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International journal
Nov 16, 2021

Detection of 2-Hydroxyglutarate by 3.0-Tesla Magnetic Resonance Spectroscopy in Gliomas with Rare IDH Mutations: Making Sense of "False-Positive" Cases.

Diagnostics (Basel, Switzerland)
  • Manabu Natsumeda
  • Hironaka Igarashi
  • Ramil Gabdulkhaev
  • Haruhiko Takahashi
  • Kunio Motohashi
  • Ryosuke Ogura
  • Jun Watanabe
  • Yoshihiro Tsukamoto
  • Kouichirou Okamoto
  • Akiyoshi Kakita
  • Tsutomu Nakada
  • Yukihiko Fujii
  • Display all

Volume
11
Number
11
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.3390/diagnostics11112129

We have previously published a study on the reliable detection of 2-hydroxyglutarate (2HG) in lower-grade gliomas by magnetic resonance spectroscopy (MRS). In this short article, we re-evaluated five glioma cases originally assessed as isocitrate dehydrogenase (IDH) wildtype, which showed a high accumulation of 2HG, and were thought to be false-positives. A new primer was used for the detection of IDH2 mutation by Sanger sequencing. Adequate tissue for DNA analysis was available in 4 out of 5 cases. We found rare IDH2 mutations in two cases, with IDH2 R172W mutation in one case and IDH2 R172K mutation in another case. Both cases had very small mutant peaks, suggesting that the tumor volume was low in the tumor samples. Thus, the specificity of MRS for detecting IDH1/2 mutations was higher (81.3%) than that originally reported (72.2%). The detection of 2HG by MRS can aid in the diagnosis of rare, non-IDH1-R132H IDH1 and IDH2 mutations in gliomas.

Link information
DOI
https://doi.org/10.3390/diagnostics11112129
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34829476
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8619588
ID information
  • DOI : 10.3390/diagnostics11112129
  • Pubmed ID : 34829476
  • Pubmed Central ID : PMC8619588

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