Journal
RADIOLOGY-IMAGING CANCER
Volume 4, Issue 4, Pages -Publisher
RADIOLOGICAL SOC NORTH AMERICA (RSNA)
DOI: 10.1148/rycan.210076
Keywords
Hyperpolarized C-13 MRI; Glioblastoma; Metabolism; Cancer; MRI; Neuro-oncology
Funding
- Cancer Research UK (CRUK) [C19212/A16628, C19212/A911376, C8742/A18097, C197/A16465, A25040, A29580]
- Wellcome Trust
- CRUK Cambridge Centre [C9685/A25177]
- Lundbeck Foundation
- CRUK and Engineering and Physical Science Research Council Cancer Imaging Centre in Cambridge and Manchester, England
- Mark Foundation for Cancer Research
- Addenbrooke's Charitable Trust
- National Institute for Health Research Cambridge Biomedical Research Centre [BRC-1215-20014]
- Evelyn Trust
- Cambridge Experimental Cancer Medicine Centre
- CRUK National Cancer Imaging Translational Accelerator
- Austrian Science Fund [J4025B26]
- Cambridge University Hospitals National Health Service Foundation Trust
Ask authors/readers for more resources
This study used hyperpolarized C-13 MRI to evaluate glioblastoma metabolism and found variations in lactate labeling within and between tumors, while bicarbonate labeling was consistently lower in the surrounding normal brain parenchyma.
Purpose: To evaluate glioblastoma (GBM) metabolism by using hyperpolarized carbon 13 (C-13) MRI to monitor the exchange of the hyperpolarized 13C label between injected [1-C-13]pyruvate and tumor lactate and bicarbonate. Materials and Methods: In this prospective study, seven treatment-naive patients (age [mean +/- SD], 60 years +/- 11; five men) with GBM were imaged at 3 T by using a dual-tuned C-13-hydrogen 1 head coil. Hyperpolarized [1-C-13]pyruvate was injected, and signal was acquired by using a dynamic MRI spiral sequence. Metabolism was assessed within the tumor, in the normal-appearing brain parenchyma (NABP), and in healthy volunteers by using paired or unpaired t tests and a Wilcoxon signed rank test. The Spearman rho correlation coefficient was used to correlate metabolite labeling with lactate dehydrogenase A (LDH-A) expression and some immunohistochemical markers. The Benjamini-Hochberg procedure was used to correct for multiple comparisons. Results: The bicarbonate-to-pyruvate (BP) ratio was lower in the tumor than in the contralateral NABP (P<.01). The tumor lactate-to-pyruvate (LP) ratio was not different from that in the NABP (P=.38). The LP and BP ratios in the NABP were higher than those observed previously in healthy volunteers (P<.05). Tumor lactate and bicarbonate signal intensities were strongly correlated with the pyruvate signal intensity (rho = 0.92, P<.001, and r = 0.66, P<.001, respectively), and the LP ratio was weakly correlated with LDH-A expression in biopsy samples (rho = 0.43, P = .04). Conclusion: Hyperpolarized C-13 MRI demonstrated variation in lactate labeling in GBM, both within and between tumors. In contrast, bicarbonate labeling was consistently lower in tumors than in the surrounding NABP. Published under a CC BY 4.0 license.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available