“…Several hyperpolarization techniques have succeeded in production and utilization of biocompatible 13 C HP contrast agents, including most prominently [1- 13 C]pyruvate, which has been hyperpolarized by d-DNP, ,, PHIP, − and signal amplification by reversible exchange (SABRE). ,,,− It should be noted that d-DNP is the leading hyperpolarization technique and the only one that has matured to clinical studies and clinical trials. Biocompatible HP [1- 13 C]pyruvate solution can be administered via injection, and, as illustrated in Scheme a, it is enzymatically converted mainly to HP [1- 13 C]alanine (via transamination), [1- 13 C]lactate (via reduction), 13 C-bicarbonate (via oxidative phosphorylation), and [1- 13 C]pyruvate hydrate (via hydration) on the time scale of tens of seconds in vivo. ,,− As illustrated in Scheme b, the chemical shifts of HP [1- 13 C]pyruvate and its HP metabolic products are different by as much as 12 ppm, and it becomes possible to distinguish each species via their chemical shift mapping .…”