龄较大,并且存在APOE4等位基因,但不是性,与更高的全球淀粉样蛋白负荷有关。我们的结果表明,PCC在老年人中显示出性别特异性GSH改变。
    Glutathione (GSH) is a brain marker for oxidative stress and has previously been associated with cerebral amyloid deposition and memory decline. However, to date, no study has examined the links among GSH, sex, age, amyloid, and Apolipoprotein E (APOE) genotype in a large non-clinical cohort of older adults. We performed APOE genotyping, magnetic resonance spectroscopy (MRS) as well as simultaneous positron emission tomography with the radiotracer Flutemetamol (Amyloid-PET), in a group of older adults. The final analysis set comprised 140 healthy older adults (mean age: 64.7 years) and 49 participants with mild cognitive impairment (mean age: 71.4 years). We recorded metabolites in the posterior cingulate cortex (PCC) by a GSH-edited MEGAPRESS sequence. Structural equation modeling revealed that higher GSH levels were associated with female sex, but neither APOE- epsilon 4 carrier status nor age showed significant associations with GSH. Conversely, older age and the presence of an APOE4 allele, but not sex, are linked to higher global amyloid load. Our results suggest that the PCC shows sex-specific GSH alterations in older adults.
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  • 文章类型: Journal Article
    寄生黄蜂操纵宿主代谢的能力正在积极研究中。毒液的成分在这一过程中起主要作用。在目前的工作中,我们研究了外寄生黄蜂Habrobraconhebetor的毒液对大蜡蛾宿主(Galleriamellonella)代谢的影响。我们在H.hebetor毒液注射后的第二天鉴定并定量了蜡蛾幼虫的淋巴(无细胞血淋巴)中的45种代谢物,使用核磁共振波谱和液相色谱与质谱联用。这些代谢物包括22个氨基酸,九种脂质代谢产物(糖,胺和醇)和四种与含氮碱相关的代谢中间体,核苷酸和核苷。对幼虫代谢组的分析表明,毒液会抑制三羧酸循环,淋巴中游离氨基酸数量的增加,淋巴中海藻糖浓度的增加与葡萄糖量的减少同时,和脂肪组织中的破坏性过程。因此,这种寄生虫毒液不仅固定猎物,而且调节其新陈代谢,从而为幼虫的发育提供最佳条件。
    The ability of parasitic wasps to manipulate a host\'s metabolism is under active investigation. Components of venom play a major role in this process. In the present work, we studied the effect of the venom of the ectoparasitic wasp Habrobracon hebetor on the metabolism of the greater wax moth host (Galleria mellonella). We identified and quantified 45 metabolites in the lymph (cell-free hemolymph) of wax moth larvae on the second day after H. hebetor venom injection, using NMR spectroscopy and liquid chromatography coupled with mass spectrometry. These metabolites included 22 amino acids, nine products of lipid metabolism (sugars, amines and alcohols) and four metabolic intermediates related to nitrogenous bases, nucleotides and nucleosides. An analysis of the larvae metabolome suggested that the venom causes suppression of the tricarboxylic acid cycle, an increase in the number of free amino acids in the lymph, an increase in the concentration of trehalose in the lymph simultaneously with a decrease in the amount of glucose, and destructive processes in the fat body tissue. Thus, this parasitoid venom not only immobilizes the prey but also modulates its metabolism, thereby providing optimal conditions for the development of larvae.
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  • 文章类型: Journal Article
    晚钆增强(LGE)心脏磁共振(CMR)是诊断心肌梗死(MI)的标准技术,which,然而,由于使用钆造影剂会带来风险。期望能够基于无对比度CMR进行MI评估的技术来克服与对比度增强相关联的限制。
    我们介绍了一种新颖的深度生成学习方法,称为电影生成增强(CGE),将标准的无对比电影CMR转换为LGE等效图像,用于MI评估。采用多切片时空特征提取的CGE特征,增强对比度调制,和复杂的损失函数。收集来自3个中心的430例急性MI患者的数据。图像质量控制后,1525对(289名患者)的中心I被用于训练,同一中心的293个切片(52例患者)被保留用于内部检测。其他2个中心的40名患者(401片)用于外部检测。在公共电影CMR数据集中的20名正常受试者中进一步测试了CGE稳健性。将CGE图像与LGE进行图像质量评估和MI量化,以评估疤痕大小和透壁性。
    CGE方法在内部和外部数据集中都产生了质量优于LGE的图像。CGE和LGE测量的瘢痕大小之间存在显著(P<0.001)相关性(Pearson相关性,0.79/0.80;组内相关系数,0.79/0.77)和透壁性(皮尔逊相关性,0.76/0.64;组内相关系数,0.76/0.63)在内部/外部数据集中。考虑到所有数据集,CGE在检测疤痕方面表现出很高的敏感性(91.27%)和特异性(95.83%)。在公共数据集中获得了正常受试者的真实增强图像,而没有假阳性受试者。
    CGE在内部和外部数据集的急性MI患者中获得了优于LGE的图像质量和准确的疤痕描绘。CGE可以大大简化CMR检查,减少与钆对比相关的扫描时间和风险,这对急性患者至关重要。
    UNASSIGNED: Late gadolinium enhancement (LGE) cardiac magnetic resonance (CMR) is a standard technique for diagnosing myocardial infarction (MI), which, however, poses risks due to gadolinium contrast usage. Techniques enabling MI assessment based on contrast-free CMR are desirable to overcome the limitations associated with contrast enhancement.
    UNASSIGNED: We introduce a novel deep generative learning method, termed cine-generated enhancement (CGE), which transforms standard contrast-free cine CMR into LGE-equivalent images for MI assessment. CGE features with multislice spatiotemporal feature extractor, enhancement contrast modulation, and sophisticated loss function. Data from 430 patients with acute MI from 3 centers were collected. After image quality control, 1525 pairs (289 patients) of center I were used for training, and 293 slices (52 patients) of the same center were reserved for internal testing. The 40 patients (401 slices) of the other 2 centers were used for external testing. The CGE robustness was further tested in 20 normal subjects in a public cine CMR data set. CGE images were compared with LGE for image quality assessment and MI quantification regarding scar size and transmurality.
    UNASSIGNED: The CGE method produced images of superior quality to LGE in both internal and external data sets. There was a significant (P<0.001) correlation between CGE and LGE measurements of scar size (Pearson correlation, 0.79/0.80; intraclass correlation coefficient, 0.79/0.77) and transmurality (Pearson correlation, 0.76/0.64; intraclass correlation coefficient, 0.76/0.63) in internal/external data set. Considering all data sets, CGE demonstrated high sensitivity (91.27%) and specificity (95.83%) in detecting scars. Realistic enhancement images were obtained for the normal subjects in the public data set without false positive subjects.
    UNASSIGNED: CGE achieved superior image quality to LGE and accurate scar delineation in patients with acute MI of both internal and external data sets. CGE can significantly simplify the CMR examination, reducing scan times and risks associated with gadolinium-based contrasts, which are crucial for acute patients.
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  • 文章类型: Journal Article
    来自动物和人类研究的证据表明,创伤后应激障碍(PTSD)的谷氨酸能功能障碍。本研究的目的是使用7TMRS研究PTSD患者的背外侧前额叶皮质(DLFPC)的谷氨酸异常,与较低的场强相比,具有更好的光谱分辨率和信噪比,从而允许更好的光谱质量和更高的灵敏度。我们假设,与没有创伤后应激障碍的创伤暴露者和没有创伤暴露者相比,患有创伤后应激障碍的个体的谷氨酸水平较低。此外,我们探讨了其他神经代谢产物的潜在改变以及谷氨酸与精神症状之间的关系.
    患有PTSD的个人(n=27),没有创伤后应激障碍的创伤暴露者(n=27),无创伤暴露的个体(n=26)接受7TMRS测量左侧DLPFC中的谷氨酸和其他神经代谢产物。创伤后应激障碍的严重性,抑郁症,焦虑,和解离症状进行了评估。
    我们发现,与没有创伤暴露的组相比,PTSD和创伤暴露组的谷氨酸较低。此外,与无创伤暴露组相比,PTSD组的N-乙酰天冬氨酸(NAA)较低,乳酸较高。PTSD组谷氨酸与抑郁症状严重程度呈负相关。谷氨酸与PTSD症状严重程度无关。
    在这项关于创伤后应激障碍的7TMRS研究中,我们观察到谷氨酸浓度的改变,NAA,和乳酸。我们的发现为PTSD患者的多种可能的病理过程提供了证据。高场MRS提供了与PTSD相关的神经代谢改变的洞察力,并且是在体内探测与创伤和压力相关的神经传递和代谢的强大工具。
    UNASSIGNED: Evidence from animal and human studies suggests glutamatergic dysfunction in posttraumatic stress disorder (PTSD). The purpose of this study was to investigate glutamate abnormalities in the dorsolateral prefrontal cortex (DLFPC) of individuals with PTSD using 7T MRS, which has better spectral resolution and signal-to-noise ratio than lower field strengths, thus allowing for better spectral quality and higher sensitivity. We hypothesized that individuals with PTSD would have lower glutamate levels compared to trauma-exposed individuals without PTSD and individuals without trauma exposure. Additionally, we explored potential alterations in other neurometabolites and the relationship between glutamate and psychiatric symptoms.
    UNASSIGNED: Individuals with PTSD (n = 27), trauma-exposed individuals without PTSD (n = 27), and individuals without trauma exposure (n = 26) underwent 7T MRS to measure glutamate and other neurometabolites in the left DLPFC. The severities of PTSD, depression, anxiety, and dissociation symptoms were assessed.
    UNASSIGNED: We found that glutamate was lower in the PTSD and trauma-exposed groups compared to the group without trauma exposure. Furthermore, N-acetylaspartate (NAA) was lower and lactate was higher in the PTSD group compared to the group without trauma exposure. Glutamate was negatively correlated with depression symptom severity in the PTSD group. Glutamate was not correlated with PTSD symptom severity.
    UNASSIGNED: In this first 7T MRS study of PTSD, we observed altered concentrations of glutamate, NAA, and lactate. Our findings provide evidence for multiple possible pathological processes in individuals with PTSD. High-field MRS offers insight into the neurometabolic alterations associated with PTSD and is a powerful tool to probe trauma- and stress-related neurotransmission and metabolism in vivo.
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  • 文章类型: Journal Article
    我们报告生物结构,生物化学和生物物理证据表明小分子如何与野生型和突变体IDH1结合,但仅抑制突变体同工型的酶活性。通过X射线晶体学,我们表征了一系列与Ivosidenib抑制剂不同的结合突变体IDH1的小分子抑制剂,我们已经确定了X射线晶体结构。在整个行业中,几种突变IDH1抑制剂化学型结合到该变构IDH1口袋并选择性地抑制突变酶。通过各种生物物理技术和NMR研究的详细表征使我们提出了结合在变构IDH1R132H袋中的化合物如何抑制2-羟基戊二酸的产生。
    We report bio-structural, bio-chemical and bio-physical evidence demonstrating how small molecules can bind to both wild-type and mutant IDH1, but only inhibit the enzymatic activity of the mutant isoform. Enabled through x-ray crystallography, we characterized a series of small molecule inhibitors that bound to mutant IDH1 differently than the marketed inhibitor Ivosidenib, for which we have determined the x-ray crystal structure. Across the industry several mutant IDH1 inhibitor chemotypes bind to this allosteric IDH1 pocket and selectively inhibit the mutant enzyme. Detailed characterization by a variety of biophysical techniques and NMR studies led us to propose how compounds binding in the allosteric IDH1 R132H pocket inhibit the production of 2-Hydroxy glutarate.
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  • 文章类型: Journal Article
    背景:在足球中,大多数研究评估男性运动员的代谢特征变化,经常使用来自单个匹配的数据。鉴于目前的景观女子足球和生物性别对生理反应和运动适应的影响,更多针对女运动员的研究,并分析整个赛季的赛前和赛后时刻是必要的。
    目的:描述来自巴西精英团队的女足球运动员的代谢组学概况。该研究观察了赛前和赛后三个时刻的群体分离,并确定了有区别的代谢物。
    方法:这项研究包括14名女子足球运动员。在三场全国冠军赛的赛前和赛后时刻,使用核磁共振收集并分析了尿液样本。然后将代谢组学数据用于产生OPLS-DA和VIP图。
    结果:在样品中鉴定出43种代谢物。OPLS-DA分析证明了前后条件之间的逐步分离,由增加的Q2值(游戏1、2和3分别为0.534、0.625和0.899)和第一分量值(游戏1和2中的20.2%和19.1%与游戏3中的29.9%)。15种最具鉴别力的代谢物中有8种在三场比赛中一致出现:甘氨酸,甲酸盐,柠檬酸盐3-羟基戊酸,乙醇酸,三甲胺,尿素,还有二甲基甘氨酸.
    结论:三场比赛之间的主要区别是在整个锦标赛中各组之间的间隔越来越大。由于VIP分数较高的代谢物与能量和蛋白质代谢有关,这种分离可以归因于几个因素,一个是疲劳的积累。
    BACKGROUND: In soccer, most studies evaluate metabolic profile changes in male athletes, often using data from a single match. Given the current landscape of women\'s soccer and the effects of biological sex on the physiological response and adaptation to exercise, more studies targeting female athletes and analyzing pre- and post-game moments throughout the season are necessary.
    OBJECTIVE: To describe the metabolomics profile of female soccer athletes from an elite team in Brazil. The study observed the separation of groups in three pre- and post-game moments and identified the discriminating metabolites.
    METHODS: The study included 14 female soccer athletes. Urine samples were collected and analyzed using Nuclear Magnetic Resonance in pre-game and immediate post-game moments over three national championship games. The metabolomics data were then used to generate OPLS-DA and VIP plots.
    RESULTS: Forty-three metabolites were identified in the samples. OPLS-DA analyses demonstrated a progressive separation between pre-post conditions, as supported by an increasing Q2 value (0.534, 0.625, and 0.899 for games 1, 2 and 3, respectively) and the first component value (20.2% and 19.1% in games 1 and 2 vs. 29.9% in game 3). Eight out of the fifteen most discriminating metabolites appeared consistently across the three games: glycine, formate, citrate, 3-hydroxyvalerate, glycolic acid, trimethylamine, urea, and dimethylglycine.
    CONCLUSIONS: The main difference between the three games was the increasing separation between groups throughout the championship. Since the higher VIP-scores metabolites are linked to energy and protein metabolism, this separation may be attributed several factors, one being the accumulation of fatigue.
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  • 文章类型: Journal Article
    通过Pickering颗粒稳定的乳液由于其高稳定性和生物相容性而变得越来越受欢迎。因此,开发新的方法来生产有效的皮克林粒子是至关重要的。在这项工作中,我们提出了一种晶体工程方法来获得对颗粒性质的精确控制,如尺寸,形状,和晶体结构,这可能会影响润湿性和表面化学。开发了一种通过反溶剂结晶的高度可重现的合成方法,以生产亚稳态III型的亚微米级姜黄素晶体,用作皮克林稳定剂。产生的晶体呈现明显的疏水性质,这通过它们优选稳定油包水(W/O)乳液来证明。对姜黄素晶体进行了全面的实验和计算表征,以合理化其疏水性质。分析技术,包括拉曼光谱,粉末X射线衍射(PXRD),固态核磁共振(SSNMR),扫描电子显微镜(SEM),差示扫描量热法(DSC),共聚焦荧光显微镜和接触角测量用于表征姜黄素颗粒的形状,尺寸和界面活性。相反,附着能量模型被应用于研究姜黄素晶体的相关表面特征,如拓扑结构和特定面的表面化学。这项工作有助于了解晶体性质对Pickering稳定机制的影响,并为从制药到食品科学等领域的创新产品的制定铺平了道路。
    Emulsions stabilized via Pickering particles are becoming more and more popular due to their high stability and biocompatibility. Hence, developing new ways to produce effective Pickering particles is essential. In this work, we present a crystal engineering approach to obtain precise control over particle properties such as size, shape, and crystal structure, which may affect wettability and surface chemistry. A highly reproducible synthesis method via anti-solvent crystallization was developed to produce sub-micron sized curcumin crystals of the metastable form III, to be used as Pickering stabilizers. The produced crystals presented a clear hydrophobic nature, which was demonstrated by their preference to stabilize water-in-oil (W/O) emulsions. A comprehensive experimental and computational characterization of curcumin crystals was performed to rationalize their hydrophobic nature. Analytical techniques including Raman spectroscopy, powder X-ray diffraction (PXRD), Solid-State Nuclear Magnetic Resonance (SSNMR), scanning electron microscopy (SEM), Differential Scanning Calorimetry (DSC), confocal fluorescence microscopy and contact angle measurements were used to characterize curcumin particles in terms of shape, size and interfacial activity. The attachment energy model was instead applied to study relevant surface features of curcumin crystals, such as topology and facet-specific surface chemistry. This work contributes to the understanding of the effect of crystal properties on the mechanism of Pickering stabilization, and paves the way for the formulation of innovative products in fields ranging from pharmaceuticals to food science.
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  • 文章类型: Journal Article
    脯氨酸-羟基化是一种氧依赖性翻译后修饰(PTM),已知可调节胶原蛋白的原纤维形成并调节缺氧诱导因子(HIF)α亚基的细胞表达。然而,我们对这一重要但相对罕见的PTM的理解仍然不完整,因为缺乏能够直接测量内在无序蛋白质内多个脯氨酸-羟基化事件的生物物理方法.这里,我们描述了一种基于实时13C直接检测的基于NMR的测定法,用于研究低氧诱导因子1α的固有无序氧依赖性降解域中两个进化上保守的脯氨酸(P402和P564)的羟基化。脯氨酸的“无质子”性质。我们清楚地表明,P564以时间分辨方式快速羟基化,而P402羟基化明显落后于P564。差异羟基化速率受与脯氨酸羟化酶的结合亲和力的影响可忽略不计,而是通过周围的氨基酸组成,特别是P564+1位的保守酪氨酸残基。这些发现支持了一个意想不到的观点,即进化上保守的P402似乎对正常的氧传感途径影响最小。
    Prolyl-hydroxylation is an oxygen-dependent posttranslational modification (PTM) that is known to regulate fibril formation of collagenous proteins and modulate cellular expression of hypoxia-inducible factor (HIF) α subunits. However, our understanding of this important but relatively rare PTM has remained incomplete due to the lack of biophysical methodologies that can directly measure multiple prolyl-hydroxylation events within intrinsically disordered proteins. Here, we describe a real-time 13C-direct detection NMR-based assay for studying the hydroxylation of two evolutionarily conserved prolines (P402 and P564) simultaneously in the intrinsically disordered oxygen-dependent degradation domain of hypoxic-inducible factor 1α by exploiting the \"proton-less\" nature of prolines. We show unambiguously that P564 is rapidly hydroxylated in a time-resolved manner while P402 hydroxylation lags significantly behind that of P564. The differential hydroxylation rate was negligibly influenced by the binding affinity to prolyl-hydroxylase enzyme, but rather by the surrounding amino acid composition, particularly the conserved tyrosine residue at the +1 position to P564. These findings support the unanticipated notion that the evolutionarily conserved P402 seemingly has a minimal impact in normal oxygen-sensing pathway.
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  • 文章类型: Journal Article
    配对脉冲经颅磁刺激是研究运动皮层抑制机制的有价值的工具。我们最近证明了它在视觉皮层中测量皮层抑制的用途,使用一种方法,参与者追踪刺激引起的枕骨皮质的磷大小。这里,我们调查了原发性视皮层抑制的年龄相关差异,以及原发性视皮层抑制与同一区域局部GABA之间的关系,使用磁共振波谱估计。GABA+估计有28名年轻人(18至28岁)和47名老年人(65至84岁);一个子集(19名年轻人,18岁以上)还完成了配对脉冲经颅磁刺激会话,评估视觉皮层抑制。老年人的成对脉冲经颅磁刺激抑制作用明显较低。未校正的GABA+在初级视觉皮层中也显著低于老年人,而针对磁共振波谱体素的组织组成进行校正的GABA测量值随年龄变化而不变。此外,双脉冲经颅磁刺激测量的抑制和磁共振波谱测量的组织校正的GABA+显著正相关.这些发现与视觉皮层皮层抑制的年龄相关下降相一致,并表明视觉皮层中的成对脉冲经颅磁刺激效应是由GABA能机制驱动的。正如在运动皮层中所证明的那样。
    Paired-pulse transcranial magnetic stimulation is a valuable tool for investigating inhibitory mechanisms in motor cortex. We recently demonstrated its use in measuring cortical inhibition in visual cortex, using an approach in which participants trace the size of phosphenes elicited by stimulation to occipital cortex. Here, we investigate age-related differences in primary visual cortical inhibition and the relationship between primary visual cortical inhibition and local GABA+ in the same region, estimated using magnetic resonance spectroscopy. GABA+ was estimated in 28 young (18 to 28 years) and 47 older adults (65 to 84 years); a subset (19 young, 18 older) also completed a paired-pulse transcranial magnetic stimulation session, which assessed visual cortical inhibition. The paired-pulse transcranial magnetic stimulation measure of inhibition was significantly lower in older adults. Uncorrected GABA+ in primary visual cortex was also significantly lower in older adults, while measures of GABA+ that were corrected for the tissue composition of the magnetic resonance spectroscopy voxel were unchanged with age. Furthermore, paired-pulse transcranial magnetic stimulation-measured inhibition and magnetic resonance spectroscopy-measured tissue-corrected GABA+ were significantly positively correlated. These findings are consistent with an age-related decline in cortical inhibition in visual cortex and suggest paired-pulse transcranial magnetic stimulation effects in visual cortex are driven by GABAergic mechanisms, as has been demonstrated in motor cortex.
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  • 文章类型: Journal Article
    背景:胱氨酸硫氨酸在1p/19q缺失的神经胶质瘤中选择性积累,并且可以作为一种可能的非侵入性生物标志物。这项研究旨在优化点分辨光谱(PRESS)的回波时间(TE),用于神经胶质瘤中的cystathialine检测,并评估PRESS对1p/19q缺失识别的诊断准确性。
    方法:通过数值和体模分析对PRESS的TE进行了优化,以更好地从重叠的天冬氨酸多联中分辨出胱氨酸。然后将优化的和97ms的TEPRESS应用于84例怀疑患有神经胶质瘤或神经胶质瘤复发的前瞻性招募患者,以通过拟合有和没有天冬氨酸的光谱来检查天冬氨酸对cystathialine定量的影响。评估了PRESS对1p/19q缺失神经胶质瘤的诊断性能。
    结果:PRESS的TE优化为(TE1,TE2)=(17ms,28ms)。在计算和体模之间,胱硫醚和天冬氨酸的光谱图是一致的。对于97msTEPRESS,在没有天冬氨酸的情况下,在体内拟合的胱氨酸硫氨酸的平均浓度显着高于具有完整基础集的拟合的平均浓度(1.97±2.01mM与1.55±1.95mM,p<0.01),但对于45ms方法(0.801±1.217mM和0.796±1.217mM,p=0.494)。45ms方法的胱氨酸硫氨酸浓度与编辑的MRS的浓度比97ms方法更好(r=0.68vs.0.49,均p<0.01)。45ms方法鉴别1p/19q缺失胶质瘤的敏感性和特异性分别为66.7%和73.7%,对于97毫秒方法,分别为44.4%和52.5%,分别。
    结论:与97ms方法相比,45msTEPRESS产生更精确的胱硫醚估计值,并有望促进1p/19q缺失胶质瘤的非侵入性诊断,以及对这些患者的治疗反应监测。观察到PRESS对1p/19q缺失神经胶质瘤的中等诊断性能,并需要进一步调查。
    BACKGROUND: Cystathionine accumulates selectively in 1p/19q-codeleted gliomas, and can serve as a possible noninvasive biomarker. This study aims to optimize the echo time (TE) of point-resolved spectroscopy (PRESS) for cystathionine detection in gliomas, and evaluate the diagnostic accuracy of PRESS for 1p/19q-codeletion identification.
    METHODS: The TE of PRESS was optimized with numerical and phantom analysis to better resolve cystathionine from the overlapping aspartate multiplets. The optimized and 97 ms TE PRESS were then applied to 84 prospectively enrolled patients suspected of glioma or glioma recurrence to examine the influence of aspartate on cystathionine quantification by fitting the spectra with and without aspartate. The diagnostic performance of PRESS for 1p/19q-codeleted gliomas were assessed.
    RESULTS: The TE of PRESS was optimized as (TE1, TE2) = (17 ms, 28 ms). The spectral pattern of cystathionine and aspartate were consistent between calculation and phantom. The mean concentrations of cystathionine in vivo fitting without aspartate were significantly higher than those fitting with full basis-set for 97 ms TE PRESS (1.97 ± 2.01 mM vs. 1.55 ± 1.95 mM, p < 0.01), but not significantly different for 45 ms method (0.801 ± 1.217 mM and 0.796 ± 1.217 mM, p = 0.494). The cystathionine concentrations of 45 ms approach was better correlated with those of edited MRS than 97 ms counterparts (r = 0.68 vs. 0.49, both p < 0.01). The sensitivity and specificity for discriminating 1p/19q-codeleted gliomas were 66.7% and 73.7% for 45 ms method, and 44.4% and 52.5% for 97 ms method, respectively.
    CONCLUSIONS: The 45 ms TE PRESS yields more precise cystathionine estimates than the 97 ms method, and is anticipated to facilitate noninvasive diagnosis of 1p/19q-codeleted gliomas, and treatment response monitoring in those patients. Medium diagnostic performance of PRESS for 1p/19q-codeleted gliomas were observed, and warrants further investigations.
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