_version_ 1866915265693876224
author Punwani, Shonit
Larson, Peder EZ
Laustsen, Christoffer
VanderMeulen, Jan
Ardenkjær-Larsen, Jan Henrik
Autry, Adam W.
Bankson, James A.
Bernard, Jenna
Bok, Robert
Bertelsen, Lotte Bonde
Che, Jenny
Chen, Albert P.
Chowdhury, Rafat
Comment, Arnaud
Cunningham, Charles H.
Dang, Duy
Gallagher, Ferdia A
Gaunt, Adam
Gong, Yangcan
Gordon, Jeremy W.
Grimmer, Ashley
Grist, James
Hansen, Esben Søvsø Szocska
Lerche, Mathilde Hauge
Hesketh, Richard L.
Hoevener, Jan-Bernd
Hsieh, Ching-Yi
Keshari, Kayvan R.
Kozerke, Sebastian
Lanz, Titus
Mayer, Dirk
McLean, Mary
Park, Jae Mo
Slater, Jim
Tyler, Damian
Vanderheyden, Jean-Luc
Vigneron, Daniel
von Morze, Cornelius
Xu, Duan
Zaccagna, Fulvio
Zaha, Vlad
Group, the HP 13C MRI Consensus
author_facet Punwani, Shonit
Larson, Peder EZ
Laustsen, Christoffer
VanderMeulen, Jan
Ardenkjær-Larsen, Jan Henrik
Autry, Adam W.
Bankson, James A.
Bernard, Jenna
Bok, Robert
Bertelsen, Lotte Bonde
Che, Jenny
Chen, Albert P.
Chowdhury, Rafat
Comment, Arnaud
Cunningham, Charles H.
Dang, Duy
Gallagher, Ferdia A
Gaunt, Adam
Gong, Yangcan
Gordon, Jeremy W.
Grimmer, Ashley
Grist, James
Hansen, Esben Søvsø Szocska
Lerche, Mathilde Hauge
Hesketh, Richard L.
Hoevener, Jan-Bernd
Hsieh, Ching-Yi
Keshari, Kayvan R.
Kozerke, Sebastian
Lanz, Titus
Mayer, Dirk
McLean, Mary
Park, Jae Mo
Slater, Jim
Tyler, Damian
Vanderheyden, Jean-Luc
Vigneron, Daniel
von Morze, Cornelius
Xu, Duan
Zaccagna, Fulvio
Zaha, Vlad
Group, the HP 13C MRI Consensus
contents Magnetic resonance imaging of hyperpolarized (HP) [1-13C]pyruvate allows in-vivo assessment of metabolism and has translated into human studies across diseases at 15 centers worldwide. Consensus on best practice for multi-center studies is required to develop clinical applications. This paper presents the results of a 2-round formal consensus building exercise carried out by experts with HP [1-13C]pyruvate human study experience. Twenty-nine participants from 13 sites brought together expertise in pharmacy methods, MR physics, translational imaging, and data-analysis; with the goal of providing recommendations and best practice statements on conduct of multi-center human studies of HP [1-13C]pyruvate MRI. Overall, the group reached consensus on approximately two-thirds of 246 statements in the questionnaire, covering 'HP 13C-Pyruvate Preparation', 'MRI System Setup, Calibration, and Phantoms', 'Acquisition and Reconstruction', and 'Data Analysis and Quantification'. Consensus was present across categories, examples include that: (i) different HP pyruvate preparation methods could be used in human studies, but that the same release criteria have to be followed; (ii) site qualification and quality assurance must be performed with phantoms and that the same field strength must be used, but that the rest of the system setup and calibration methods could be determined by individual sites; (iii) the same pulse sequence and reconstruction methods were preferable, but the exact choice should be governed by the anatomical target; (iv) normalized metabolite area-under-curve (AUC) values and metabolite AUC were the preferred metabolism metrics. The work confirmed areas of consensus for multi-center study conduct and identified where further research is required to ascertain best practice.
format Preprint
id arxiv_https___arxiv_org_abs_2504_20440
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Consensus Recommendations for Hyperpolarized [1-13C]pyruvate MRI Multi-center Human Studies
Punwani, Shonit
Larson, Peder EZ
Laustsen, Christoffer
VanderMeulen, Jan
Ardenkjær-Larsen, Jan Henrik
Autry, Adam W.
Bankson, James A.
Bernard, Jenna
Bok, Robert
Bertelsen, Lotte Bonde
Che, Jenny
Chen, Albert P.
Chowdhury, Rafat
Comment, Arnaud
Cunningham, Charles H.
Dang, Duy
Gallagher, Ferdia A
Gaunt, Adam
Gong, Yangcan
Gordon, Jeremy W.
Grimmer, Ashley
Grist, James
Hansen, Esben Søvsø Szocska
Lerche, Mathilde Hauge
Hesketh, Richard L.
Hoevener, Jan-Bernd
Hsieh, Ching-Yi
Keshari, Kayvan R.
Kozerke, Sebastian
Lanz, Titus
Mayer, Dirk
McLean, Mary
Park, Jae Mo
Slater, Jim
Tyler, Damian
Vanderheyden, Jean-Luc
Vigneron, Daniel
von Morze, Cornelius
Xu, Duan
Zaccagna, Fulvio
Zaha, Vlad
Group, the HP 13C MRI Consensus
Medical Physics
Magnetic resonance imaging of hyperpolarized (HP) [1-13C]pyruvate allows in-vivo assessment of metabolism and has translated into human studies across diseases at 15 centers worldwide. Consensus on best practice for multi-center studies is required to develop clinical applications. This paper presents the results of a 2-round formal consensus building exercise carried out by experts with HP [1-13C]pyruvate human study experience. Twenty-nine participants from 13 sites brought together expertise in pharmacy methods, MR physics, translational imaging, and data-analysis; with the goal of providing recommendations and best practice statements on conduct of multi-center human studies of HP [1-13C]pyruvate MRI. Overall, the group reached consensus on approximately two-thirds of 246 statements in the questionnaire, covering 'HP 13C-Pyruvate Preparation', 'MRI System Setup, Calibration, and Phantoms', 'Acquisition and Reconstruction', and 'Data Analysis and Quantification'. Consensus was present across categories, examples include that: (i) different HP pyruvate preparation methods could be used in human studies, but that the same release criteria have to be followed; (ii) site qualification and quality assurance must be performed with phantoms and that the same field strength must be used, but that the rest of the system setup and calibration methods could be determined by individual sites; (iii) the same pulse sequence and reconstruction methods were preferable, but the exact choice should be governed by the anatomical target; (iv) normalized metabolite area-under-curve (AUC) values and metabolite AUC were the preferred metabolism metrics. The work confirmed areas of consensus for multi-center study conduct and identified where further research is required to ascertain best practice.
title Consensus Recommendations for Hyperpolarized [1-13C]pyruvate MRI Multi-center Human Studies
topic Medical Physics
url https://arxiv.org/abs/2504.20440