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OtherBASIC SCIENCE INVESTIGATIONS

Human Brain Imaging and Radiation Dosimetry of 11C-N-Desmethyl-Loperamide, a PET Radiotracer to Measure the Function of P-Glycoprotein

Nicholas Seneca, Sami S. Zoghbi, Jeih-San Liow, William Kreisl, Peter Herscovitch, Kimberly Jenko, Robert L. Gladding, Andrew Taku, Victor W. Pike and Robert B. Innis
Journal of Nuclear Medicine May 2009, 50 (5) 807-813; DOI: https://doi.org/10.2967/jnumed.108.058453
Nicholas Seneca
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Sami S. Zoghbi
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Jeih-San Liow
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William Kreisl
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Peter Herscovitch
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Kimberly Jenko
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Robert L. Gladding
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Andrew Taku
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Victor W. Pike
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Robert B. Innis
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  • FIGURE 1. 
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    FIGURE 1. 

    PET images of 11C-dLop in human brain and corresponding MR image. PET images were summed from 0 to 90 min, and pixel values represent mean concentration of radioactivity (%SUV). Coregistered MR images and fused PET and MR images are also shown. Arrows point to choroid plexus on medial surfaces of lateral ventricles and on roof of third and fourth ventricles.

  • FIGURE 2. 
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    FIGURE 2. 

    (A) Concentration of radioactivity in brain, with (□) and without (▪) vascular correction, in 4 subjects who had head-dedicated imaging. Symbols represent mean values. SD bars are included for all points after 18 min. Note that SD bars are smaller than symbols for all points after 60 min. (B) Concentration of radioactivity in brain in 8 subjects who had whole-body imaging. Vascular correction of brain activity could not be performed in these subjects, because no blood was collected during scanning. Conc = concentration.

  • FIGURE 3. 
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    FIGURE 3. 

    After injection of 11C-dLop, radioactivity in pituitary gland (○) and choroid plexus (▪) peaked quickly and remained stable during course of scan, whereas uptake in venous sinus (▵) and fourth ventricle (i.e., CSF) (▾) peaked quickly and stabilized at lower level. Symbols represent mean values in 4 subjects. For clarity, SD bars are included only after 5 min and for every other time point. Conc = concentration.

  • FIGURE 4. 
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    FIGURE 4. 

    Concentration of unchanged 11C-dLop in plasma after radiotracer injection. Curve is shown with 2 time intervals (0–5 min and 5–90 min) because of high concentrations at early time points. Each symbol represents 1 of the 4 healthy control subjects. Conc = concentration.

  • FIGURE 5. 
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    FIGURE 5. 

    (A) Percentage composition of plasma radioactivity over time is shown for 11C-dLop (▪) and total radiometabolites (○) (n = 4 subjects). Symbols represent mean ± SD, although SD is sometimes smaller than size of symbol. (B) Representative radiochromatogram of plasma at 30 min after injection of 11C-dLop. Parent constituted 88% of total radioactivity. Radiometabolites (A−E) are less lipophilic than11C-dLop. cps = counts per second.

  • FIGURE 6. 
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    FIGURE 6. 

    Maximal-intensity-projection images of distribution of radioactivity in healthy male subject at 3, 20, and 100 min after injection of 11C-dLop.

  • FIGURE 7. 
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    FIGURE 7. 

    Uptake of radioactivity in organs that could be visually identified on planar whole-body images. Activity of organ is expressed as percentage of injected activity. Data are mean ± SD in 8 subjects.

Tables

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    TABLE 1

    Residence Times of Source Organs

    Source organResidence time (h)
    Thyroid0.001 ± 0.000
    Brain0.002 ± 0.001
    Lungs0.102 ± 0.014
    Liver0.068 ± 0.017
    Urinary bladder0.013 ± 0.005
    Spleen0.019 ± 0.005
    Kidneys0.055 ± 0.007
    Red marrow0.009 ± 0.003
    Remainder in body0.220 ± 0.007
    • Data are mean ± SD.

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    TABLE 2

    Radiation Dosimetry Estimates for 11C-dLop Determined from 8 Healthy Subjects

    Target organ dosesμSv/MBqmrem/mCi
    Adrenals4.2 ± 0.115.4 ± 0.4
    Brain0.8 ± 0.22.9 ± 0.7
    Breasts2.0 ± 0.17.5 ± 0.2
    Gallbladder wall3.8 ± 0.314.1 ± 1.1
    LLI wall1.9 ± 0.17.2 ± 0.4
    Small intestine2.3 ± 0.18.5 ± 0.2
    Stomach2.8 ± 0.110.3 ± 0.3
    ULI wall2.3 ± 0.18.7 ± 0.3
    Heart wall3.2 ± 0.111.8 ± 0.3
    Kidneys50.1 ± 6.0184.9 ± 22
    Liver12.9 ± 2.747.9 ± 10
    Lungs27.0 ± 3.499.8 ± 13
    Muscle2.0 ± 0.07.3 ± 0.1
    Ovaries2.0 ± 0.17.5 ± 0.4
    Pancreas4.0 ± 0.214.9 ± 0.6
    Red marrow2.9 ± 0.310.9 ± 1.1
    Osteogenic cells3.0 ± 0.211.2 ± 0.7
    Skin1.4 ± 0.05.3 ± 0.1
    Spleen30.5 ± 6.8112.7 ± 25
    Testes1.5 ± 0.15.5 ± 0.3
    Thymus2.3 ± 0.18.6 ± 0.3
    Thyroid14.7 ± 6.254.5 ± 23
    Urinary bladder wall10.8 ± 3.339.8 ± 12
    Uterus2.2 ± 0.28.3 ± 0.7
    Total body2.9 ± 0.010.8 ± 0.1
    Effective dose7.8 ± 0.628.7 ± 2.2
    • LLI = lower large intestine; ULI = upper large intestine.

    • Data are mean ± SD.

Additional Files

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Journal of Nuclear Medicine: 50 (5)
Journal of Nuclear Medicine
Vol. 50, Issue 5
May 2009
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Human Brain Imaging and Radiation Dosimetry of 11C-N-Desmethyl-Loperamide, a PET Radiotracer to Measure the Function of P-Glycoprotein
Nicholas Seneca, Sami S. Zoghbi, Jeih-San Liow, William Kreisl, Peter Herscovitch, Kimberly Jenko, Robert L. Gladding, Andrew Taku, Victor W. Pike, Robert B. Innis
Journal of Nuclear Medicine May 2009, 50 (5) 807-813; DOI: 10.2967/jnumed.108.058453

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Human Brain Imaging and Radiation Dosimetry of 11C-N-Desmethyl-Loperamide, a PET Radiotracer to Measure the Function of P-Glycoprotein
Nicholas Seneca, Sami S. Zoghbi, Jeih-San Liow, William Kreisl, Peter Herscovitch, Kimberly Jenko, Robert L. Gladding, Andrew Taku, Victor W. Pike, Robert B. Innis
Journal of Nuclear Medicine May 2009, 50 (5) 807-813; DOI: 10.2967/jnumed.108.058453
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