

<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "journalpublishing3.dtd">
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    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Avicenna J Med Biotech</journal-id>
      <journal-id journal-id-type="publisher-id">arij002</journal-id>
      <journal-title-group>
        <journal-title>Avicenna Journal of Medical Biotechnology</journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2008-2835</issn>
      <issn pub-type="epub">2008-4625</issn>
      <publisher>
        <publisher-name>Avicenna Research Institute</publisher-name>
      </publisher>
    </journal-meta>

    <article-meta>
      <article-id pub-id-type="publisher-id">ajmb20407</article-id>
      <article-id pub-id-type="doi"></article-id>
      <article-id pub-id-type="pmid"></article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
             <subject></subject> 
        </subj-group>
        <subj-group>
            <subject></subject>
        </subj-group> 
      </article-categories>
      <title-group>
        <article-title>Analysis of Glioblastoma Multiforme Tumor Metabolites  Using Multivoxel Magnetic Resonance Spectroscopy</article-title>
      </title-group>
        <contrib-group><contrib contrib-type="author"><name><surname>Siyah Mansoory</surname><given-names>Meysam</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Faramarzi</surname><given-names>Ayob</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Khoshgard</surname><given-names>Karim</given-names></name></contrib></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Mozafari</surname><given-names>Hadi</given-names></name></contrib></contrib-group>
      <pub-date pub-type="ppub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <pub-date pub-type="epub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <volume>12</volume>
      <issue>2</issue>
      <fpage>107</fpage>
      <lpage>115</lpage>
      <history>
        <date date-type="received">
          <day>10</day>
          <month>4</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>6</day>
          <month>8</month>
          <year>2019</year>
        </date>
      </history>
      <abstract>
      <p>
      &lt;p&gt;Background: Glioblastoma Multiforme (GBM) is the most common and deadly type of primary brain tumor in adults. Magnetic Resonance Spectroscopy (MRS) is a non-invasive imaging technique used to study metabolic changes in the brain tumors. Some metabolites such as Phosphocholine, Creatine, NAA/Cr, and Pcho/Cr have been proven to show a diagnostic role in GBM. The present study was conducted to analyze important metabolites using MRS multivoxel in GBM tumor.&lt;/p&gt;

&lt;p&gt;Methods: In this study, information was collected from 8 individuals diagnosed with GBM using Siemens multivoxel MRS with a magnetic field strength of 3 T. Data were obtained by Point-Resolved Spectroscopy (PRESS) protocol with TE=135 &lt;em&gt;ms&lt;/em&gt; and TR=1570 &lt;em&gt;ms&lt;/em&gt;. NAA, Pcho, Cr, Ala, Gln, Gly, Glu, Lac, NAAG, and Tau metabolites were extracted and evaluated statistically.&lt;/p&gt;

&lt;p&gt;Results: Given total number of normal voxels and total number of all voxels, levels of Cr, Glu, NAA, NAAG, and Gly/Tau ratio in healthy voxels were significantly higher than tumoral voxels (p=0.005, p=0.03, p&amp;lt;0.001, p&amp;lt;0.001 and p=0.041, respectively). In contrast, levels of Gly, Gln, Tau, Lac/Cr, Pcho/Cr, Pcho/NAA, Lac/NAA, and Gln/Glu ratios in tumoral voxels were significantly more than healthy voxels (p=0.001, p=0.037, p&amp;lt;0.001, p=0.010, p&amp;lt;0.001, p&amp;lt;0.001, and p=0.024, respectively). However, levels of Lac and Pcho had no significant difference in the two types of voxels.&lt;/p&gt;

&lt;p&gt;Conclusion: In summary, compared to patients with glioblastoma with &lt;sup&gt;1&lt;/sup&gt;H-MRS, the Pcho/Cr and Pcho/NAA ratios, and NAAG are the most important parameters to differentiate between tumoral and normal voxels.&lt;/p&gt;

      </p>
      </abstract>
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