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Research ArticleBasic Science Investigations

Feasibility of 18F-FDG PET as a Noninvasive Diagnostic Tool of Muscle Denervation: A Preliminary Study

Seung Hak Lee, Byung-Mo Oh, Gangpyo Lee, Hongyoon Choi, Gi Jeong Cheon and Shi-Uk Lee
Journal of Nuclear Medicine October 2014, 55 (10) 1737-1740; DOI: https://doi.org/10.2967/jnumed.114.140731
Seung Hak Lee
1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea
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Byung-Mo Oh
1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea
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Gangpyo Lee
1Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea
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Hongyoon Choi
2Department of Nuclear Medicine, Seoul National University Hospital, Seoul, South Korea; and
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Gi Jeong Cheon
2Department of Nuclear Medicine, Seoul National University Hospital, Seoul, South Korea; and
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Shi-Uk Lee
3Department of Rehabilitation Medicine, Seoul National University Boramae Medical Center, Seoul, South Korea
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  • FIGURE 1.
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    FIGURE 1.

    18F-FDG PET scans of hindlimbs of rat models, 8 d after denervation. (A) Images of axial, coronal, and sagittal sections are shown. PET/CT overlay fusion images are shown on right side. ROIs for each compartment are drawn in axial section of fusion image, red line for anterolateral and green line for posterior, respectively. ROIs for both upper thigh are drawn in transparent yellow circles, which cannot be drawn on provided axial image because of its rostral location. Increased radioactivities of denervated left anterolateral and posterior compartments muscles are shown. (B) LNRmax values are significantly increased at left side for both compartments. *P < 0.01.

  • FIGURE 2.
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    FIGURE 2.

    Results of immunohistochemistry from both gastrocnemius muscles. (A and B) Immunohistochemistry of hexokinase II shows increased expression of hexokinase II at left (denervated) side. (C and D) Immunohistochemistry of GLUT-1 shows increased expression of GLUT-1 at left side. (E and F) Immunohistochemistry of GLUT-4 shows no definite asymmetric expression. IHC = Immunohistochemistry.

  • FIGURE 3.
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    FIGURE 3.

    Results of Western blots. Normalized optical densities of hexokinase II in tibialis anterior muscle and GLUT-1 in gastrocnemius muscle are significantly increased in left (denervated) side, compared with sham-operation side. However, normalized optical densities of GLUT-4 in both gastrocnemius and tibialis anterior muscles are decreased without statistical significance. *P < 0.01.

  • FIGURE 4.
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    FIGURE 4.

    Axial images of left tibial neuropathy model. Anterolateral and posterior compartment are drawn with red and green circles, respectively. Only posterior compartment muscles show increased 18F-FDG uptake, compared with Figure 1A.

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Journal of Nuclear Medicine: 55 (10)
Journal of Nuclear Medicine
Vol. 55, Issue 10
October 1, 2014
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Feasibility of 18F-FDG PET as a Noninvasive Diagnostic Tool of Muscle Denervation: A Preliminary Study
Seung Hak Lee, Byung-Mo Oh, Gangpyo Lee, Hongyoon Choi, Gi Jeong Cheon, Shi-Uk Lee
Journal of Nuclear Medicine Oct 2014, 55 (10) 1737-1740; DOI: 10.2967/jnumed.114.140731

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Feasibility of 18F-FDG PET as a Noninvasive Diagnostic Tool of Muscle Denervation: A Preliminary Study
Seung Hak Lee, Byung-Mo Oh, Gangpyo Lee, Hongyoon Choi, Gi Jeong Cheon, Shi-Uk Lee
Journal of Nuclear Medicine Oct 2014, 55 (10) 1737-1740; DOI: 10.2967/jnumed.114.140731
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Keywords

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