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Research ArticleClinical Investigations

Mapping α2 Adrenoceptors of the Human Brain with 11C-Yohimbine

Adjmal Nahimi, Steen Jakobsen, Ole L. Munk, Kim Vang, Jenny A. Phan, Anders Rodell and Albert Gjedde
Journal of Nuclear Medicine March 2015, 56 (3) 392-398; DOI: https://doi.org/10.2967/jnumed.114.145565
Adjmal Nahimi
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Steen Jakobsen
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Ole L. Munk
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Kim Vang
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Jenny A. Phan
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Anders Rodell
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
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Albert Gjedde
1Department of Nuclear Medicine and PET Centre, Aarhus University Hospitals, Aarhus, Denmark
2Department of Neuroscience and Pharmacology, University of Copenhagen, Copenhagen, Denmark
3Department of Radiology and Radiological Science, Johns Hopkins University, Baltimore, Maryland; and
4Department of Neurology, McGill University, Montreal, Quebec, Canada
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  • FIGURE 1.
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    FIGURE 1.

    (A) Examples of standardized uptake value curves for all 27 VOIs of 11C-yohimbine presented for subject 5 (abscissa is mid-frame time [minutes] and ordinate is standardized uptake value of radioactivity in VOIs). Blue line shows corpus callosum, which was used as reference region for calculation of binding potentials (BPND). (B) Radioactivity in plasma, expressed as fraction of radioactivity in VOIs, is shown on ordinate, and abscissa represents time (minutes).

  • FIGURE 2.
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    FIGURE 2.

    Fractions of unchanged 11C-yohimbine were interpolated to match time points of tissue time–activity curves, presented here for all 6 subjects. Ordinate represents intact 11C-yohimbine, and abscissa shows time (minutes).

  • FIGURE 3.
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    FIGURE 3.

    Six linearized solutions were used to derive linear regression estimates of kinetic parameters, using metabolite-corrected plasma curves as input function: plot N1 (A), plot N2 (B), plot P1 (C), plot P2 (D), plot P3 (E), plot P4 (F). Blue lines represent corpus callosum.

  • FIGURE 4.
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    FIGURE 4.

    Average parametric images of voxelwise Embedded Image estimates in 5 of 6 subjects, estimated with P2 plot (Logan plot). Color bar gives estimates of Embedded Image in units of mL cm−3.

Tables

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    TABLE 1

    Injected Radioactivity Dose, Yohimbine Mass, and CYP2D6 Status

    SubjectMBqYohimbine (nmol)CYP2D6
    164130.31 × 2 (F)
    24414.64 × 1 (M)
    363571 × 4 (M)
    471521.44 × 4 (N)
    550711.22 × 5 (M)
    6169112 × 2 (F)
    • F, M, and N = fast, moderate, and nonmetabolizers, respectively, of 11C-yohimbine.

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    TABLE 2

    Kinetic Parameters of 11C-Yohimbine

    VOIVT (mL/cm3)K1 (mL/cm3/min)Embedded Image (min−1)Binding potential
    Amygdala, L0.55 ± 0.110.014 ± 0.0020.026 ± 0.0020.22 ± 0.12
    Amygdala, R0.55 ± 0.100.014 ± 0.0020.025 ± 0.0010.23 ± 0.07
    Caudate nucleus, L0.55 ± 0.100.016 ± 0.0030.029 ± 0.0020.24 ± 0.13
    Caudate nucleus, R0.56 ± 0.120.016 ± 0.0030.028 ± 0.0020.23 ± 0.11
    Cerebellum, L0.57 ± 0.100.019 ± 0.0030.032 ± 0.0020.28 ± 0.11
    Cerebellum, R0.59 ± 0.110.020 ± 0.0030.032 ± 0.0020.32 ± 0.11
    Corpus callosum0.46 ± 0.090.009 ± 0.0010.019 ± 0.003—
    Frontal lobe, L0.80 ± 0.160.020 ± 0.0030.023 ± 0.0010.77 ± 0.14
    Frontal lobe, R0.82 ± 0.160.020 ± 0.0030.023 ± 0.0010.81 ± 0.13
    Gyrus cinguli, L0.80 ± 0.160.020 ± 0.0030.025 ± 0.0010.77 ± 0.14
    Gyrus cinguli, R0.80 ± 0.150.020 ± 0.0030.024 ± 0.0010.77 ± 0.14
    Hippocampus, L0.77 ± 0.130.016 ± 0.0030.021 ± 0.0030.73 ± 0.14
    Hippocampus, R0.82 ± 0.160.014 ± 0.0020.018 ± 0.0030.82 ± 0.21
    Insula, L0.72 ± 0.140.017 ± 0.0030.023 ± 0.0010.61 ± 0.15
    Insula, R0.73 ± 0.130.017 ± 0.0030.023 ± 0.0010.62 ± 0.12
    Occipital lobe, L0.78 ± 0.150.020 ± 0.0030.024 ± 0.0010.73 ± 0.14
    Occipital lobe, R0.82 ± 0.170.020 ± 0.0040.024 ± 0.0010.80 ± 0.12
    Parietal lobe, L0.78 ± 0.150.019 ± 0.0030.023 ± 0.0010.72 ± 0.13
    Parietal lobe, R0.79 ± 0.160.019 ± 0.0030.023 ± 0.0010.75 ± 0.11
    Putamen, L0.62 ± 0.120.021 ± 0.0040.032 ± 0.0020.40 ± 0.15
    Putamen, R0.60 ± 0.120.020 ± 0.0040.033 ± 0.0020.33 ± 0.12
    Temporal lobe, L0.75 ± 0.130.017 ± 0.0030.022 ± 0.0010.67 ± 0.13
    Temporal lobe, R0.75 ± 0.140.017 ± 0.0030.022 ± 0.0010.66 ± 0.12
    Thalamus, L0.62 ± 0.120.018 ± 0.0030.029 ± 0.0020.37 ± 0.09
    Thalamus, R0.65 ± 0.100.019 ± 0.0040.027 ± 0.0020.46 ± 0.11
    White matter, L0.59 ± 0.110.012 ± 0.0020.020 ± 0.0010.30 ± 0.10
    White matter, R0.59 ± 0.120.012 ± 0.0020.019 ± 0.0010.30 ± 0.09
    • Data are mean ± SEM.

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Journal of Nuclear Medicine: 56 (3)
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March 1, 2015
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Mapping α2 Adrenoceptors of the Human Brain with 11C-Yohimbine
Adjmal Nahimi, Steen Jakobsen, Ole L. Munk, Kim Vang, Jenny A. Phan, Anders Rodell, Albert Gjedde
Journal of Nuclear Medicine Mar 2015, 56 (3) 392-398; DOI: 10.2967/jnumed.114.145565

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Mapping α2 Adrenoceptors of the Human Brain with 11C-Yohimbine
Adjmal Nahimi, Steen Jakobsen, Ole L. Munk, Kim Vang, Jenny A. Phan, Anders Rodell, Albert Gjedde
Journal of Nuclear Medicine Mar 2015, 56 (3) 392-398; DOI: 10.2967/jnumed.114.145565
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