Kinetic Modeling of Hyperpolarized Carbon-13 Pyruvate Metabolism in the Human Brain

IEEE Trans Med Imaging. 2020 Feb;39(2):320-327. doi: 10.1109/TMI.2019.2926437. Epub 2019 Jul 2.

Abstract

Kinetic modeling of the in vivo pyruvate-to-lactate conversion is crucial to investigating aberrant cancer metabolism that demonstrates Warburg effect modifications. Non-invasive detection of alterations to metabolic flux might offer prognostic value and improve the monitoring of response to treatment. In this clinical research project, hyperpolarized [1-13C] pyruvate was intravenously injected in a total of 10 brain tumor patients to measure its rate of conversion to lactate ( kPL ) and bicarbonate ( kPB ) via echo-planar imaging. Our aim was to investigate new methods to provide kPL and kPB maps with whole-brain coverage. The approach was data-driven and addressed two main issues: selecting the optimal model for fitting our data and determining an appropriate goodness-of-fit metric. The statistical analysis suggested that an input-less model had the best agreement with the data. It was also found that selecting voxels based on post-fitting error criteria provided improved precision and wider spatial coverage compared to using signal-to-noise cutoffs alone.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brain Neoplasms* / diagnostic imaging
  • Brain Neoplasms* / metabolism
  • Brain* / diagnostic imaging
  • Brain* / metabolism
  • Carbon Isotopes / analysis
  • Carbon Isotopes / pharmacokinetics
  • Echo-Planar Imaging / methods*
  • Humans
  • Image Interpretation, Computer-Assisted
  • Kinetics
  • Lactic Acid / analysis
  • Lactic Acid / metabolism
  • Pyruvic Acid* / analysis
  • Pyruvic Acid* / pharmacokinetics

Substances

  • Carbon Isotopes
  • Lactic Acid
  • Pyruvic Acid
  • Carbon-13