Dynamic hyperpolarized (HP) 13C metabolic imaging allows for non-invasive measurements of real-time enzymatic conversion of injected [1-13C]pyruvate to [1-13C]lactate. The HP signal depends on several factors, including perfusion and monocarboxylate transporter activity. Previously, a global increase of pyruvate-to-lactate apparent conversion rates values was found in patients with glioma after receiving anti-angiogenic therapies. To better understand the effects of tissue vasculature on HP signals, we investigated the relationship between HP[1-13C]pyruvate metabolism and 1H perfusion parameters in normal-appearing white matter patients with glioma.
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