Current human brain applications and challenges of dynamic hyperpolarized carbon-13 labeled pyruvate MR metabolic imaging

Eur J Nucl Med Mol Imaging. 2021 Dec;48(13):4225-4235. doi: 10.1007/s00259-021-05508-8. Epub 2021 Aug 25.

Abstract

The ability of hyperpolarized carbon-13 MR metabolic imaging to acquire dynamic metabolic information in real time is crucial to gain mechanistic insights into metabolic pathways, which are complementary to anatomic and other functional imaging methods. This review presents the advantages of this emerging functional imaging technology, describes considerations in clinical translations, and summarizes current human brain applications. Despite rapid development in methodologies, significant technological and physiological related challenges continue to impede broader clinical translation.

Keywords: Carbon-13; Hyperpolarized; Lactate; Metabolic imaging; Pyruvate.

Publication types

  • Review

MeSH terms

  • Brain / diagnostic imaging
  • Carbon Isotopes
  • Humans
  • Magnetic Resonance Imaging*
  • Pyruvic Acid*

Substances

  • Carbon Isotopes
  • Pyruvic Acid
  • Carbon-13