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Research ArticleCLINICAL INVESTIGATIONS

Quantification of Striatal Dopamine Transporters with 123I-FP-CIT SPECT Is Influenced by the Selective Serotonin Reuptake Inhibitor Paroxetine: A Double-Blind, Placebo-Controlled, Crossover Study in Healthy Control Subjects

Jan Booij, Jan de Jong, Kora de Bruin, Remco Knol, Maartje M.L. de Win and Berthe L.F. van Eck-Smit
Journal of Nuclear Medicine March 2007, 48 (3) 359-366;
Jan Booij
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Jan de Jong
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Kora de Bruin
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Remco Knol
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Maartje M.L. de Win
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Berthe L.F. van Eck-Smit
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  • FIGURE 1. 
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    FIGURE 1. 

    Planar scintigraphy of lung uptake of 123I-FP-CIT in healthy young male volunteer, at placebo session (left) and paroxetine session (right). Lung uptake is clearly visible after placebo but not after paroxetine. Activity is encoded from high (black) to low (white). Template with fixed ROIs for lungs and shoulder is shown on the left.

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    FIGURE 2. 

    Transversal slices of 123I-FP-CIT SPECT scan, obtained in healthy young male volunteer 1 h after injection of radiotracer (placebo pretreatment). Intense and symmetric uptake is visualized in striatum. Binding is also visualized in midbrain and diencephalon area, which is higher than activity in cerebellum and cortical areas but much lower than binding in striatum. Activity is color encoded from high (white) to low (black).

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    FIGURE 3. 

    Transversal slices of 123I-FP-CIT SPECT scan at level of temporal cortex and midbrain, obtained in healthy young male volunteer 3 h after injection of radiotracer. After placebo pretreatment there is clear visualization of activity in midbrain (left), which is much lower after paroxetine pretreatment (right). Activity is color encoded from high (white) to low (black).

Tables

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    TABLE 1

    Specific-to-Nonspecific 123I-FP-CIT Binding Ratios, Obtained 1 and 3 Hours After Injection of Radiotracer, in a DAT-Rich Brain Area (Striatum) and in SERT-Rich Areas (Midbrain and Diencephalon)

    1 h after injection*3 h after injection
    123I-FP-CIT BindingPlaceboParoxetine†PlaceboParoxetine
    DAT
     Striatum/cer.‡2.23 ± 0.672.37 ± 0.553.99 ± 0.444.12 ± 0.90
     Striatum/occ.2.99 ± 0.753.15 ± 0.484.20 ± 0.374.57 ± 0.53§
    SERT
     Midbrain/cer.0.10 ± 0.110.01 ± 0.150.20 ± 0.20−0.02 ± 0.08§
     Midbrain/occ.0.36 ± 0.080.25 ± 0.15§0.24 ± 0.160.07 ± 0.09§
     Diencephalon/cer.0.23 ± 0.170.16 ± 0.170.43 ± 0.200.26 ± 0.19¶
     Diencephalon/occ.0.53 ± 0.130.44 ± 0.18¶0.48 ± 0.100.37 ± 0.12¶
    • ↵* In 1 control subject, cerebellum and midbrain area were not adequately scanned 1 h after injection of radiotracer; therefore, ratios of specific over cerebellar (cer.) binding are provided for 7 control subjects instead of 8.

    • ↵† Placebo or paroxetine tablets (20 mg per session) were taken orally approximately 3 and 27 h before injection of radiotracer.

    • ↵‡ Ratios are expressed as specific to nonspecific binding (±SD). Nonspecific binding represents activity in cerebellum (cer.) or occipital cortex (occ.).

    • ↵§ Statistically significantly different from placebo condition.

    • ↵¶ A trend for statistically significant difference (P = 0.054−0.14).

    • Healthy control subjects (n = 8) received placebo or paroxetine before injection of radiotracer (double-blind, crossover study design).

    • View popup
    TABLE 2

    Specific-to-Nonspecific 123I-FP-CIT Binding Ratios, Obtained 1 and 3 Hours After Injection of Radiotracer, in DAT-Rich Brain Area (Striatum) and in SERT-Rich Areas (Midbrain and Diencephalon)

    1 h after injection3 h after injection
    123I-FP-CIT BindingPlaceboParoxetine*PlaceboParoxetine
    DAT
     Striatum/cer.†2.30 ± 0.802.10 ± 0.273.95 ± 0.363.71 ± 0.55
     Striatum/occ.2.95 ± 0.972.93 ± 0.443.97 ± 0.154.41 ± 0.43‡
    SERT
     Midbrain/cer.0.13 ± 0.12−0.04 ± 0.14‡0.21 ± 0.14−0.04 ± 0.05‡
     Midbrain/occ.0.35 ± 0.100.22 ± 0.17‡0.21 ± 0.120.10 ± 0.06
     Diencephalon/cer.0.29 ± 0.160.08 ± 0.13§0.51 ± 0.170.17 ± 0.15‡
     Diencephalon/occ.0.54 ± 0.150.38 ± 0.20§0.51 ± 0.100.34 ± 0.13‡
    • ↵* Placebo or paroxetine tablets (20 mg per session) were taken orally approximately 3 and 27 h before injection of radiotracer.

    • ↵† Ratios are expressed as specific to nonspecific binding (±SD). Nonspecific binding represents activity in cerebellum (cer.) or occipital cortex (occ.).

    • ↵‡ Statistically significantly different from placebo condition.

    • ↵§ A trend for statistically significant difference (P = 0.07−0.09).

    • Healthy control subjects (n = 5) received placebo or paroxetine before injection of radiotracer (double-blind, crossover study design). In these 5 control subjects, at the paroxetine session, paroxetine plasma levels were >5 μg/L, whereas at the placebo session, paroxetine was not detectable in plasma (<5 μg/L).

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Journal of Nuclear Medicine: 48 (3)
Journal of Nuclear Medicine
Vol. 48, Issue 3
March 2007
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Quantification of Striatal Dopamine Transporters with 123I-FP-CIT SPECT Is Influenced by the Selective Serotonin Reuptake Inhibitor Paroxetine: A Double-Blind, Placebo-Controlled, Crossover Study in Healthy Control Subjects
Jan Booij, Jan de Jong, Kora de Bruin, Remco Knol, Maartje M.L. de Win, Berthe L.F. van Eck-Smit
Journal of Nuclear Medicine Mar 2007, 48 (3) 359-366;

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Quantification of Striatal Dopamine Transporters with 123I-FP-CIT SPECT Is Influenced by the Selective Serotonin Reuptake Inhibitor Paroxetine: A Double-Blind, Placebo-Controlled, Crossover Study in Healthy Control Subjects
Jan Booij, Jan de Jong, Kora de Bruin, Remco Knol, Maartje M.L. de Win, Berthe L.F. van Eck-Smit
Journal of Nuclear Medicine Mar 2007, 48 (3) 359-366;
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