Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging

Purpose: Gadolinium-enhancing necrosis in glioblastoma multiforme (GBM), as an occasionally occurring false positive in contrast enhancement (CE) imaging, leads to trouble for segmentation of GBM and treatment. Therefore, the investigation of complementary detection way to identify the metabolically...

Full description

Bibliographic Details
Main Authors: Anita Ebrahimpour, Mehdi Khoobi, Nader Riyahi Alam, Mahboubeh Masoumbeigi, Fatemeh Tirgar, Tayyebeh Ebrahimi
Format: Article
Language:English
Published: Elsevier 2024-04-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402404386X
_version_ 1797242982706970624
author Anita Ebrahimpour
Mehdi Khoobi
Nader Riyahi Alam
Mahboubeh Masoumbeigi
Fatemeh Tirgar
Tayyebeh Ebrahimi
author_facet Anita Ebrahimpour
Mehdi Khoobi
Nader Riyahi Alam
Mahboubeh Masoumbeigi
Fatemeh Tirgar
Tayyebeh Ebrahimi
author_sort Anita Ebrahimpour
collection DOAJ
description Purpose: Gadolinium-enhancing necrosis in glioblastoma multiforme (GBM), as an occasionally occurring false positive in contrast enhancement (CE) imaging, leads to trouble for segmentation of GBM and treatment. Therefore, the investigation of complementary detection way to identify the metabolically active volume of the tumor with high reliability is very worth to be addressed. Here, we reported on a case of GBM with gadolinium-enhancing necrosis in an experimental CE imaging study in mice and evaluated the discrimination of the necrosis and metabolically active parts of the GBM using conventional and state-of-the-art susceptibility-based MRI. Methods: In this study, following 5-aminolevulinic acid (ALA) and iron supplements (FAC, 6 h after ALA, intra-tumoral injection) to animal, T2*-W imaging and quantitative susceptibility mapping (QSM) were performed, and compared with CE imaging. Results: The signal intensity (SI) of the active and necrosis areas of the case in the CE image demonstrated no significant difference while the SI on the T2*-W images and susceptibility value in QSM changed 24 and 150%, respectively. Conclusion: The preclinical case report provides valuable insights into the potential of susceptibility-based MRI using ALA + FAC to apply as a robust discriminator between necrotic and viable tumors.
first_indexed 2024-04-24T18:47:52Z
format Article
id doaj.art-d452387f84df430589ffac385bed5a57
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-04-24T18:47:52Z
publishDate 2024-04-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-d452387f84df430589ffac385bed5a572024-03-27T04:52:35ZengElsevierHeliyon2405-84402024-04-01107e28355Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imagingAnita Ebrahimpour0Mehdi Khoobi1Nader Riyahi Alam2Mahboubeh Masoumbeigi3Fatemeh Tirgar4Tayyebeh Ebrahimi5Department of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author.Department of Medicinal Chemistry, Faculty of Pharmacy, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Radiology, Faculty of Para-Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, IranDepartment of Neuroscience and Addiction Studies, School of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Medical Physics and Biomedical Engineering, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, IranPurpose: Gadolinium-enhancing necrosis in glioblastoma multiforme (GBM), as an occasionally occurring false positive in contrast enhancement (CE) imaging, leads to trouble for segmentation of GBM and treatment. Therefore, the investigation of complementary detection way to identify the metabolically active volume of the tumor with high reliability is very worth to be addressed. Here, we reported on a case of GBM with gadolinium-enhancing necrosis in an experimental CE imaging study in mice and evaluated the discrimination of the necrosis and metabolically active parts of the GBM using conventional and state-of-the-art susceptibility-based MRI. Methods: In this study, following 5-aminolevulinic acid (ALA) and iron supplements (FAC, 6 h after ALA, intra-tumoral injection) to animal, T2*-W imaging and quantitative susceptibility mapping (QSM) were performed, and compared with CE imaging. Results: The signal intensity (SI) of the active and necrosis areas of the case in the CE image demonstrated no significant difference while the SI on the T2*-W images and susceptibility value in QSM changed 24 and 150%, respectively. Conclusion: The preclinical case report provides valuable insights into the potential of susceptibility-based MRI using ALA + FAC to apply as a robust discriminator between necrotic and viable tumors.http://www.sciencedirect.com/science/article/pii/S240584402404386XGlioblastoma multiformeGadolinium-enhancing necrosisActive metabolically contours5-Aminolevulinic acidQuantitative susceptibility mapping
spellingShingle Anita Ebrahimpour
Mehdi Khoobi
Nader Riyahi Alam
Mahboubeh Masoumbeigi
Fatemeh Tirgar
Tayyebeh Ebrahimi
Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
Heliyon
Glioblastoma multiforme
Gadolinium-enhancing necrosis
Active metabolically contours
5-Aminolevulinic acid
Quantitative susceptibility mapping
title Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
title_full Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
title_fullStr Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
title_full_unstemmed Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
title_short Reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility-based imaging
title_sort reliable differentiation of necrosis and active metabolically contours of glioblastoma multiforme using susceptibility based imaging
topic Glioblastoma multiforme
Gadolinium-enhancing necrosis
Active metabolically contours
5-Aminolevulinic acid
Quantitative susceptibility mapping
url http://www.sciencedirect.com/science/article/pii/S240584402404386X
work_keys_str_mv AT anitaebrahimpour reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging
AT mehdikhoobi reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging
AT naderriyahialam reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging
AT mahboubehmasoumbeigi reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging
AT fatemehtirgar reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging
AT tayyebehebrahimi reliabledifferentiationofnecrosisandactivemetabolicallycontoursofglioblastomamultiformeusingsusceptibilitybasedimaging