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Research ArticleCLINICAL INVESTIGATIONS

Kinetic Modeling of 11C-SB207145 Binding to 5-HT4 Receptors in the Human Brain In Vivo

Lisbeth Marner, Nic Gillings, Robert A. Comley, William F.C. Baaré, Eugenii A. Rabiner, Alan A. Wilson, Sylvain Houle, Steen G. Hasselbalch, Claus Svarer, Roger N. Gunn, Marc Laruelle and Gitte M. Knudsen
Journal of Nuclear Medicine June 2009, 50 (6) 900-908; DOI: https://doi.org/10.2967/jnumed.108.058552
Lisbeth Marner
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Nic Gillings
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Robert A. Comley
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William F.C. Baaré
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Eugenii A. Rabiner
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Alan A. Wilson
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Sylvain Houle
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Steen G. Hasselbalch
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Claus Svarer
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Roger N. Gunn
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Marc Laruelle
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Gitte M. Knudsen
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  • FIGURE 1. 
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    FIGURE 1. 

    Time-dependent metabolism of 11C-SB207145 in plasma at 22°C and 37°C. Metabolism is prevented when dichlorvos is added. Exponential fits correspond to half-lives of 18 min at 22°C and 44 min at 37°C.

  • FIGURE 2. 
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    FIGURE 2. 

    (A) Total radioactivity concentration in plasma and metabolite-corrected plasma radioactivity from 36-y-old 69-kg woman after injection of 512 MBq of 11C-SB207145. (B) Metabolite measurements of representative subject. Fit is constrained biexponential function (25).

  • FIGURE 3. 
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    FIGURE 3. 

    Regional time–activity curves after injection of 512 MBq of 11C-SB207145. Striatum shows highest and latest peak and slowest washout because of high density of receptors, whereas superior frontal and parietal cortices show faster washout. Cerebellum devoid of specific binding has fastest washout. Fits with 2-tissue-compartment modeling are shown.

  • FIGURE 4. 
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    FIGURE 4. 

    BPND estimated with SRTM, compared with BPND determined indirectly from VT (2-tissue-compartment model [2-TC] with arterial input) using test scans of test–retest dataset. Graph shows that bias is introduced in areas of high binding with SRTM (on average, 30%; range, 20%−43%). Solid line is line of identity.

  • FIGURE 5. 
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    FIGURE 5. 

    Time stability using 2-tissue-compartment model (2-TC) (A and C) and SRTM (B and D) for striatum (A and B) and for hippocampus (C and D) for test and retest scans. Error bars represent 1 SD.

  • FIGURE 6. 
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    FIGURE 6. 

    Baseline (A) and blocked (B) 11C-SB207145 scan of 29-y-old man before and after oral administration of piboserod (SB207266). Mean images from 30 to 120 min after injection are normalized to injected dose (ID) to obtain normalized uptake value. Chosen orthogonal sections pass through striatum.

  • FIGURE 7. 
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    FIGURE 7. 

    Time–activity curves for baseline (A) and blocked (B) scans of 29-y-old man. After 150-mg oral administration of structurally dissimilar compound piboserod (SB207266), 11C-SB207145 distribution volumes (C) are reduced to level of cerebellum at baseline (n = 2). Ctx = cortex; sup = superior.

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    TABLE 1

    Subject Information for the Test–Retest and Blocking Parts of the Study

    Test–retestBlocking
    ParameterTest (n = 6)Retest (n = 6)Baseline (n = 2)Block (n = 2)
    Age (y)34.6 ± 7.034.6 ± 7.037, 2937, 29
    Body weight (kg)75.0 ± 1775.0 ± 1767.2, 75.867.2, 75.8
    Injected dose (MBq)566 ± 41577 ± 26329, 370389, 335
    Injected mass (μg)4.09 ± 1.24.47 ± 0.924.31, 4.394.16, 5.87
    Parent plasma clearance (L/h)191 ± 28214 ± 55164, 324178, 236
    • Data are either mean ± SD or individual values.

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    TABLE 2

    Parameter Estimation

    ModelRegionK1 (mL cm−3 min−1)k2 (min−1)k3 (min−1)k4 (min−1)VT (mL/cm3)BPNDBPP (mL/cm3)Akaike information criterionRelative diff BPND (%)Average diff BPND (%)ICC BPNDRelative diff BPP (%)Average diff BPP (%)ICC BPP
    1-TCCerebellum0.19 ± 0.070.023 ± 0.003——7.86 ± 2.23——586 ± 20——————
    Parietal ctx0.19 ± 0.070.016 ± 0.003——11.8 ± 3.260.51 ± 0.103.97 ± 1.22542 ± 267.5013.20.8211.6*10.70.88
    Sup. fr. ctx0.19 ± 0.070.016 ± 0.003——11.3 ± 3.170.43 ± 0.103.39 ± 1.16541 ± 238.0812.50.8712.2*9.700.89
    Hippocampus0.17 ± 0.060.010 ± 0.002——16.2 ± 4.591.07 ± 0.218.38 ± 2.63569 ± 136.2713.00.8010.4*7.530.91
    Striatum0.23 ± 0.080.006 ± 0.002——40.4 ± 11.74.20 ± 0.9332.5 ± 10.1536 ± 2711.4†8.20.8415.5*8.690.80
    2-TCCerebellum0.24 ± 0.080.056 ± 0.0090.021 ± 0.0060.018 ± 0.0039.50 ± 2.58——510 ± 28——————
    Parietal ctx0.23 ± 0.080.054 ± 0.0190.099 ± 0.0790.050 ± 0.02312.3 ± 3.420.30 ± 0.082.83 ± 1.02506 ± 3011.913.60.8013.8*10.70.87
    Sup. fr. ctx0.22 ± 0.080.057 ± 0.0210.108 ± 0.0830.050 ± 0.02311.7 ± 3.320.23 ± 0.082.22 ± 0.95504 ± 2617.719.40.7919.7*11.80.84
    Hippocampus0.23 ± 0.070.110 ± 0.0320.178 ± 0.0580.026 ± 0.00817.3 ± 5.010.82 ± 0.197.81 ± 2.73517 ± 2110.912.90.8212.8*5.950.90
    Striatum0.27 ± 0.090.066 ± 0.0320.364 ± 0.1330.060 ± 0.06341.4 ± 12.03.38 ± 0.7231.9 ± 10.0519 ± 3113.9*7.90.6815.8†7.820.81
    SRTMCerebellum—0.016 ± 0.012————————————
    Parietal ctx—0.069 ± 0.011———0.36 ± 0.06—449 ± 255.7313.60.77———
    Sup. fr. ctx—0.067 ± 0.008———0.30 ± 0.07—467 ± 206.6012.60.84———
    Hippocampus—0.037 ± 0.005———0.70 ± 0.13—517 ± 144.009.920.88———
    Striatum—0.054 ± 0.004———2.21 ± 0.21—496 ± 283.746.060.76———
    • ↵* P < 0.05.

    • ↵† P < 0.01 (paired Student t test between first and second scans).

    • Diff = difference; TC = tissue compartment; sup. fr. = superior frontal; ctx = cortex.

    • Minimum Akaike information criterion indicates more statistically appropriate model. Relative test–retest difference is Δ% = 2 × (scan 2 − scan 1)/(scan 1 + scan 2) × 100%. Average test–retest difference is SD of Δ%. Data are either mean ± SD or individual values.

    • View popup
    TABLE 3

    Comparison of VT and BPND Between Centers

    Test–retestBlocking
    RegionVT (mL/cm3)BPNDVT (mL/cm3)BPND
    Cerebellum9.50 ± 2.58—9.14, 15.3—
    Parietal cortex12.3 ± 3.420.30 ± 0.0812.6, 22.10.38, 0.45
    Superior frontal cortex11.7 ± 3.320.23 ± 0.0812.8, 21.00.40, 0.38
    Hippocampus17.3 ± 5.010.82 ± 0.1916.6, 26.00.82, 0.70
    Striatum41.4 ± 12.03.38 ± 0.7248.5, 69.54.30, 3.55
    • Data are either mean ± SD or individual values.

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Journal of Nuclear Medicine: 50 (6)
Journal of Nuclear Medicine
Vol. 50, Issue 6
June 2009
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Kinetic Modeling of 11C-SB207145 Binding to 5-HT4 Receptors in the Human Brain In Vivo
Lisbeth Marner, Nic Gillings, Robert A. Comley, William F.C. Baaré, Eugenii A. Rabiner, Alan A. Wilson, Sylvain Houle, Steen G. Hasselbalch, Claus Svarer, Roger N. Gunn, Marc Laruelle, Gitte M. Knudsen
Journal of Nuclear Medicine Jun 2009, 50 (6) 900-908; DOI: 10.2967/jnumed.108.058552

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Kinetic Modeling of 11C-SB207145 Binding to 5-HT4 Receptors in the Human Brain In Vivo
Lisbeth Marner, Nic Gillings, Robert A. Comley, William F.C. Baaré, Eugenii A. Rabiner, Alan A. Wilson, Sylvain Houle, Steen G. Hasselbalch, Claus Svarer, Roger N. Gunn, Marc Laruelle, Gitte M. Knudsen
Journal of Nuclear Medicine Jun 2009, 50 (6) 900-908; DOI: 10.2967/jnumed.108.058552
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