Recent advances in matrix-assisted laser desorption ionization (MALDI) mass spectrometry imaging (MSI) have led to the direct analysis of tissue slices. The major advantage of MSI is its capability of simultaneously localizing and identifying a parent molecule and its metabolites without any labeling or any prior knowledge. MSI has been extensively employed to detect the differentiated pattern of lipids in various organs in different diseases, such as brains in Alzheimer's disease [1,2]. Poor reproducibility of MALDI MSI analysis due to the heterogeneity of the matrix-analyte crystals, hinders its use on quantitative analysis [2]. In addition, discontinuous ion flow due to quickly consumption of the samples under laser irradiation on specific site affects its ability in qualitative analysis. Although electrospray ionization mass spectrometry (ESI-MS) cannot directly be used for imaging, ESI tandem mass spectrometry (LC/ESI-MS/MS) can separate and distinguish gangliosides [3].Zhang et al. have presented a promising workflow for qualitative, semi-quantitative and in situ analysis of gangliosides by combining the MALDI MSI and ESI-MS [4]. Following obtaining the brain from the mice, fresh-frozen murine brain sections were prepared and coated with matrix for subsequent MALDI MSI analysis. On the other hand, lipid was extracted from brain tissue by Bligh and Dyer method [5]. The gangliosides extracts were re-suspended in water for ESI-MS analysis.For ESI-MS analysis of gangliosides, the authors firstly determine the efficiency of ganglioside extraction from brain [4]. They found that the efficiency of extraction was proportional to the length of fatty acid chain in ceramide portion, the number of saccharide residues and sialic acid, and the polarity of ganglioside. In addition, an important factor that can affect the quantitative performance of a mass detector is ion suppression. Sample matrix, coeluting compounds, and cross-talk can contribute to this effect. To bypass the phenomenon of ion suppression, the authors used UHPLC to separate lipids in brain extracts before ESI MS detection and gave reliable results. Finally, the authors employed the peak area of extracted ion in extracted ion chromatogram (XIC) for semi-quantitative analysis of the ganglioside.For MALDI MSI analysis of gangliosides, the authors also demonstrated some improvements. As the matrix is a vitral factor for MALDI MS analysis, several matrices have been tested for ganglioside analysis. DHB is a common matrix compound for lipid analysis because of its excellent signal-to-noise (S/N) ratio for the peaks of the analyte of interest [6]. 3-AQ has been shown to be better than DHB on the basis of sensitivity and resolution in negative ion mode [7]. 9-AA and nH are new developed matrices for detecting negative charged lipids and neutral oligosaccharides, respectively [8,9]. By using mouse brain extracts for MALDI-FTICR MS analysis, it was found that 3-AQ as matrix gave more gangliosides MS signals and better S/N ratio [4]. 3-AQ was then chosen as the m...