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Research ArticleClinical Investigations

Performance of 11C-Pittsburgh Compound B PET Binding Potential Images in the Detection of Amyloid Deposits on Equivocal Static Images

Chisa Hosokawa, Kazunari Ishii, Yuichi Kimura, Tomoko Hyodo, Makoto Hosono, Kenta Sakaguchi, Kimio Usami, Kenji Shimamoto, Yuzuru Yamazoe and Takamichi Murakami
Journal of Nuclear Medicine December 2015, 56 (12) 1910-1915; DOI: https://doi.org/10.2967/jnumed.115.156414
Chisa Hosokawa
1Department of Radiology, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Kazunari Ishii
1Department of Radiology, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
3Neurocognitive Disorders Center, Kinki University Hospital, Osakasayama, Osaka, Japan; and
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Yuichi Kimura
4Kinki University Faculty of Biology-Oriented Science and Technology, Kinokawa, Wakayama, Japan
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Tomoko Hyodo
1Department of Radiology, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Makoto Hosono
1Department of Radiology, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Kenta Sakaguchi
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Kimio Usami
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Kenji Shimamoto
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Yuzuru Yamazoe
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Takamichi Murakami
1Department of Radiology, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
2Institute of Advanced Clinical Medicine, Kinki University Faculty of Medicine, Osakasayama, Osaka, Japan
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Figures

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  • FIGURE 1.
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    FIGURE 1.

    Representative images of subjects with 11C-PiB–different ratings in static, BP, sn-SUVR – 1, and sn-BP images. Case 1 is an 80-y-old man: mild cognitive impairment, SUVR-equivocal, and BP-positive. Case 2 is a 72-y-old woman: AD, SUVR- and BP-equivocal. Case 3 is an 83-y-old man: AD, SUVR-negative and BP-positive. Case 4 is a 74-y-old woman, undiagnosed, SUVR-negative and BP-equivocal. SUVR, BP, sn-SUVR – 1, and sn-BP images are demonstrated in order from left to right. Arrows in cases 1 and 3 show 11C-PiB–positive regions, and those in case 4 show 11C-PiB–equivocal portions. In case 2, extended cortical uptake is suspected.

  • FIGURE 2.
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    FIGURE 2.

    Correlation between mean gray matter SUVR and BPND in all subjects.

  • FIGURE 3.
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    FIGURE 3.

    Distribution and values of mean gray matter uptake among 11C-PiB–negative, 11C-PiB–equivocal, and 11C-PiB–positive groups (SUVR [A], BPND [B]).

  • FIGURE 4.
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    FIGURE 4.

    Ratio of gray matter 11C-PiB uptake to white matter retention in SUVR (A), BPND (B), and DVR (C) among 11C-PiB–negative, 11C-PiB–equivocal, and 11C-PiB–positive groups.

Tables

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    TABLE 1

    Comparison of Visual Assessments of Static and BP Images

    Static/BPNegativeEquivocalPositive
    Negative2624
    Equivocal028
    Positive0043
    • View popup
    TABLE 2

    Comparison of Visual White Matter Uptake Between Static and BP Images Among 3 Static Rating Groups

    GroupNegativeEquivocalPositive
    Static > BP23934
    Static = BP919
    Static < BP000
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    TABLE 3

    Demographics and Results of 10 11C-PiB–Equivocal and 6 11C-PiB–Negative Subjects

    Visual assessmentQuantification
    AgeSexDiagnosisMMSEStaticsn-SUVR − 1BPsn-BPWhite matterSUVRBPND
    74FemaleUD23NNEEStatic = BP1.010.39
    54MaleUD29NNEEStatic = BP0.980.26
    83MaleAD25NNPPStatic > BP1.070.06
    66MaleUD28NNPPStatic > BP1.170.04
    62MaleMCI—NNPPStatic > BP1.020.2
    84FemaleAD21NNPPStatic > BP1.110.04
    72FemaleAD22EEEEStatic = BP1.350.87
    75FemaleFTLD19EEEEStatic > BP1.050.08
    77FemaleUD24EEPPStatic > BP1.370.52
    81MaleAD24EEPPStatic > BP1.850.62
    67MaleAD21EEPPStatic > BP1.690.44
    80MaleMCI26EEPPStatic > BP1.500.06
    83MaleMCI27EEPPStatic = BP1.760.48
    75MalePD20EEPPStatic > BP1.380.07
    79MaleMCI25EEPPStatic > BP1.610.25
    • MMSE = mini mental state examination; sn = spatially normalized; UD = undiagnosed; N = negative; E = equivocal; P = positive; MCI = mild cognitive impairment; FTLD = frontotemporal lobar degeneration; PD = Parkinson disease.

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Journal of Nuclear Medicine: 56 (12)
Journal of Nuclear Medicine
Vol. 56, Issue 12
December 1, 2015
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Performance of 11C-Pittsburgh Compound B PET Binding Potential Images in the Detection of Amyloid Deposits on Equivocal Static Images
Chisa Hosokawa, Kazunari Ishii, Yuichi Kimura, Tomoko Hyodo, Makoto Hosono, Kenta Sakaguchi, Kimio Usami, Kenji Shimamoto, Yuzuru Yamazoe, Takamichi Murakami
Journal of Nuclear Medicine Dec 2015, 56 (12) 1910-1915; DOI: 10.2967/jnumed.115.156414

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Performance of 11C-Pittsburgh Compound B PET Binding Potential Images in the Detection of Amyloid Deposits on Equivocal Static Images
Chisa Hosokawa, Kazunari Ishii, Yuichi Kimura, Tomoko Hyodo, Makoto Hosono, Kenta Sakaguchi, Kimio Usami, Kenji Shimamoto, Yuzuru Yamazoe, Takamichi Murakami
Journal of Nuclear Medicine Dec 2015, 56 (12) 1910-1915; DOI: 10.2967/jnumed.115.156414
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Keywords

  • 11C-PiB
  • Positron Emission Tomography
  • binding potential
  • equivocal
  • white matter retention
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