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APT weighted imaging in diffuse gliomas.

Lucia Nichelli1, Moritz Zaiss2, Stefano Casagranda3

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Amide proton transfer-weighted (APTw) imaging is a reliable MRI technique for neuro-oncology. This review highlights its clinical potential for glioma patients and discusses its application in diffuse gliomas.

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Area of Science:

  • Radiology and Medical Imaging
  • Neuro-oncology
  • Molecular MRI

Background:

  • Amide proton transfer-weighted (APTw) imaging is a non-invasive molecular MRI technique.
  • APTw metrics have demonstrated reproducibility and reliability over 15 years of research.
  • Major MRI vendors now offer APTw sequences, indicating growing clinical acceptance.

Purpose of the Study:

  • To introduce APTw imaging contrast and its clinical potential in neuroradiology, specifically for glioma patients.
  • To illustrate the utility of APTw imaging before and after tumor therapy.
  • To discuss common artifacts, limitations, and future directions for APTw imaging in diffuse gliomas.

Main Methods:

  • Review of pre-clinical experiments and clinical studies on APTw imaging.
  • Presentation of APTw imaging principles and contrast mechanisms.
  • Illustration of clinical cases and artifact examples.

Main Results:

  • APTw imaging metrics are reproducible and reliable.
  • APTw imaging shows clinical potential for evaluating gliomas.
  • Understanding artifacts and limitations is crucial for effective application.

Conclusions:

  • APTw imaging is an emerging technique with significant value in neuro-oncology.
  • This review aims to familiarize neuroradiologists with APTw imaging for improved diffuse glioma work-up.
  • Further refinements and understanding of APTw imaging will enhance its clinical utility.