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ORIGINAL RESEARCH PEDIATRICS Pilot Study of Hyperpolarized C Metabolic Imaging in Pediatric Patients with Diffuse Intrinsic Pontine Glioma and Other CNS Cancers A.W. Autry, I. Park, C. Kline, H.-Y. Chen, J.W. Gordon, S. Raber, C. Hoffman, Y. Kim, K. Okamoto, D.B. Vigneron, J.M. Lupo, M. Prados, Y. Li, D. Xu, and S. Mueller ABSTRACT BACKGROUND AND PURPOSE: Pediatric CNS tumors commonly present challenges for radiographic interpretation on conventional MR imaging. This study sought to investigate the safety and tolerability of hyperpolarized carbon-13 (HP- C) metabolic imaging in pediatric patients with brain tumors. MATERIALS AND METHODS: Pediatric patients 3 to 18 years of age who were previously diagnosed with a brain tumor and could undergo MR imaging without sedation were eligible to enroll in this safety study of HP [1- C]pyruvate. Participants received a one- 13 13 time injection of HP [1- C]pyruvate and were imaged using dynamic HP- C MR imaging. We assessed 2 dose levels: 0.34 mL/kg and the highest tolerated adult dose of 0.43 mL/kg. Participants were monitored throughout imaging and for 60 minutes postinjection, including pre- and postinjection electrocardiograms and vital sign measurements. RESULTS: Between February 2017 and July 2019, ten participants (9 males; median age,
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Jan 1, 2021
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