1 research outputs found
Current Methods for Hyperpolarized [1-13C]pyruvate MRI Human Studies
MRI with hyperpolarized (HP) 13C agents, also known as HP 13C 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 [1-13C]pyruvate - by far the
most commonly used agent, which sits at a key metabolic junction in glycolysis.
The paper is divided into four major topic areas: (1) HP 13C-pyruvate
preparation, (2) MRI system setup and calibrations, (3) data acquisition and
image reconstruction, and (4) data analysis and quantification. In each area,
we identified the key components for a successful study, summarized both
published studies and current practices, and discuss evidence gaps, strengths,
and limitations. This paper is the output of the HP 13C MRI Consensus Group as
well as the ISMRM Hyperpolarized Media MR and Hyperpolarized Methods &
Equipment study groups. It further aims to provide a comprehensive reference
for future consensus building as the field continues to advance human studies
with this metabolic imaging modality