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Research ArticleClinical Investigations

Quantitative Analysis of 18F-(E)-N-(3-Iodoprop-2-Enyl)-2β-Carbofluoroethoxy-3β-(4′-Methyl-Phenyl) Nortropane Binding to the Dopamine Transporter in Parkinson Disease

Patrik Fazio, Per Svenningsson, Anton Forsberg, Erik G. Jönsson, Nahid Amini, Ryuji Nakao, Sangram Nag, Christer Halldin, Lars Farde and Andrea Varrone
Journal of Nuclear Medicine May 2015, 56 (5) 714-720; DOI: https://doi.org/10.2967/jnumed.114.152421
Patrik Fazio
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Per Svenningsson
2Karolinska Institutet, Department of Neurology and Clinical Neuroscience, Centre for Molecular Medicine, Stockholm, Sweden
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Anton Forsberg
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Erik G. Jönsson
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
3Norment, Institute of Clinical Medicine, University of Oslo, Oslo, Norway; and
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Nahid Amini
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Ryuji Nakao
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Sangram Nag
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Christer Halldin
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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Lars Farde
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
4AstraZeneca Translational Science Centre at Karolinska Institutet, Stockholm, Sweden
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Andrea Varrone
1Karolinska Institutet, Department of Clinical Neuroscience, Centre for Psychiatry Research, Stockholm, Sweden
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  • FIGURE 1.
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    FIGURE 1.

    ROIs (caudate, putamen, ventral striatum, and SN) overlaid on MR–PET images in control subject and PD patient. V. = ventral.

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    FIGURE 2.

    Average unchanged radioligand in plasma of PD patients and controls. Mean ± SD.

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    FIGURE 3.

    Regional standardized uptake values (SUV) time–activity curves of 18F-FE-PE2I (mean value) in PD patients and control subjects (CS).

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    FIGURE 4.

    Correlation of BPND estimated with SRTM and LoganRef. Each data point represents BPND values of each subject (Supplemental Table 1 provides mean and SD).

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    FIGURE 5.

    Correlation of BPND estimated with WAPI (Wapi_33 min_Logan Ref) and estimated with Logan Ref. Each data point represents BPND values of each subject.

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    FIGURE 6.

    WAPI in control subject and 2 patients with PD at H&Y stage 1 and 1.5. Images are at level of basal ganglia (A), substantia nigra, and mid-brain coronal view (B).

  • FIGURE 7.
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    FIGURE 7.

    Regional BPND values in controls and PD patients. Patient with normal DAT binding can be considered as a SWEDD (scan without evidence of dopamine deficit) *P < 0.05 (with Bonferroni correction for 4 regions examined).

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    TABLE 1

    Demographic and Clinical Data of Control Subjects (S01–S10) and PD Patients (P1–P10)

    SubjectAge (y)SexWeight (kg)Education (y)MMSEMADRSBDI-IIDisease duration (y)H&YUPDRS motorSideLEDs
    S0165F59152922NANANANANA
    S0267M78173000NANANANANA
    S0364M7693000NANANANANA
    S0450M77132923NANANANANA
    S0566M77132940NANANANANA
    S0653M74123021NANANANANA
    S0751M83113012NANANANANA
    S0857M101122821NANANANANA
    S0966M91173000NANANANANA
    S1064M81172933NANANANANA
    Mean ± SD60.3 ± 779.7 ± 1113.6 ± 329.4 ± 11.6 ± 11.2 ± 1
    P164M6810280312223L265
    P274M8110288120.5111RDe novo
    P366F5310306176218R940
    P447M112122741041.521R240
    P568M7816.530280.25118LDe novo
    P652M811229210.2518R160
    P746M8516.530020.6116R160
    P867M9116281321.530R160
    P960M831528021.51.527R354
    P1058M792229664117L510
    Mean ± SD60.2 ± 981.1 ± 1514 ± 428.7 ± 12.9 ± 36.4 ± 5*3.1 ± 41.418.9 ± 7348.6 ± 268
    • ↵*Significantly higher than in control subjects, P < 0.05.

    • MMSE = Mini-Mental State Examination; MADRS = Montgomery–Åsberg Depression Ratings Scale; BDI-II = Beck Depression Inventory; Side = the clinically most affected side; LED = levodopa-equivalent doses; NA = not applicable.

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Journal of Nuclear Medicine: 56 (5)
Journal of Nuclear Medicine
Vol. 56, Issue 5
May 1, 2015
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Quantitative Analysis of 18F-(E)-N-(3-Iodoprop-2-Enyl)-2β-Carbofluoroethoxy-3β-(4′-Methyl-Phenyl) Nortropane Binding to the Dopamine Transporter in Parkinson Disease
Patrik Fazio, Per Svenningsson, Anton Forsberg, Erik G. Jönsson, Nahid Amini, Ryuji Nakao, Sangram Nag, Christer Halldin, Lars Farde, Andrea Varrone
Journal of Nuclear Medicine May 2015, 56 (5) 714-720; DOI: 10.2967/jnumed.114.152421

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Quantitative Analysis of 18F-(E)-N-(3-Iodoprop-2-Enyl)-2β-Carbofluoroethoxy-3β-(4′-Methyl-Phenyl) Nortropane Binding to the Dopamine Transporter in Parkinson Disease
Patrik Fazio, Per Svenningsson, Anton Forsberg, Erik G. Jönsson, Nahid Amini, Ryuji Nakao, Sangram Nag, Christer Halldin, Lars Farde, Andrea Varrone
Journal of Nuclear Medicine May 2015, 56 (5) 714-720; DOI: 10.2967/jnumed.114.152421
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Keywords

  • dopamine transporter
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  • PET
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