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Research ArticleClinical Investigations

Metabolic Activity of Red Nucleus and Its Correlation with Cerebral Cortex and Cerebellum: A Study Using a High-Resolution Semiconductor PET System

Kenji Hirata, Naoya Hattori, Wataru Takeuchi, Tohru Shiga, Yuichi Morimoto, Kikuo Umegaki, Kentaro Kobayashi, Osamu Manabe, Shozo Okamoto and Nagara Tamaki
Journal of Nuclear Medicine August 2015, 56 (8) 1206-1211; DOI: https://doi.org/10.2967/jnumed.114.152504
Kenji Hirata
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
2Department of Molecular and Medical Pharmacology, David Geffen School of Medicine at UCLA, Los Angeles, California
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Naoya Hattori
3Department of Molecular Imaging, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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Wataru Takeuchi
4Research and Development Group, Hitachi Ltd., Tokyo, Japan; and
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Tohru Shiga
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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Yuichi Morimoto
4Research and Development Group, Hitachi Ltd., Tokyo, Japan; and
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Kikuo Umegaki
5Division of Quantum Science and Engineering, Faculty of Engineering, Hokkaido University, Sapporo, Japan
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Kentaro Kobayashi
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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Osamu Manabe
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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Shozo Okamoto
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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Nagara Tamaki
1Department of Nuclear Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan
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  • FIGURE 1.
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    FIGURE 1.

    A representative case. (A) Bilateral RN indicates areas of higher metabolism (arrowheads). (B) Coregistration with T2-weighted MR images confirmed that high 18F-FDG uptake corresponded to low-signal-intensity areas in midbrain, indicating RN (arrowheads).

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    FIGURE 2.

    Metabolic correlations between right RN and surface brain areas (A) and left RN and surface brain areas (B). Degree of correlation is represented by z score.

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    FIGURE 3.

    Scheme of possible neural networks. Width of lines represents degree of association between 2 regions. Right RN is more involved in social–emotional networks (orange regions), whereas left RN is more involved in motor function networks (blue regions). Right AC is known to be more responsible for social–emotional and alerting/arousal vigilance functions than left AC. AC = association cortex; SMC = sensorimotor cortex.

Tables

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    TABLE 1

    Results of Voxel-by-Voxel Correlation with Right RN

    Right hemisphereLeft hemisphere
    Talairach coordinate (mm)Talairach coordinate (mm)
    RegionBAMaximum z score (Pearson R)xyzBAMaximum z score (Pearson R)xyz
    Frontal association cortex6,9,10*,11*,25*, 44*,45*,46,47*3.34 (0.69)39.355.115.810†3.60 (0.72)−41.652.9−4.5
    Parietal cortex40†3.78 (0.75)61.9−37.131.5N/AN/AN/AN/AN/A
    Temporal cortex21†,22*,383.52 (0.71)59.6−7.9−15.8202.58 (0.56)−57.3−16.9−22.5
    Occipital cortexN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
    Sensorimotor cortexN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
    Limbic lobe23*,25,29‡, 30*,34†,354.24 (0.80)1.1−43.913.523,24,25†,30, 31,34*,35*3.57 (0.72)−1.1−1.1−2.2
    CerebellumN/A4.01 (0.77)‡5.6−59.6−42.8N/A3.43 (0.70)†−1.1−37.1−20.3
    • ↵* False discovery rate (FDR) < 0.20.

    • ↵† FDR < 0.10.

    • ↵‡ FDR < 0.05.

    • z score > 2.58, equivalent to P < 0.01 (bilateral), is shown. Talairach coordinates indicate voxels with maximum z score.

    • BA = Brodmann area; N/A = not available.

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    TABLE 2

    Results of Voxel-by-Voxel Correlation with Left RN

    Right hemisphereLeft hemisphere
    Talairach coordinate (mm)Talairach coordinate (mm)
    RegionBAMaximum z score (Pearson R)xyzBAMaximum z score (Pearson R)xyz
    Frontal association cortex6‡,45‡,46†3.91 (0.76)57.425.911.36*,10*,46,473.35 (0.69)−34.959.611.3
    Parietal cortexN/AN/AN/AN/AN/A432.65 (0.58)−61.9−5.615.8
    Temporal cortex222.77 (0.60)57.41.1−2.3N/AN/AN/AN/AN/A
    Occipital cortexN/AN/AN/AN/AN/AN/AN/AN/AN/AN/A
    Sensorimotor cortex4†3.43 (0.70)59.6−1.115.84*3.02 (0.64)−61.9−5.624.8
    Limbic lobe25*,34*,35*,363.28 (0.68)25.9−23.6−22.525†,31*,34*3.44 (0.70)−1.1−3.4−2.3
    CerebellumN/A3.82 (0.75)‡1.1−41.6−22.5N/A4.48 (0.83)‡−1.1−41.6−20.3
    • ↵* False discovery rate (FDR) < 0.20.

    • ↵† FDR < 0.10.

    • ↵‡ FDR < 0.05.

    • z score > 2.58, equivalent to P < 0.01 (bilateral), is shown. Talairach coordinates indicate voxels with maximum z score.

    • BA = Brodmann area; N/A = not available.

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Journal of Nuclear Medicine: 56 (8)
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August 1, 2015
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Metabolic Activity of Red Nucleus and Its Correlation with Cerebral Cortex and Cerebellum: A Study Using a High-Resolution Semiconductor PET System
Kenji Hirata, Naoya Hattori, Wataru Takeuchi, Tohru Shiga, Yuichi Morimoto, Kikuo Umegaki, Kentaro Kobayashi, Osamu Manabe, Shozo Okamoto, Nagara Tamaki
Journal of Nuclear Medicine Aug 2015, 56 (8) 1206-1211; DOI: 10.2967/jnumed.114.152504

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Metabolic Activity of Red Nucleus and Its Correlation with Cerebral Cortex and Cerebellum: A Study Using a High-Resolution Semiconductor PET System
Kenji Hirata, Naoya Hattori, Wataru Takeuchi, Tohru Shiga, Yuichi Morimoto, Kikuo Umegaki, Kentaro Kobayashi, Osamu Manabe, Shozo Okamoto, Nagara Tamaki
Journal of Nuclear Medicine Aug 2015, 56 (8) 1206-1211; DOI: 10.2967/jnumed.114.152504
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Keywords

  • red nucleus
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  • metabolic correlation
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