In the heart, detection of hyperpolarized [ 13 H epatic metabolism is comprised of a network of exergonic reactions that facilitate energy capture, such as fatty acid oxidation, carbohydrate oxidation and flux through the tricarboxylic acid (TCA) cycle, and endergonic reactions required for gluconeogenesis, lipogenesis, and amino acid biosynthesis. The dysregulation of these pathways underlie the pathology of a variety of diseases, including diabetes, cancer, and inborn errors of metabolism, making their diagnostic evaluation critically important. In particular, the hepatic TCA cycle is an important diagnostic target because its intermediates integrate lipid, carbohydrate, and amino acid metabolism during normal physiology. As examples, oxaloacetate is the common intermediate by which all noncarbohydrate sources enter gluconeogenesis; citrate is required to shuttle acetyl-CoA from the mitochondria for cytosolic lipogenesis; and the ketoacids of the TCA cycle serve as intermediates of amino acid synthesis and catabolism. The interconnectivity of these hepatic pathways makes their examination difficult but worthwhile because technologies that detect these fluxes provide important advances for basic and clinical investigation of mechanisms of disease.Dynamic nuclear polarization (DNP) of 13 C is a powerful molecular imaging technology that uses principles of magnetic resonance (MR) (1). Prepolarization of 13 C-labeled tracers enhances the sensitivity of MR by 10,000-fold or more and enables studies of cancer (2), hepatic metabolism (3, 4), and cardiac metabolism (5-7). In the heart, metabolism of hyperpolarized [1-13 C]pyruvate to 13 CO 2 and [ 13 C]bicarbonate is caused exclusively by flux through the pyruvate dehydrogenase complex (PDH). Consequently, 13 CO 2 detection is not necessarily indicative of flux in the TCA cycle, because non-PDH sources of acetyl-CoA (e.g., fat oxidation) dominate the metabolism of certain tissues, like the liver. Recently, DNP was used to observe altered cytosolic redox state in liver following ethanol administration (3), and hyperpolarized bicarbonate was observed in vivo after administration of [1-13 C]lactate, but analysis of oxidative versus biosynthetic metabolism in the liver has not been reported. In contrast to the heart, hepatic anaplerosis is four-to sixfold higher than acetyl-CoA oxidation (8)(9)(10) C]pyruvate, followed by rapid but incomplete "backwards" equilibration with the symmetric intermediate, fumarate. The polarization profiles of these hepatic metabolites changed as anticipated during feeding and fasting. Signal from hyperpolarized [ 13 C]bicarbonate was also observed. A 13 C isotopomer analysis of glutamate isolated from separate livers demonstrated that flux through PEPCK is ∼sevenfold higher than flux through PDH, indicating that flux through PEPCK may be a significant source of the The authors declare no conflict of interest.