1. Using EPI to investigate HP [1-13C]pyruvate
metabolism in glioma patients and healthy
volunteers
Adam W Autry, Jeremy W Gordon, Hsin-Yu Chen, Daniele
Mammoli, Marisa LaFontaine, Javier Villanueva-Meyer, Susan M
Chang, Duan Xu, Peder EZ Larson, Daniel B Vigneron,
Sarah J Nelson, and Yan Li
University of California, San Francisco (UCSF)
2. [1] Park et al, MRM 2018, [2] Miloushev et al, Cancer Res. 2018
Hyperpolarized (HP) 13C Imaging
Chemical shift (ppm)
190 185 180 175 170 165 160
pyruvate
13. Test 30-min Re-Test: Healthy Control0
kP
B
kPL(s-1)
0.022
0.011
0
Re-Test:24chTest:32ch
Test / Re-Test kPL,NAWM : 0.017 ± 0.001 / 0.017 ± 0.002 s-1
14. Serial HP Data
0.036+
kPL(s-1)
0.018
0
0.009
0.027
TP8+bevTP7+bevTP5TP6
0 10 20 30 40 50 0 10 20 30 40 50
Time (s) Time (s)
2000
4000
6000
8000
10000
2000
1000
3000
HP-13CSignal(AU)
Pyruvate
Lactate
Bicarbonate
Post-bevacizumabPre-bevacizumab
Recirculation
Normal-appearing white matter
Patient with glioma before and
during treatment with anti-
angiogenic agent bevacizumab