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Abstract #3516

Detecting Response of Metastatic Prostate Cancer to Chemotherapy in PDX Models using Hyperpolarized 13C MRI

Ivina Mali1, Sule Sahin1, Xiao Ji1, Will Byrne1, Rosalie Nolley1, Avantika Sinha1, Robert Bok1, Romelyn Delos Santos1, Peder Larson1, Rahul Aggarwal2,3, Donna Peehl1, John Kurhanewicz1, and Renuka Sriram1
1Department of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA, United States, 2Department of Hematology/Oncology, University of California San Francisco, San Francisco, CA, United States, 3Department of Medicine, University of California San Francisco, San Francisco, CA, United States

Synopsis

Keywords: Prostate, Hyperpolarized MR (Non-Gas), Prostate cancer, Preclinical models

Motivation: Diagnosis and treatment assessment of aggressive small cell neuroendocrine prostate cancer (SCNC) is challenging due to its admixture presence in conjunction with adenocarcinoma phenotype and differential response to treatments subjective to the metastatic sites.

Goal(s): This study aims to assess the therapeutic efficacy of platinum-based chemotherapy in preclinical SCNC metastatic models using patient derived xenografts.

Approach: Hyperpolarized 13C MRI was used to measure the apparent rate of change in glycolysis (kPL) in PDX models of SCNC in metastatic sites.

Results: kPL values clearly demonstrated a decrease upon treatment concordant to the change in tumor volume in both the liver and bone metastatic models.

Impact: kPL, measured by hyperpolarized MRI, can be used to assess treatment efficacy yielding a non-invasive, potentially early biomarker readily translatable for use in patients with metastatic tumors for optimal therapeutic approaches.

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