Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden.
J Cereb Blood Flow Metab. 2013 Jul;33(7):1058-65. doi: 10.1038/jcbfm.2013.47. Epub 2013 Apr 10.
A metabolite corrected arterial input function is a prerequisite for quantification of positron emission tomography (PET) data by compartmental analysis. This quantitative approach is also necessary for radioligands without suitable reference regions in brain. The measurement is laborious and requires cannulation of a peripheral artery, a procedure that can be associated with patient discomfort and potential adverse events. A non invasive procedure for obtaining the arterial input function is thus preferable. In this study, we present a novel method to obtain image-derived input functions (IDIFs). The method is based on calculation of the Pearson correlation coefficient between the time-activity curves of voxel pairs in the PET image to localize voxels displaying blood-like behavior. The method was evaluated using data obtained in human studies with the radioligands [(11)C]flumazenil and [(11)C]AZ10419369, and its performance was compared with three previously published methods. The distribution volumes (VT) obtained using IDIFs were compared with those obtained using traditional arterial measurements. Overall, the agreement in VT was good (∼3% difference) for input functions obtained using the pairwise correlation approach. This approach performed similarly or even better than the other methods, and could be considered in applied clinical studies. Applications to other radioligands are needed for further verification.
代谢校正动脉输入函数是通过房室分析对正电子发射断层扫描(PET)数据进行定量的前提。对于没有合适脑内参照区的放射性配体,这种定量方法也是必要的。该测量过程繁琐,需要对周围动脉进行插管,这可能会引起患者不适和潜在的不良事件。因此,获得动脉输入函数的非侵入性方法是可取的。在本研究中,我们提出了一种获得图像衍生输入函数(IDIF)的新方法。该方法基于计算 PET 图像中体素对之间的时间-活性曲线之间的皮尔逊相关系数,以定位显示血液样行为的体素。该方法使用放射性配体[(11)C]氟马西尼和[(11)C] AZ10419369的人体研究数据进行了评估,并将其性能与三种先前发表的方法进行了比较。使用 IDIFs 获得的分布容积(VT)与使用传统动脉测量获得的分布容积进行了比较。总体而言,使用成对相关方法获得的输入函数的 VT 一致性良好(差异约为 3%)。该方法的性能与其他方法相似,甚至更好,可在应用临床研究中考虑使用。需要进一步验证该方法在其他放射性配体中的应用。