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Abstract #0555

Dynamic Hyperpolarized 13C Metabolic Imaging of Patients with Brain Tumors

Ilwoo Park1, Peder EZ Larson1, Jeremy Gordon1, Lucas Carvajal1, Hsin-Yu Chen1, Mark VanCriekinge1, Robert Bok1, Jason C Crane1, Adam Elkhaled1, Joanna Phillips2, James B Slater1, Marcus Ferrone3, John Kurhanewicz1, Dan Vigneron1, Susan Chang2, and Sarah J Nelson1

1Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Neurological Surgery, University of California San Francisco, San Francisco, CA, United States, 3Department of Clinical Pharmacy, University of California San Francisco, San Francisco, CA, United States

Dynamic 13C data were acquired following injection of hyperpolarized [1-13C]pyruvate from 3 patients previously diagnosed with glioblastoma. Pyruvate, lactate and bicarbonate signal with high SNR were detected in human brain. Lactate/Pyruvate appeared to be relatively high in the contra-lateral, normal appearing brain. In contrast, tumor regions produced higher Lactate/Bicarbonate than contra-lateral brain. The contrast-enhancing lesion of one patient, who underwent surgical resection shortly after 13C imaging due to suspected recurrence, produced a relatively low level of Lactate/Pyruvate compared to contra-lateral brain and Lactate/Bicarbonate similar to the value in contra-lateral brain. Subsequent biopsy of the contrast-enhancing lesion indicated treatment effect.

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