Figure 3:
Intratumoral dose-dependent changes in HP 13C pyruvate-to-lactate conversion. There were significant associations between radiation dose and normalized HP lactate (nLac) changes at all time points. Moreover, high-dose regions (10-14 Gy) showed a greater magnitude of decreases in nLac compared to low-dose regions (4-7 Gy), as early as Day 1. High-dose regions also showed significantly decreased nLac from baseline at Day 4 and Day 7, and intermediate-dose regions also showed significantly decreased nLac from baseline at Day 7 (*, P < .05; **, P < .01; ***, P < .001; black *, ** indicate significant difference between high- and low-dose; blue *, *** indicate significant change from baseline; IM = intermediate).