CNS Malignancy
Conditions
Brief summary
This study is being done to determine if CEST magnetic resonance imaging (MRI) and FDG PET are feasible techniques to detect metabolic differences between tumor and brain in patients with a brain tumor.
Interventions
Imaging using an FDG radioactive tracer to look at the head.
A noninvasive diagnostic test for measuring biochemical changes in the brain, especially the presence of tumors.
Sponsors
Study design
Eligibility
Inclusion criteria
* Radiographic evidence or histopathologic confirmation of CNS malignancy, with or without prior resection. * Provide written informed consent for the current study. * Willing to undergo at least one MRI (and possibly more at PI discretion) with proton and/or phosphorus magnetic resonance spectroscopy analysis.
Exclusion criteria
* Vulnerable populations: pregnant or nursing women (Arm B exempt), prisoners, mentally handicapped. * Cardiac pacemaker or artificial heart valve * Metal plate, pin, or other metallic implant * Intrauterine device, such as Copper-7 IUD * Insulin or other drug pump * Non-titanium aneurysm clips * Previous gunshot wound * Cochlear implant or other hearing device * Employment history as a metalworker (had metal in eye) * Permanent (tattoo) eye-liner * For FDG-PET specifically: Fasting blood sugar level greater than 200mg/dl
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of subjects in whom glutamate metabolite is detected and measurable. | Baseline | Number of subjects in whom glutamate metabolite is detected and measurable via CEST MRI in tumor, brain, and/or the ventricular space. |
| Number of subjects in whom n-acetylaspartate (NAA) metabolite is detected and measurable. | Baseline | Number of subjects in whom n-acetylaspartate (NAA) metabolite is detected and measurable via CEST MRI in tumor, brain, and/or the ventricular space. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time required to perform the CEST MRI study and measure metabolites of interest | Duration of CEST MRI scan, approximately one to two hours. | Total time expressed in minutes required to perform the CEST MRI study and measure metabolites of interest. |
Countries
United States