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Abstract #3815

Spectroscopic imaging with hyperpolarized [1- 13 C]pyruvate shows an elevated lactate/pyruvate ratio in contrast enhancing and non-enhancing brain tumors of orthotopic patient-derived xenograft models of glioblastoma.

Richard Mair 1,2 , Alan Wright 1 , Kieren Allinson 3 , Tiago Rodrigues 1 , Colin Watts 2 , and Kevin Brindle 1

1 CRUK Cambridge Institute, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom, 2 Division of Neurosurgery, University of Cambridge, Cambridge, Cambridgeshire, United Kingdom, 3 Department of Pathology, Cambridge University Hospitals NHS Foundation Trust, Cambridgeshire, United Kingdom

Glioblastoma is the most common human-primary-intracranial neoplasm and has the worst prognosis. Novel orthotopic patient-derived xenograft models that recapitulate the pathophysiological phenotype of the disease allow development of novel imaging modalities for downstream clinical applications in treatment planning and monitoring. We demonstrate that 13 C magnetic resonance spectroscopic imaging with hyperpolarized [1- 13 C]pyruvate shows the presence of tumor through an elevated lactate/pyruvate ratio in both contrast enhancing and non-enhancing brain tumor lesions including areas where tumor is undetectable on T 2 weighted MRI but present on histology.

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