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Abstract #3581

Imaging Treatment Response with Hyperpolarized Pyruvate in Anaplastic Thyroid Carcinoma

Christopher M Walker1, Zhan Xu1, Keith Michel1, Gary Martinez1, Collin J. Harlan1, Jeremy W. Gordon2, Stephanie Carlon1, Sandra Williams1, Freddy Gonzalez1, Stacy Hash1, Jerell Jones1, Asa McCoy1, Brandy Willis1, Michelle Underwood1, Andrew Day3, Moin Chariwala3, Dao Le4, Gregory Waligorski3, Daniel B. Vigneron2, Dawid Schellingerhout5, Stephen Y. Lai6, and James A. Bankson1
1Imaging Physics, MD Anderson Cancer Center, Houston, TX, United States, 22. Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, San Francisco, CA, United States, 3Center for Advanced Biomedical Imaging, MD Anderson Cancer Center, Houston, TX, United States, 4Nuclear Medicine, MD Anderson Cancer Center, Houston, TX, United States, 5Nueroradiology, MD Anderson Cancer Center, Houston, TX, United States, 6Head and Neck Surgery, MD Anderson Cancer Center, Houston, TX, United States

This case report presents the detection of hyperpolarized lactate production in a patient with anaplastic thyroid carcinoma. Lactate signal was observed following injection of hyperpolarized pyruvate and the signal was well localized to the tumor. The normalized lactate signal was reduced eight days following the onset of systemic therapy with Pembro and Lenvatinib.

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