We studied the chemical exchange kinetics of 17O-labeled glucose at the C1 and the C6 position with dynamic 17O-MRS. A profile likelihood analysis is performed to determine identifiability and confidence intervals of the metabolic rate CMRGlc. The exchange experiments confirm that the C6-17OH label is transferred via glycolysis exclusively by the enzyme enolase into the metabolic end product H217O, while C1-17OH ends up in water via direct hydrolysis as well as via glycolysis. From H217O-concentration time-courses cerebral metabolic rates of CMRGlc = 0.05‑0.08 µmol/g/min are obtained which are in of the same order of magnitude as 18F-FDG PET.
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