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Abstract #0961

Simultaneous pH- and oxygen-weighted metabolic MRI of human gliomas at 3T using multi-echo amine proton chemical exchange saturation transfer spin-and-gradient-echo echoplanar imaging (CEST-SAGE-EPI)

Benjamin M Ellingson1, Jingwen Yao1, Ararat Chakhoyan1, Phioanh L Nghiemphu2, Albert Lai2, Whitney B Pope1, Linda Liau3, and Timothy F Cloughesy2

1Radiological Sciences, University of California Los Angeles, Los Angeles, CA, United States, 2Neurology, University of California Los Angeles, Los Angeles, CA, United States, 3Neurosurgery, University of California Los Angeles, Los Angeles, CA, United States

Glycolysis is enhanced in cancers, even in the presence of abundant oxygen, leading to accumulation of lactic acid. We present a technique for fast pH- and oxygen-weighted MR imaging using multi-echo amine proton chemical exchange saturation transfer echo spin-and-gradient echoplanar imaging (CEST-SAGE-EPI) on a clinical 3T MRI system. In phantom and human experiments, we investigate the ability to simultaneously measure MTRasym at 3ppm, a measure dependent on pH, and R2’, which is sensitive to oxygen extraction. Results suggest T2 hyperintense tumor is acidic, but not hypoxic; whereas contrast enhancing tumor is acidic and hypoxic, consistent with known cancer biology.

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