We investigated the use of hyperpolarized [1-13C]pyruvate magnetic resonance chemical shift imaging in monitoring energy metabolism in developing rat brain following transient focal ischemia-reperfusion injury, which is the most common form of stroke in neonates. We show that the conversion from [1-13C]pyruvate to [1-13C]lactate was higher in the injured cerebral hemisphere as compared with that in the contralateral hemisphere, which lasted for up to 7 days after the ischemia-reperfusion injury. This phenomenon can be potentially used as a biomarker to facilitate long-term prognosis, characterize therapeutic responses and study the mechanisms of injury repair in neonates with transient focal ischemic stroke.
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