There is an intrinsic relationship between tumour glycolysis and its pH environment. CEST MRI enables the detection of tumour pH in both intra- (pHi) and extracellular (pHe) spaces with AACID and acidoCEST methods. Kinetic analysis of dynamic FDG-PET can provide an accurate measurement of tumour glycolysis. This study demonstrates the capability of simultaneous measurements of pHi and pHe using CEST MRI, providing a more complete picture of the tumour pH environment, and explores the intrinsic relationship between tumour glycolysis and its pH environment.
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