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Research ArticleNeurology

The Variability of Translocator Protein Signal in Brain and Blood of Genotyped Healthy Humans Using In Vivo 123I-CLINDE SPECT Imaging: A Test–Retest Study

Ling Feng, Per Jensen, Gerda Thomsen, Agnete Dyssegaard, Claus Svarer, Lars V. Knudsen, Kirsten Møller, Carsten Thomsen, Jens D. Mikkelsen, Denis Guilloteau, Gitte M. Knudsen and Lars H. Pinborg
Journal of Nuclear Medicine June 2017, 58 (6) 989-995; DOI: https://doi.org/10.2967/jnumed.116.183202
Ling Feng
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
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Per Jensen
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
2Faculty of Health and Medicine, University of Copenhagen, Copenhagen, Denmark
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Gerda Thomsen
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
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Agnete Dyssegaard
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
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Claus Svarer
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
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Lars V. Knudsen
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
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Kirsten Møller
3Department of Neuroanaesthesiology, Rigshospitalet, Copenhagen, Denmark
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Carsten Thomsen
4Department of Radiology, Rigshospitalet, Copenhagen, Denmark
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Jens D. Mikkelsen
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
2Faculty of Health and Medicine, University of Copenhagen, Copenhagen, Denmark
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Denis Guilloteau
5UFR de Médecine, Université François Rabelais de Tours, France; and
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Gitte M. Knudsen
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
2Faculty of Health and Medicine, University of Copenhagen, Copenhagen, Denmark
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Lars H. Pinborg
1Neurobiology Research Unit, Rigshospitalet, Copenhagen, Denmark
2Faculty of Health and Medicine, University of Copenhagen, Copenhagen, Denmark
6Epilepsy Clinic, Department of Neurology, Rigshospitalet, Copenhagen, Denmark
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  • FIGURE 1.
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    FIGURE 1.

    The effect of population-based (PB) approach to adjust input functions (IF) with delayed centrifugation (A and B) and SUVs of IF and brain region of MABs (A and C) and HABs (B and D). (A and B) SUVs of MAB (subject 6) and HAB (subject 3), separately, both with delayed centrifugation of blood samples. 2TCM fitting to neocortex using the input functions (red curves) was also given. (C and D) SUVs of MAB (subject 10) and HAB (subject 14), both with immediate centrifugation of blood samples.

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    FIGURE 2.

    Effect of immediate centrifugation of blood samples on PoB.

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    FIGURE 3.

    Cerebellar brain SUVmean (A), SUVmean 60–90 min (B), and VT (C) categorized by genotype: MAB and HAB.

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    FIGURE 4.

    Brain SUVmean of typical MAB (subject 12) and HAB (subject 11).

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    TABLE 1

    Demographic Data and Methodologic Information Specified by Subject

    Subject no.SexAge (y)Body weight (kg)TSPO genotypeInjected activity (MBq)Scan interval (d)CentrifugationPurity (%)Plasma control (%)
    1M6180MAB120.921Delayed96.195.4
    117.893.591.4
    2M7092MAB112.242Delayed95.495.4
    123.694.993.8
    3M5976.5HAB118.135Delayed96.494.7
    112.094.993.2
    4F38110HAB116.328Delayed96.095.0
    114.390.788.4
    5F6270HAB119.042Delayed96.195.1
    119.496.694.0
    6F5850MAB116.028Delayed96.196.2
    119.795.391.4
    7F6887HAB124.856Delayed92.390.1
    115.195.290.5
    8M5294HAB118.556Delayed98.193.8
    124.189.888.5
    9M4280MAB118.828Immediate95.794.6
    115.893.490.3
    10F4586.2MAB117.456Immediate95.494.6
    114.194.994.7
    11M35100HAB119.956Immediate93.093.2
    114.490.789.9
    12F4073MAB112.07Immediate92.891.8
    130.794.794.1
    13M2495.6MAB115.414Immediate94.492.2
    116.092.090.2
    14F6983MAB123.028Immediate94.592.7
    127.194.490.4
    15F3068HAB105.842Immediate91.082.9
    116.091.188.1
    16F3474.2HAB118.428ImmediateNot availableNot available
    116.3Not availableNot available
    Mean ± SD49 ± 1582.5 ± 14.4117.9 ± 4.935 ± 1593.4 ± 1.791.4 ± 3.2
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    TABLE 2

    Test–Retest Variability

    RegionVT of DC* (n = 8)VT of IC† (n = 8)VT of all subjects (n = 16)Brain uptake (n = 16)
    PD (%)Absolute PD (%)ICCPD (%)Absolute PD (%)ICCPD (%)Absolute PD (%)ICC of MABsICC of HABsICC of allPD (%)Absolute PD (%)ICC of MABsICC of HABsICC of all
    Midbrain2.8 ± 14.512.40.96−1.5 ± 15.611.80.860.6 ± 14.812.10.410.910.93−2.5 ± 11.510.10.720.390.71
    Thalamus11.0 ± 10.512.80.94−12.3 ± 13.312.70.86−0.7 ± 16.712.80.680.840.90−4.7 ± 14.611.60.740.530.71
    Pons−2.3 ± 14.29.60.90−8.2 ± 23.818.90.72−5.3 ± 19.214.20.540.600.82−2.7 ± 12.411.00.810.520.77
    Pallidostriatum5.8 ± 21.917.60.85−7.0 ± 19.014.10.87−0.6 ± 20.915.80.220.790.85−2.2 ± 13.711.10.790.500.74
    Hippocampus14.9 ± 17.315.70.75−5.9 ± 11.89.70.914.5 ± 17.912.70.580.780.83−2.0 ± 15.212.30.570.230.56
    Cerebellum9.6 ± 9.410.20.94−4.9 ± 10.08.20.962.3 ± 12.09.20.760.880.95−1.5 ± 9.47.80.900.450.87
    Neocortex5.8 ± 12.610.20.92−3.2 ± 12.810.50.921.3 ± 13.210.40.880.790.92−2.8 ± 9.68.50.910.570.85
    • ↵* VT using population-adjusted input function of delayed centrifugation.

    • ↵† VT of immediate centrifugation.

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Journal of Nuclear Medicine: 58 (6)
Journal of Nuclear Medicine
Vol. 58, Issue 6
June 1, 2017
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The Variability of Translocator Protein Signal in Brain and Blood of Genotyped Healthy Humans Using In Vivo 123I-CLINDE SPECT Imaging: A Test–Retest Study
Ling Feng, Per Jensen, Gerda Thomsen, Agnete Dyssegaard, Claus Svarer, Lars V. Knudsen, Kirsten Møller, Carsten Thomsen, Jens D. Mikkelsen, Denis Guilloteau, Gitte M. Knudsen, Lars H. Pinborg
Journal of Nuclear Medicine Jun 2017, 58 (6) 989-995; DOI: 10.2967/jnumed.116.183202

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The Variability of Translocator Protein Signal in Brain and Blood of Genotyped Healthy Humans Using In Vivo 123I-CLINDE SPECT Imaging: A Test–Retest Study
Ling Feng, Per Jensen, Gerda Thomsen, Agnete Dyssegaard, Claus Svarer, Lars V. Knudsen, Kirsten Møller, Carsten Thomsen, Jens D. Mikkelsen, Denis Guilloteau, Gitte M. Knudsen, Lars H. Pinborg
Journal of Nuclear Medicine Jun 2017, 58 (6) 989-995; DOI: 10.2967/jnumed.116.183202
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