Keywords: CEST & MT, CEST & MT, PARACEST, MetabolismLactate accumulation in the tumor microenvironment is a hallmark of cancer aggressiveness. Here, we report a method to image extracellular lactate using shiftCEST MRI and Yb- and EuPCTA Shift Reagents (SRs). In the presence of lactate, the SRs shift the lactate OH-CEST signal away from the water signal by ~14 ppm (EuPCTA) and ~95 ppm (YbPCTA), allowing for quantitative detection of extracellular lactate produced by cancer cells. In vivo studies confirmed the detection and fast renal elimination of the lactate*YbPCTA into the bladder by shiftCEST MRI. Overall, these results provide new insights into developing innovative non-invasive metabolic MRI.
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