Amide proton transfer (APT) imaging is a technique in which the nuclear magnetization of water-exchangeable amide protons of endogenous mobile proteins and peptides in tissue is saturated, resulting in a signal intensity decrease of the free water. In this work, the first human APT data were acquired from 10 patients with brain tumors on a 3T whole-body clinical scanner and compared with T 1 -(T 1 w) and T 2 -weighted (T 2 w), fluid-attenuated inversion recovery (FLAIR), and diffusion images (fractional anisotropy (FA) and apparent diffusion coefficient (ADC)). The APT-weighted images provided good contrast between tumor and edema. The effect of APT was enhanced by an approximate 4% change in the water signal intensity in tumor regions compared to edema and normal-appearing white matter (NAWM MRI is an important tool for localizing, diagnosing, and characterizing brain tumors, and assessing the effects of treatment (1-3). In addition to the widely used conventional MRI techniques (4), such as T 1 -(T 1 w) and T 2 -weighted (T 2 w) imaging, contrast-enhanced imaging, and diffusion-weighted imaging (DWI), several other techniques, such as perfusion imaging (5,6) and more recently proton spectroscopy (7-9) and diffusion tensor imaging (DTI) (10 -12) are finding their way into clinical research protocols to undergo further clinical validation. At present, a major problem in planning treatment for brain tumor patients is the difficulty of defining tumor boundaries using MRI. For instance, increased signal intensity on T 2 w imaging may be due to either tumor infiltration or peritumoral vasogenic edema. MRI cannot easily distinguish between the two. In gadolinium (Gd)-enhanced T 1 w imaging (13), only the portion of the tumor in which the blood-brain barrier (BBB) has been disrupted is visible. This area may correspond to highly cellular and/or growing areas of the lesion, but for malignant gliomas this does not represent the complete extent of tumor infiltration. Thus, the tumor boundaries are not delineated accurately. Proton MR spectroscopic imaging (MRSI) may accomplish such tissue delineation (7-9), but it suffers from reduced sensitivity and concomitant limited spatial resolution and increased scanning time. Therefore, it is important to develop complementary MRI methodologies that can visualize tumor properties.Recently, a new MRI methodology called amide proton transfer (APT) imaging was developed. With this method the interaction between protons of free tissue water and the amide groups of endogenous mobile proteins and peptides is imaged (14,15). When applied to rats implanted with 9L gliosarcoma tumors (15), APT was able to distinguish between pathology-confirmed regions of tumor and edema, which could not be accomplished using standard T 1 w/T 2 w imaging and DWI, in which the tumor border appeared diffuse. It is therefore of interest to explore this approach on humans. Because the efficiency of APT increases with the T 1 of water (16,17), and because of the requirement for slow-exchange NMR conditions, AP...