Evaluation of Preoperative Functional Magnetic Resonance Imaging (fMRI) in Patients With Brain Tumors

Recruitment & Eligibility

Inclusion Criteria

Health Volunteers

Volunteers between the ages of 18 and 80 years
Volunteers must be able to perform the language paradigms on cue while inside the scanner Patients
Patients between the ages of 18 and 80 years
Patients must be able to perform the language paradigms on cue while inside the scanner
Women of child bearing potential must have a negative pregnancy test prior to the study intervention (Serum or Urine)
Patients diagnosed with primary glial neoplasm, meningioma and metastasis (from prior histology) or must be suspected to have primary glial neoplasm, meningioma and metastasis on imaging (to be confirmed by post-operative histology).
Patient"s location of the tumor must involve the expected location of Broca"s area (left pars opercularis and/or pars triangularis), or the expected location of the primary motor area (the pre-central gyrus). This determination will be made on the basis of a pre-operative MRI by a fellowship-trained Neuroradiologist

Exclusion Criteria

Healthy Volunteers

Volunteers who are unable to comply or complete MRI exams as per the site"s standards. (e.g.: claustrophobia, high levels of anxiety, pacemaker etc.)

o MSK site only - see Appendix 2
Volunteers who are unable to perform the language paradigms on cue while inside the scanner (due to weakness, deafness, inability to understand or follow instructions etc.)
Volunteers with a history of neurological disorders, psychiatric disorders or cancer Female volunteers who are pregnant or nursing.
Volunteers who have MRI safe pacemakers.
Volunteers from the vulnerable population, as defined by 45 CFR 46
Volunteers who are unable to perform the breath hold task during practice sessions Patients
Patients who are unable to comply or complete MRI exams as per the site"s standards. (e.g.: claustrophobia, high levels of anxiety, pacemaker etc.)

°MSK site only - see Appendix 2
Patients who have MRI safe pacemakers.
Patient who are unable to perform the language paradigms on cue while inside the scanner (due to weakness, deafness, inability to understand or follow instructions etc.)
Female patients who are pregnant or nursing.
Patients from the vulnerable population, as defined by 45 CFR 46
Patients who are unable to perform the breath hold task during practice sessions

Study & Design

Arm && Interventions

Group	Intervention	Description
Functional Magnetic Resonance Imaging (fMRI)	fMRI Paradigms	The interventions for this study are non-invasive. For patients, routine pre-operative MRI that includes task based fMRI and perfusion data acquisition will be performed on a 3T scanner. Patients who participate in this study, will have approximately 5 minutes added to their scan time for the below described breath holding fMRI (BH fMRI) paradigm, which will be done for research purposes. For healthy volunteers, participation will involve having a high resolution anatomical MRI done with the same paradigms which patients will have, listed below. the total scanner time will be approximately 25 minutes, and the scan will not be billed to the healthy volunteer.

Primary Outcome Measures

Name	Time	Method
Number of patients that have false negative results	2 years	The primary objective is to examine if the false negative results of BOLD fMRI adjacent to brain tumors can be compensated for by measurements of BH-MRI and subsequent calibration of the BOLD response. We will have two sets of data: 1) the data obtained using routine techniques to analyze the BOLD fMRI data; and 2) the data obtained where the BOLD fMRI data was analyzed incorporating BH data. Every data point obtained in 1) will have a corresponding data point using 2), the BH MRI data, to adjust the BOLD fMRI analysis.

Secondary Outcome Measures

Name	Time	Method

Recruitment & Eligibility