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参考组织模型与血脑屏障破坏:创伤性脑损伤中(R)-[11C]PK11195的经验教训

Reference tissue models and blood-brain barrier disruption: lessons from (R)-[11C]PK11195 in traumatic brain injury.

作者信息

Folkersma Hedy, Boellaard Ronald, Vandertop W Peter, Kloet Reina W, Lubberink Mark, Lammertsma Adriaan A, van Berckel Bart N M

机构信息

Neurosurgical Center Amsterdam, VU University Medical Center, Amsterdam, The Netherlands.

出版信息

J Nucl Med. 2009 Dec;50(12):1975-9. doi: 10.2967/jnumed.109.067512. Epub 2009 Nov 12.

DOI:10.2967/jnumed.109.067512
PMID:19910429
Abstract

UNLABELLED

(R)-[(11)C]PK11195 is a tracer for activated microglia. The purpose of this study was to assess the validity of the simplified reference tissue model for analyzing (R)-[(11)C]PK11195 studies in traumatic brain injury (TBI), where blood-brain barrier disruptions are likely.

METHODS

Dynamic (R)-[(11)C]PK11195 scans were acquired at 3 time points after TBI. Plasma input-derived binding potential (BP(ND)(PI)), volume of distribution (V(T)) and K(1)/k(2), and simplified reference tissue model-derived binding potential (BP(ND)(SRTM)) were obtained. Simulations were performed to assess the effect of varying K(1)/k(2).

RESULTS

Early after TBI, an increase in V(T), but not in BP(ND)(PI), was found. Early K(1)/k(2) correlated with V(T) and BP(ND)(SRTM) but not with BP(ND)(PI). One and 6 mo after TBI, BP(ND)(SRTM) correlated with BP(ND)(PI).

CONCLUSION

Early after TBI, (R)-[(11)C]PK11195 studies should be analyzed using plasma input models.

摘要

未标注

(R)-[(11)C]PK11195是一种用于活化小胶质细胞的示踪剂。本研究的目的是评估简化参考组织模型在分析创伤性脑损伤(TBI)中(R)-[(11)C]PK11195研究的有效性,在TBI中血脑屏障可能会被破坏。

方法

在TBI后的3个时间点进行动态(R)-[(11)C]PK11195扫描。获得血浆输入衍生的结合潜能(BP(ND)(PI))、分布容积(V(T))和K(1)/k(2),以及简化参考组织模型衍生的结合潜能(BP(ND)(SRTM))。进行模拟以评估改变K(1)/k(2)的影响。

结果

在TBI后早期,发现V(T)增加,但BP(ND)(PI)未增加。早期的K(1)/k(2)与V(T)和BP(ND)(SRTM)相关,但与BP(ND)(PI)无关。在TBI后1个月和6个月,BP(ND)(SRTM)与BP(ND)(PI)相关。

结论

在TBI后早期,(R)-[(11)C]PK11195研究应使用血浆输入模型进行分析。

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