A method ispresented to measure the absolute concentration of intracellularNa+(Na+]i)in vivo by using interleaved 23Na-and 31P-nuclear magnetic resonance(NMR) spectroscopy andTmDOTP5 as shift reagentand chemical marker of tissue extracellular space (ECS). The techniquewas used to determineNa+]iand relative ECS in livers of control rats (21 ± 3 and0.11± 0.02 mM, respectively) and in rats exposed to carbontetrachloride (103 ± 29 and 0.23 ± 0.03 mM, respectively). TheNMR measurements were confirmed independently on excised tissue samplesby using atomic absorption spectroscopy. The results confirm thatTmDOTP5 can be used as acombined cation shift reagent and ECS marker, thereby allowingquantitation ofNa+]iin vivo by NMR.