Metabolic MRI is a powerful new molecular imaging modality, and parahydrogen-based SABRE technology presents a promising approach to hyperpolarize metabolites with high throughput, low cost, and minimal methodological and instrumental burden. In the Concept Article by Andreas B. Schmidt, Stephan Knecht, and co-workers key advances are reviewed that have recently enabled the first in vivo metabolic imaging with hyperpolarized pyruvate using SABRE.