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Research ArticleClinical Investigations

Tracer Kinetic Analysis of (S)-18F-THK5117 as a PET Tracer for Assessing Tau Pathology

My Jonasson, Anders Wall, Konstantinos Chiotis, Laure Saint-Aubert, Helena Wilking, Margareta Sprycha, Beatrice Borg, Alf Thibblin, Jonas Eriksson, Jens Sörensen, Gunnar Antoni, Agneta Nordberg and Mark Lubberink
Journal of Nuclear Medicine April 2016, 57 (4) 574-581; DOI: https://doi.org/10.2967/jnumed.115.158519
My Jonasson
1Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
2Medical Physics, Uppsala University Hospital, Uppsala, Sweden
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Anders Wall
1Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Konstantinos Chiotis
4Translational Alzheimer Neurobiology, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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Laure Saint-Aubert
4Translational Alzheimer Neurobiology, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
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Helena Wilking
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Margareta Sprycha
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Beatrice Borg
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Alf Thibblin
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Jonas Eriksson
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
5Pre-clinical PET Platform, Uppsala University, Uppsala, Sweden; and
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Jens Sörensen
1Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
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Gunnar Antoni
3PET Centre, Uppsala University Hospital, Uppsala, Sweden
5Pre-clinical PET Platform, Uppsala University, Uppsala, Sweden; and
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Agneta Nordberg
4Translational Alzheimer Neurobiology, Center for Alzheimer Research, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden
6Department of Geriatric Medicine, Karolinska University Hospital Huddinge, Stockholm, Sweden
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Mark Lubberink
1Radiology, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
2Medical Physics, Uppsala University Hospital, Uppsala, Sweden
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  • Article
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  • FIGURE 1.
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    FIGURE 1.

    (A) Typical whole-blood activity curve from 1 AD patient. (B) Plasma–to–whole-blood ratio (mean ± SD) for all 9 subjects. (C) Fraction of unmetabolized (S)-18F-THK5117 (mean ± SD) for all 9 subjects.

  • FIGURE 2.
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    FIGURE 2.

    Time–activity curves (A and D), tissue–to–unmetabolized (S)-18F-THK5117 in plasma ratio (B and E), and tissue-to-cerebellum ratio (C and F) in regions with high, intermediate, and low tau binding (A–C) as well as cerebellum, putamen, and white matter (D–F). Mean for all 5 AD subjects. p.i. = after injection.

  • FIGURE 3.
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    FIGURE 3.

    Typical time–activity curves (TACs) for cerebellum (A), temporal cortex (B), and putamen (C), from 1 AD patient, with fits of 1TCM, 2TCM, and SRTM. Observe that 2TCM and SRTM fits overlap in B and C.

  • FIGURE 4.
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    FIGURE 4.

    2TCM DVR-1 values versus plasma-input Logan DVR-1 values. Line is orthogonal regression with slope 0.96 (confidence interval, 0.94–0.98) and intercept −0.01 (confidence interval, −0.01–0.00). Correlation coefficient (R2) between 2TCM DVR-1 and plasma-input Logan DVR-1 was 0.99.

  • FIGURE 5.
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    FIGURE 5.

    Plasma-input Logan DVR-1 values versus SRTM BPND (A), reference Logan DVR-1 (B), and SUVr-1 values (C). Lines are orthogonal regressions. Slopes and correlation coefficients are given in Table 1.

  • FIGURE 6.
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    FIGURE 6.

    Parametric (S)-18F-THK5117 images of RPM and RPM2 BPND, reference Logan DVR-1, and SUVr70–90-1, from 1 AD patient.

  • FIGURE 7.
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    FIGURE 7.

    Relationship between SRTM BPND and SUVr70–90-1 values in whole-brain white matter. Line is orthogonal regression.

Tables

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    TABLE 1

    Patient Characteristics

    PatientSexAge (y)Amyloid-β (11C-PIB)Mini-Mental State ExaminationYears of education
    AD1F70Pos2516
    AD2M58Pos2511
    AD3F74Pos238
    AD4F57Pos2317
    AD5F67Pos2314
    MCI1M79Neg2718
    MCI2F77Pos308
    MCI3F74Pos2312
    MCI4M65Pos3018
    • Pos = positive; Neg = negative.

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    TABLE 2

    Regression Parameters of Reference Tissue Methods Relative to Plasma-Input Logan DVR-1 Values

    ModelSlopeR2
    SRTM BPND0.97 (0.96–0.99)0.99
    Reference Logan DVR-11.00 (0.99–1.02)1.00
    SUVr70–90-11.49 (1.36–1.62)0.84
    • Data in parentheses are confidence intervals.

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    TABLE 3

    Regression Parameters of Parametric Methods Relative to VOI-Based SRTM BPND Values

    ModelSlopeR2
    RPM BPND0.96 (0.95–0.98)0.99
    RPM2 BPND1.08 (1.05–1.11)0.98
    Reference Logan DVR-11.03 (1.01–1.05)0.99
    SUVr70–90-11.55 (1.38–1.72)0.80
    • Data in parentheses are confidence intervals.

    • View popup
    TABLE 4

    Simulations: Accuracy and Precision

    BPND = 0.80BPND = 0.32
    ModelBias (%)COV (%)Bias (%)COV (%)
    2TCM DVR-10.13.70.18.7
    Plasma Logan DVR-1−3.02.7−4.36.0
    SRTM BPND−4.32.9−13.96.5
    RPM BPND−3.72.8−12.76.3
    Reference Logan DVR-1−3.00.8−1.20.7
    SUVr70–90-1114.43.8147.27.6
    • View popup
    TABLE 5

    Regression Parameters and Bias Relative to 90-Minute Data

    SlopeR2Bias
    Model40 min60 min40 min60 min40 min60 min
    SRTM BPND1.06 (1.00 to 1.12)1.01 (0.98 to 1.03)0.950.99−0.01 (−0.10 to 0.08)−0.01 (−0.05 to 0.03)
    Reference Logan DVR-10.95 (0.91 to 0.99)0.99 (0.97 to 1.01)0.950.99−0.10 (−0.19 to −0.01)−0.03 (−0.07 to 0.01)
    SUVr-10.78 (0.68 to 0.87)0.97 (0.92 to 1.03)0.720.92−0.27 (−0.57 to 0.04)−0.08 (−0.24 to 0.08)
    • Data in parentheses are confidence intervals.

Additional Files

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Journal of Nuclear Medicine: 57 (4)
Journal of Nuclear Medicine
Vol. 57, Issue 4
April 1, 2016
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Tracer Kinetic Analysis of (S)-18F-THK5117 as a PET Tracer for Assessing Tau Pathology
My Jonasson, Anders Wall, Konstantinos Chiotis, Laure Saint-Aubert, Helena Wilking, Margareta Sprycha, Beatrice Borg, Alf Thibblin, Jonas Eriksson, Jens Sörensen, Gunnar Antoni, Agneta Nordberg, Mark Lubberink
Journal of Nuclear Medicine Apr 2016, 57 (4) 574-581; DOI: 10.2967/jnumed.115.158519

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Tracer Kinetic Analysis of (S)-18F-THK5117 as a PET Tracer for Assessing Tau Pathology
My Jonasson, Anders Wall, Konstantinos Chiotis, Laure Saint-Aubert, Helena Wilking, Margareta Sprycha, Beatrice Borg, Alf Thibblin, Jonas Eriksson, Jens Sörensen, Gunnar Antoni, Agneta Nordberg, Mark Lubberink
Journal of Nuclear Medicine Apr 2016, 57 (4) 574-581; DOI: 10.2967/jnumed.115.158519
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