Review Article

Evaluating pH in the Extracellular Tumor Microenvironment Using CEST MRI and Other Imaging Methods

Table 2

Summary of CEST methods to detect pH.

AgentRangeAdmin.Spatial res., cm3Temporal res.CEST acquisitionMouse modelReference

Yb-DOTAM-Gly &
Eu-DOTAM-Gly
6.5–8.0In vitro [54]
Pr-DOTAM-Gly5.5–7.5In vitro [55, 56]
Nd-DOTAM-Gly6–7.5In vitro [55]
Eu-DOTAM-Gly6–7.5In vitro [55]
Dendrimer Yb-DOTAM5–7In vitro [57]
5,6-Dihydrouracil6.5–7.0In vitro [58]

APTpH > 5.0Endogenous1.56 × 10−34 + 10 s
(2 offset)
CEST-EPI
0.6 µT
Ischemic rat brain,
6.52 ± 0.32
[59]
APT with
creatine
5.2–6.4Endogenous2.5 × 10−37.5 + 15 s
(2 offset)
CEST-EPI
0.6 µT
Healthy human brain[60]
Yb-HPDO3A5.2–6.7i.v. 1.2 mmol/kg2.2 × 10−35 minCEST-RARE, 24 µTMelanoma
Early 2 mm dia 6.1
Late 10 mm dia 5.8
[61]
Tm-DOTAM-Gly-Lys6.0–8.0Direct inj 50 μL 100 mM1.28 × 10−326 min 36 sCEST-RARE
14 µT
Leg muscle
7.2 ± 0.2
[62, 63]
Yb-DO3A-oAA6.1–7.75
6.35–7.57
6.34–7.82 ± 0.21
50 μL of 60 mM direct injection into flank tumor
i.v. 50 μL 100 mM
1.17 × 10−35.2 minCEST-FISP
20 µT
MCF-7,
pHe < 6.5
37°C
MDA-MB-231 ROI:
6.82 ± 0.21
Pixel: 6.8 ± 0.4
[64, 65]
Iopamidol5.5–7.72.0 mM/kg4.39 × 10−44 min 18 sCEST-RARE
3 µT
Acute kidney injury of mouse, healthy kidney 6.71 ± 0.16, after injury, pH 7.09 ± 0.10[66, 67]
Iopromide6.2–7.212 mM/kg1.25 × 10−44 min 50 sCEST-FISP
2.8 µT
MDA-MB-231
pH 6.5–7.2
[68]