Summary Intra-and extracellular pH (pHi and pH,) were measured simultaneously by "P magnetic resonance spectroscopy (MRS) in CaNT tumours before and after blood flow modification. Before modification, pHi was 7.1 ± 0.09 (n = l1) and pHe [measured with an MRS-visible extracellular marker, 3-aminopropyl phosphonate (3-APP)] was 6.7 ± 0.05 (n = 8). Chemical shift imaging and localised MRS experiments showed that the 3-APP signal was only from the tumour, not surrounding tissue. After modification by vascular occlusion, independent of whether tumours were maintained at room temperature (22-24°C) Wike-Hooley et al., 1984). These include various strategies for altering pH: lowering the pH to make the tumour cell more sensitive to a particular treatment modality, e.g. hyperthermia (Hiraoka and Hahn, 1989), or accentuating pH gradients (ApH) between intra-and extracellular compartments (Gerweck et al., 1991). To achieve the latter various methods have been tried: inducing hyperglycaemia to increase lactic acid production and thus lower pH (Evelhoch et al., 1984;Hwang et al., 1991;Jahde et al., 1992); inhibiting the Na+/H+ exchanger with amiloride and its analogues (Newell et al., 1992;Maidorn et al., 1993) and using compounds [e.g. hydralazine, flavone acetic acid FAA] that specifically reduce blood flow to tumours (Vorhees and Babbs, 1982; Evelhoch et al., 1988;Parkins et al., 1994a) to make the tumours more anoxic and therefore more acid. By using these various strategies, it is hoped that the pH differences can be exploited either by activating cytotoxic agents selectively within tumours (Tannock and Rotin, 1989;Newell et al., 1992) or by altering the distribution of drugs that are weak acids or bases (Gerweck et al., 1991) in such a way that they will be taken up more effectively by the tumour than by the normal surrounding tissue. Several drugs (e.g. mitomycin C, chlorambucil) have been shown to have increased cytotoxicity in vitro in isolated cell experiments at low extracellular pH (pH.) (Maidorn et al., 1993;Parkins et al., 1993Parkins et al., , 1994b. These drugs have also caused growth delay in vivo in some tumour types (Newell et al., 1992;Parkins et al., 1994b).Following the classical experiments of Warburg in the 1920s, for many years tumours were thought to be acidic, but it is now generally accepted (Vaupel et al., 1989;Griffiths, 1991) that tumour intracellular pH (pHi) is close to neutrality. 31p magnetic resonance spectroscopy (MRS) has confirmed non-invasively that pHi in both human and animal tumours is on the alkaline side of neutrality: pH 7.1-7.2 (Vaupel et al., 1989;Griffiths, 1991;Evelhoch, 1992;Negendank, 1992) which is similar to that in most normal tissues. , 1993, 1994a,b), the purpose of the work reported here was to monitor pHi and pH. simultaneously by 31p MRS in CaNT murine tumours before and after blood flow modification. The ApH was monitored in three cohorts of mice, before and up to 2 h after total vascular occlusion. The core temperature was maintained at preocclusion values (...