Hyperpolarized- C magnetic resonance imaging (HP- C MRI) was used to image changes in C-lactate signal during a visual stimulus condition in comparison to an eyes-closed control condition. Whole-brain C-pyruvate, C-lactate and C-bicarbonate production was imaged in healthy volunteers (N=6, ages 24-33) for the two conditions using two separate hyperpolarized C-pyruvate injections. BOLD-fMRI scans were used to delineate regions of functional activation.
View Article and Find Full Text PDFPurpose: To test the hypothesis that lactate oxidation contributes to the C-bicarbonate signal observed in the awake human brain using hyperpolarized C MRI.
Methods: Healthy human volunteers (N = 6) were scanned twice using hyperpolarized C-MRI, with increased radiofrequency saturation of C-lactate on one set of scans. C-lactate, C-bicarbonate, and C-pyruvate signals for 132 brain regions across each set of scans were compared using a clustered Wilcoxon signed-rank test.
MRI with hyperpolarized (HP) C agents, also known as HP C MRI, can measure processes such as localized metabolism that is altered in numerous cancers, liver, heart, kidney diseases, and more. It has been translated into human studies during the past 10 years, with recent rapid growth in studies largely based on increasing availability of hyperpolarized agent preparation methods suitable for use in humans. This paper aims to capture the current successful practices for HP MRI human studies with [1-C]pyruvate - by far the most commonly used agent, which sits at a key metabolic junction in glycolysis.
View Article and Find Full Text PDFIn this study, hyperpolarized C MRI (HP- C MRI) was used to investigate changes in the uptake and metabolism of pyruvate with age. Hyperpolarized C-pyruvate was administered to healthy aging individuals (N = 35, ages 21-77) and whole-brain spatial distributions of C-lactate and C-bicarbonate production were measured. Linear mixed-effects regressions were performed to compute the regional percentage change per decade, showing a significant reduction in both normalized C-lactate and normalized C-bicarbonate production with age: per decade for C-lactate and per decade for C-bicarbonate.
View Article and Find Full Text PDFAlterations in metabolism following radiotherapy affect therapeutic efficacy, although the mechanism underlying such alterations is unclear. A new imaging technique-named dynamic nuclear polarization (DNP) carbon-13 magnetic resonance imaging (MRI)-probes the glycolytic flux in a real-time, dynamic manner. The [1-C]pyruvate is transported by the monocarboxylate transporter (MCT) into cells and converted into [1-C]lactate by lactate dehydrogenase (LDH).
View Article and Find Full Text PDFHyperpolarized (HP) [1- C]lactate is an attractive alternative to [1- C]pyruvate as a substrate to investigate cardiac metabolism in vivo: it can be administered safely at a higher dose and can be polarized to a degree similar to pyruvate via dynamic nuclear polarization. While C cardiac experiments using HP lactate have been performed in small animal models, they have not been demonstrated in large animal models or humans. Utilizing the same hardware and data acquisition methods as the first human HP C cardiac study, C metabolic images were acquired following injections of HP [1- C]lactate in porcine hearts.
View Article and Find Full Text PDFBackground: Stereotactic radiosurgery (SRS) is used to manage intracranial metastases in a significant fraction of patients. Local progression after SRS can often only be detected with increased volume of enhancement on serial MRI scans which may lag true progression by weeks or months.
Methods: Patients with intracranial metastases (N = 11) were scanned using hyperpolarized [Formula: see text]C MRI prior to treatment with stereotactic radiosurgery (SRS).
Hyperpolarized (HP) MRI provides the means to monitor lactate metabolism noninvasively in tumours. Since -lactate signal levels obtained from HP imaging depend on multiple factors, such as the rate of substrate delivery via the vasculature, the expression level of monocarboxylate transporters (MCTs) and lactate dehydrogenase (LDH), and the local lactate pool size, the interpretation of HP metabolic images remains challenging. In this study, ex vivo tissue extract measurements (i.
View Article and Find Full Text PDFDynamic nuclear polarization (DNP) provides the opportunity to boost liquid state magnetic resonance (MR) signals from selected nuclear spins by several orders of magnitude. A cryostat running at a temperature of ~ 1 K and a superconducting magnet set to between 3 and 10 T are required to efficiently hyperpolarize nuclear spins. Several DNP polarizers have been implemented for the purpose of hyperpolarized MR and recent systems have been designed to avoid the need for user input of liquid cryogens.
View Article and Find Full Text PDFPurpose: Asymmetric in-plane k-space sampling of EPI can reduce the minimum achievable TE in hyperpolarized with spectral-spatial radio frequency pulses, thereby reducing weighting and signal-losses. Partial Fourier image reconstruction exploits the approximate Hermitian symmetry of k-space data and can be applied to asymmetric data sets to synthesize unmeasured data. Here we tested whether the application of partial Fourier image reconstruction would improve spatial resolution from hyperpolarized [1- ]pyruvate scans in the human brain.
View Article and Find Full Text PDFMetabolic imaging using hyperpolarized magnetic resonance can increase the sensitivity of MRI, though its ability to inform on relevant changes to biochemistry in humans remains unclear. In this work, we image pyruvate metabolism in patients, assessing the reproducibility of delivery and conversion in the setting of primary prostate cancer. We show that the time to max of pyruvate does not vary significantly within patients undergoing two separate injections or across patients.
View Article and Find Full Text PDFLactate is now recognized as an important intermediate in brain metabolism, but its role is still under investigation. In this work we mapped the distribution of lactate and bicarbonate produced from intravenously injected C-pyruvate over the whole brain using a new imaging method, hyperpolarized C MRI (N = 14, ages 23 to 77). Segmenting the C-lactate images into brain atlas regions revealed a pattern of lactate that was preserved across individuals.
View Article and Find Full Text PDFPurpose: To investigate the feasibility of performing large FOV hyperpolarized C metabolic imaging using simultaneous multislice excitation.
Methods: A spectral-spatial multislice excitation pulse was constructed by cosine modulation and incorporated into a C spiral imaging sequence. Phantom and in vivo pig experiments were performed to test the feasibility of simultaneous multislice data acquisition and image reconstruction.
Purpose: Although H spin coupling is generally avoided in probes for hyperpolarized (HP) C MRI, enzymatic transformations of biological interest can introduce large C- H couplings in vivo. The purpose of this study was to develop and investigate the application of H decoupling for enhancing the sensitivity for detection of affected HP C metabolic products.
Methods: A standalone H decoupler system and custom concentric C/ H paddle coil setup were integrated with a clinical 3T MRI scanner for in vivo C MR studies using HP [2- C]dihydroxyacetone, a novel sensor of hepatic energy status.