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Hyperpolarized 13 C Metabolic MRI of the Human Heart: Initial Experience

Open access
Cunningham, Charles H., Lau, Justin Y.C., Chen, Albert P., Geraghty, Benjamin J., Perks, William J., Roifman, Idan, Wright, Graham A., Connelly, Kim A.·2016·Circulation Research

Abstract

Rationale: Altered cardiac energetics is known to play an important role in the progression toward heart failure. A noninvasive method for imaging metabolic markers that could be used in longitudinal studies would be useful for understanding therapeutic approaches that target metabolism. Objective: To demonstrate the first hyperpolarized 13 C metabolic magnetic resonance imaging of the human heart. Methods and Results: Four healthy subjects underwent conventional proton cardiac magnetic resonance imaging followed by 13 C imaging and spectroscopic acquisition immediately after intravenous administration of a 0.1 mmol/kg dose of hyperpolarized [1- 13 C]pyruvate. All subjects tolerated the procedure well with no adverse effects reported ≤1 month post procedure. The [1- 13 C]pyruvate signal appeared within the chambers but not within the muscle. Imaging of the downstream metabolites showed 13 C-bicarbonate signal mainly confined to the left ventricular myocardium, whereas the [1- 13 C]lactate signal appeared both within the chambers and in the myocardium. The mean 13 C image signal:noise ratio was 115 for [1- 13 C]pyruvate, 56 for 13 C-bicarbonate, and 53 for [1- 13 C]lactate. Conclusions: These results represent the first 13 C images of the human heart. The appearance of 13 C-bicarbonate signal after administration of hyperpolarized [1- 13 C]pyruvate was readily detected in this healthy cohort (n=4). This shows that assessment of pyruvate metabolism in vivo in humans is feasible using current technology. Clinical Trial Registration: URL: https://www.clinicaltrials.gov . Unique identifier: NCT02648009.

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Metadata

Authors
Cunningham, C. H., Lau, J. Y. C., Chen, A. P., Geraghty, B. J., Perks, W. J., Roifman, I., Wright, G. A., & Connelly, K. A.
Venue
Circulation Research
Published
2016-11-11
Volume
119
Issue
11
Pages
1177-1182
ISSN
  • 0009-7330 (ISSN-L)
  • 1524-4571
OpenAlex
W2520679741
Cited by
364
References
17
FWCI
21.81
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Hyperpolarized 13 C Metabolic MRI of the Human Heart: Initial Experience. https://app.cochat.ai/papers/10.1161/circresaha.116.309769
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Cunningham, C. H., Lau, J. Y. C., Chen, A. P., Geraghty, B. J., Perks, W. J., Roifman, I., Wright, G. A., & Connelly, K. A. (2016). Hyperpolarized 13 C Metabolic MRI of the Human Heart: Initial Experience. Circulation Research. https://doi.org/10.1161/circresaha.116.309769

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