Kinetic analysis and test-retest variability of the radioligand [11C](R)-PK11195 binding to TSPO in the human brain - a PET study in control subjects

Background Positron-emission tomography and the radioligand [ 11 C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to map microglia cells in the brain in neuropsychiatric disorders. [ 11 C](R)-PK11195 binding has been quantified using reference region approa...

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Vydané v:EJNMMI research Ročník 2; číslo 1; s. 15
Hlavní autori: Jučaite, Aurelija, Cselényi, Zsolt, Arvidsson, Annie, Åhlberg, Gabrielle, Julin, Per, Varnäs, Katarina, Stenkrona, Per, Andersson, Jan, Halldin, Christer, Farde, Lars
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Berlin/Heidelberg Springer Berlin Heidelberg 01.01.2012
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Abstract Background Positron-emission tomography and the radioligand [ 11 C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to map microglia cells in the brain in neuropsychiatric disorders. [ 11 C](R)-PK11195 binding has been quantified using reference region approaches, with the reference defined anatomically or using unsupervised or supervised clustering algorithms. Kinetic compartment modelling so far has not been presented. In the present test-retest study, we examine the characteristics of [ 11 C](R)-PK11195 binding in detail, using the classical compartment analysis with a metabolite-corrected arterial input function. Methods [ 11 C](R)-PK11195 binding was examined in six control subjects at two separate occasions, 6 weeks apart. Results of one-tissue and two-tissue compartment models (1TCM, 2TCM) were compared using the Akaike criteria and F -statistics. The reproducibility of binding potential ( BP ND ) estimates was evaluated by difference in measurements (error in percent) and intraclass correlation coefficients (ICCs). Results [ 11 C](R)-PK11195 binding could be described by 2TCM which was the preferred model. Measurement error (in percent) indicated good reproducibility in large brain regions (mean error: whole brain 4%, grey matter 5%), but not in smaller subcortical regions (putamen 25%, caudate 55%). The ICC values were moderate to low, highest for the white matter (0.73), whole brain and thalamus (0.57), and cortical grey matter (0.47). Sizeable [ 11 C](R)-PK11195 BP ND could be identified throughout the human brain (range 1.11 to 2.21). Conclusions High intra-subject variability of [ 11 C](R)-PK11195 binding limits longitudinal monitoring of TSPO changes. The interpretation of [ 11 C](R)-PK11195 binding by 2TCM suggests that the presence of specific binding to TSPO cannot be excluded at physiological conditions.
AbstractList Positron-emission tomography and the radioligand [11C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to map microglia cells in the brain in neuropsychiatric disorders. [11C](R)-PK11195 binding has been quantified using reference region approaches, with the reference defined anatomically or using unsupervised or supervised clustering algorithms. Kinetic compartment modelling so far has not been presented. In the present test-retest study, we examine the characteristics of [11C](R)-PK11195 binding in detail, using the classical compartment analysis with a metabolite-corrected arterial input function. [11C](R)-PK11195 binding was examined in six control subjects at two separate occasions, 6 weeks apart. Results of one-tissue and two-tissue compartment models (1TCM, 2TCM) were compared using the Akaike criteria and F-statistics. The reproducibility of binding potential (BPND) estimates was evaluated by difference in measurements (error in percent) and intraclass correlation coefficients (ICCs). [11C](R)-PK11195 binding could be described by 2TCM which was the preferred model. Measurement error (in percent) indicated good reproducibility in large brain regions (mean error: whole brain 4%, grey matter 5%), but not in smaller subcortical regions (putamen 25%, caudate 55%). The ICC values were moderate to low, highest for the white matter (0.73), whole brain and thalamus (0.57), and cortical grey matter (0.47). Sizeable [11C](R)-PK11195 BPND could be identified throughout the human brain (range 1.11 to 2.21). High intra-subject variability of [11C](R)-PK11195 binding limits longitudinal monitoring of TSPO changes. The interpretation of [11C](R)-PK11195 binding by 2TCM suggests that the presence of specific binding to TSPO cannot be excluded at physiological conditions.
Background Positron-emission tomography and the radioligand [ 11 C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to map microglia cells in the brain in neuropsychiatric disorders. [ 11 C](R)-PK11195 binding has been quantified using reference region approaches, with the reference defined anatomically or using unsupervised or supervised clustering algorithms. Kinetic compartment modelling so far has not been presented. In the present test-retest study, we examine the characteristics of [ 11 C](R)-PK11195 binding in detail, using the classical compartment analysis with a metabolite-corrected arterial input function. Methods [ 11 C](R)-PK11195 binding was examined in six control subjects at two separate occasions, 6 weeks apart. Results of one-tissue and two-tissue compartment models (1TCM, 2TCM) were compared using the Akaike criteria and F -statistics. The reproducibility of binding potential ( BP ND ) estimates was evaluated by difference in measurements (error in percent) and intraclass correlation coefficients (ICCs). Results [ 11 C](R)-PK11195 binding could be described by 2TCM which was the preferred model. Measurement error (in percent) indicated good reproducibility in large brain regions (mean error: whole brain 4%, grey matter 5%), but not in smaller subcortical regions (putamen 25%, caudate 55%). The ICC values were moderate to low, highest for the white matter (0.73), whole brain and thalamus (0.57), and cortical grey matter (0.47). Sizeable [ 11 C](R)-PK11195 BP ND could be identified throughout the human brain (range 1.11 to 2.21). Conclusions High intra-subject variability of [ 11 C](R)-PK11195 binding limits longitudinal monitoring of TSPO changes. The interpretation of [ 11 C](R)-PK11195 binding by 2TCM suggests that the presence of specific binding to TSPO cannot be excluded at physiological conditions.
Author Arvidsson, Annie
Åhlberg, Gabrielle
Stenkrona, Per
Andersson, Jan
Halldin, Christer
Jučaite, Aurelija
Cselényi, Zsolt
Julin, Per
Varnäs, Katarina
Farde, Lars
AuthorAffiliation 2 PET Centre, Department of Clinical Neuroscience, Karolinska Institutet, Karolinska University Hospital, Stockholm 171 77, Sweden
1 AstraZeneca Global Clinical Development, Södertälje 151 85, Sweden
3 CNS/Pain iMED, AstraZeneca R&D, Södertälje 151 85, Sweden
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– name: 2 PET Centre, Department of Clinical Neuroscience, Karolinska Institutet, Karolinska University Hospital, Stockholm 171 77, Sweden
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  surname: Farde
  fullname: Farde, Lars
  organization: AstraZeneca Global Clinical Development, CNS/Pain iMED, AstraZeneca R&D
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Issue 1
Keywords positron-emission tomography
C](R)-PK11195
translocator protein
[
peripheral benzodiazepine receptors
Language English
License This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Snippet Background Positron-emission tomography and the radioligand [ 11 C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to...
Positron-emission tomography and the radioligand [11C](R)-PK11195 have been used for the imaging of the translocator protein (TSPO) and applied to map...
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SubjectTerms Cardiac Imaging
Imaging
Medicine
Medicine & Public Health
Nuclear Medicine
Oncology
Original Research
Orthopedics
Radiology
Title Kinetic analysis and test-retest variability of the radioligand [11C](R)-PK11195 binding to TSPO in the human brain - a PET study in control subjects
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