RT Journal Article SR Electronic T1 Glutamine Imaging: A New Avenue for Glioma Management JF American Journal of Neuroradiology JO Am. J. Neuroradiol. FD American Society of Neuroradiology SP 11 OP 18 DO 10.3174/ajnr.A7333 VO 43 IS 1 A1 S. Ekici A1 J.A. Nye A1 S.G. Neill A1 J.W. Allen A1 H.-K. Shu A1 C.C. Fleischer YR 2022 UL http://www.ajnr.org/content/43/1/11.abstract AB SUMMARY: The glutamine pathway is emerging as an important marker of cancer prognosis and a target for new treatments. In gliomas, the most common type of brain tumors, metabolic reprogramming leads to abnormal consumption of glutamine as an energy source, and increased glutamine concentrations are associated with treatment resistance and proliferation. A key challenge in the development of glutamine-based biomarkers and therapies is the limited number of in vivo tools to noninvasively assess local glutamine metabolism and monitor its changes. In this review, we describe the importance of glutamine metabolism in gliomas and review the current landscape of translational and emerging imaging techniques to measure glutamine in the brain. These techniques include MRS, PET, SPECT, and preclinical methods such as fluorescence and mass spectrometry imaging. Finally, we discuss the roadblocks that must be overcome before incorporating glutamine into a personalized approach for glioma management.ASCT2alanine, serine, cysteine transporter 211C-Gln5-11C-(2S)-glutamineDMIdeuterium metabolic imaging[18F]-FGln4-[18F]-(2S,4R)-fluoroglutamine2-HG2-hydroxyglutarateIDHisocitrate dehydrogenaseMSImass spectrometry imagingmTORmechanistic target of rapamycinNMRnuclear MRPRESSpoint-resolved spectroscopyTCAtricarboxylic acid