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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