RESUMEN
RATIONALE: Studies have demonstrated that brain dopamine D2/D3 receptors (D2/D3R) and the reinforcing effects of cocaine can be influenced by a monkey's position in the social dominance hierarchy. OBJECTIVE: In this study, we manipulated the social ranks of monkeys by reorganizing social groups and assessed effects on D2/D3R availability and cocaine self-administration. METHODS: Male cynomolgus monkeys (N = 12) had been trained to self-administer cocaine under a concurrent cocaine-food reinforcement schedule. Previously, PET measures of D2/D3R availability in the caudate nucleus and putamen had been obtained with [18F]fluoroclebopride during cocaine abstinence, while monkeys lived in stable social groups of four monkeys/pen. For this study, monkeys were reorganized into groups that consisted of (1) four previously dominant, (2) four previously subordinate, and (3) a mix of previously dominant and subordinate monkeys. After 3 months, D2/D3R availability was redetermined and cocaine self-administration was reexamined. RESULTS: D2/D3R availability significantly increased after reorganization in monkeys who were formerly subordinate, with the greatest increases observed in those that became dominant. No consistent changes in D2/D3R availability were observed in formerly dominant monkeys. Cocaine self-administration did not vary according to rank after reorganization of social groups. However, when compared to their previous cocaine self-administration data, the potency of cocaine as a reinforcer decreased in 9 of 11 monkeys. CONCLUSIONS: These results indicate that changing the social conditions can alter D2/D3R availability in subordinate monkeys in a manner suggestive of environmental enrichment. In most monkeys, social reorganization shifted the cocaine dose-response curve to the right, also consistent with environmental enrichment.
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Cocaína/administración & dosificación , Jerarquia Social , Receptores de Dopamina D2/metabolismo , Receptores de Dopamina D3/metabolismo , Predominio Social , Animales , Núcleo Caudado/diagnóstico por imagen , Núcleo Caudado/efectos de los fármacos , Núcleo Caudado/metabolismo , Conducta de Elección/efectos de los fármacos , Conducta de Elección/fisiología , Inhibidores de Captación de Dopamina/administración & dosificación , Relación Dosis-Respuesta a Droga , Macaca fascicularis , Masculino , Putamen/diagnóstico por imagen , Putamen/efectos de los fármacos , Putamen/metabolismo , Refuerzo en Psicología , AutoadministraciónRESUMEN
BACKGROUND: Scant knowledge exists describing health care providers' and staffs' experiences sharing imaging studies. Additional research is needed to determine the extent to which imaging studies are shared in diverse health care settings, and the extent to which provider or practice characteristics are associated with barriers to viewing external imaging studies on portable media. OBJECTIVE: This analysis uses qualitative data to 1) examine how providers and their staff accessed outside medical imaging studies, 2) examine whether use or the desire to use imaging studies conducted at outside facilities varied by provider specialty or location (urban, suburban, and small town) and 3) delineate difficulties experienced by providers or staff as they attempted to view and use imaging studies available on portable media. METHODS: Semi-structured interviews were conducted with 85 health care providers and medical facility staff from urban, suburban, and small town medical practices in North Carolina and Virginia. The interviews were audio recorded, transcribed, then systematically analyzed using ATLAS.ti. RESULTS: Physicians at family and pediatric medicine practices rely primarily on written reports for medical studies other than X-rays; and thus do not report difficulties accessing outside imaging studies. Subspecialists in urban, suburban, and small towns view imaging studies through internal communication systems, internet portals, or portable media. Many subspecialists and their staff report experiencing difficulty and time delays in accessing and using imaging studies on portable media. CONCLUSION: Subspecialists have distinct needs for viewing imaging studies that are not shared by typical primary care providers. As development and implementation of technical strategies to share medical records continue, this variation in need and use should be noted. The sharing and viewing of medical imaging studies on portable media is often inefficient and fails to meet the needs of many subspeciality physicians, and can lead to repeated imaging studies.
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Registros Electrónicos de Salud/estadística & datos numéricos , Instituciones de Salud , Difusión de la Información/métodos , Médicos , Ciudades , Discos Compactos , Presentación de Datos , Población SuburbanaRESUMEN
Socially housed monkeys have been used as a model to study human diseases. The present study examined behavioral, physiological and neurochemical measures as predictors of social rank in 16 experimentally naïve, individually housed female cynomolgus monkeys (Macaca fascicularis). The two behavioral measures examined were novel object reactivity (NOR), as determined by latency to touch an opaque acrylic box placed in the home cage, and locomotor activity assessed in a novel open-field apparatus. Serum cortisol concentrations were evaluated three times per week for four consecutive weeks, and stress reactivity was assessed on one occasion by evaluating the cortisol response to adrenocorticotropic hormone (ACTH) following dexamethasone suppression. Measures of serotonin (5-HT) function included whole blood 5-HT (WBS) concentrations, cerebrospinal fluid (CSF) concentrations of the 5-HT metabolite 5-hydroxyindoleacetic acid (5-HIAA) and brain 5-HT transporter (SERT) availability obtained using positron emission tomography (PET). After baseline measures were obtained, monkeys were assigned to four social groups of four monkeys per group. The two measures that correlated with eventual social rank were CSF 5-HIAA concentrations, which were significantly higher in the animals who eventually became subordinate, and latency to touch the novel object, which was significantly lower in eventual subordinate monkeys. Measures of 5-HT function did not change as a consequence of social rank. These data suggest that levels of central 5-HIAA and measures of novel object reactivity may be trait markers that influence eventual social rank in female macaques.
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Conducta Animal/fisiología , Dominación-Subordinación , Macaca fascicularis/fisiología , Macaca fascicularis/psicología , Hormona Adrenocorticotrópica/farmacología , Análisis de Varianza , Animales , Conducta Animal/efectos de los fármacos , Bencilaminas/metabolismo , Encéfalo/diagnóstico por imagen , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Isótopos de Carbono/metabolismo , Dexametasona/farmacología , Conducta Exploratoria/fisiología , Femenino , Glucocorticoides/farmacología , Hidrocortisona/sangre , Ácido Hidroxiindolacético/líquido cefalorraquídeo , Macaca fascicularis/metabolismo , Actividad Motora/fisiología , Tomografía de Emisión de Positrones/métodos , Tiempo de Reacción/fisiología , Serotonina/sangre , Proteínas de Transporte de Serotonina en la Membrana Plasmática/metabolismo , Factores de TiempoRESUMEN
The pancreas is one of the most heavily innervated peripheral organs in the body. Parasympathetic and sympathetic neurons terminate in the pancreas and provide tight control of endocrine and exocrine functions. The aim of this study was to determine whether the pancreas can be imaged with a radioligand that binds to specific neuroreceptors. Using fluorine-18 4-fluorobenzyltrozamicol (FBT), which binds to the presynaptic vesicular acetylcholine transporter, positron emission tomography scans were performed in four adult mice, two adult rhesus monkeys, and one adult human. In these mammals, the pancreas is intensely FBT avid, with uptake greater than in any other organ at 30, 60, and 90 min. The maximum standardized uptake value (SUV) ratios of pancreas to liver, for example, ranged from 1.4 to 1.7 in rhesus monkeys (mean 1.6; median 1.7) and from 1.9 to 4.7 (mean 3.24; median 3.02) in mice. The maximum SUV ratio of pancreas to liver in the human was 1.8. These data suggest that neuroreceptor imaging of the pancreas in vivo is feasible in animal models and humans. This imaging could allow researchers to interrogate functions under control of the autonomic nervous system in the pancreas, with applications possible in transplanted and native pancreata. Also, as beta cell function is intimately related to parasympathetic cholinergic input, FBT activity in the pancreas may correlate with insulin-producing beta cell mass. This could ultimately provide a method of in vivo imaging in animal models and humans for diabetes research.
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Fluorobencenos/farmacocinética , Proteínas de Transporte de Membrana , Neuronas/diagnóstico por imagen , Neuronas/metabolismo , Páncreas/diagnóstico por imagen , Páncreas/metabolismo , Piperidinas/farmacocinética , Proteínas de Transporte Vesicular/metabolismo , Animales , Sistema Nervioso Autónomo/diagnóstico por imagen , Sistema Nervioso Autónomo/metabolismo , Femenino , Humanos , Macaca mulatta , Masculino , Ratones , Ratones Endogámicos BALB C , Páncreas/inervación , Radiofármacos/farmacocinética , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Células Receptoras Sensoriales/diagnóstico por imagen , Células Receptoras Sensoriales/metabolismo , Especificidad de la Especie , Distribución Tisular , Tomografía Computarizada de Emisión/métodos , Proteínas de Transporte Vesicular de AcetilcolinaRESUMEN
Positron emission tomography (PET) imaging of spinal cord in monkeys with a cholinergic tracer demonstrates increased spinal cholinergic activity in response to an analgesic dose of morphine, and this PET result correlates with measurement of acetylcholine spillover into spinal cord extracellular space induced by morphine, as measured by microdialysis. Previous studies in rats, mice, and sheep demonstrate activation of spinal cholinergic neurons by systemic opioid administration, and participation of this cholinergic activity in opioid-induced analgesia. Testing the relevance of this observation in humans has been limited to measurement of acetylcholine spillover into lumbar cerebrospinal fluid. The purpose of this study was to apply a recently developed method to image spinal cholinergic terminals non-invasively via PET and to test the hypothesis that the tracer utilized would reflect changes in local cholinergic activity. Following Animal Care and Use Committee approval, seven adult male rhesus monkeys were anesthetized on three separate occasions. On two of the occasions PET scans were performed using [(18)F] (+)-4-fluorobenzyltrozamicol ([(18)F]FBT), which selectively binds to the vesicular acetylcholine (ACh) transporter in the presynaptic cholinergic terminals. PET scans were preceded by injection of either saline or an analgesic dose of IV morphine (10 mg/kg). On the third occasion, microdialysis catheters were inserted in the spinal cord dorsal horn and acetylcholine concentrations in dialysates determined before and after IV morphine injection. Morphine increased cholinergic activity in the spinal cord, as determined by blood flow corrected distribution volume of [(18)F]FBT in the cervical cord compared to the cerebellum. Morphine also increased acetylcholine concentrations in microdialysates from the cervical cord dorsal horn. The one animal which did not show increased spinal cholinergic activity by PET from this dose of morphine also did not show increased acetylcholine from this morphine dose in the microdialysis experiment. These data confirm the ability to use PET to image spinal cholinergic terminals in the monkey spinal cord and suggest that acute changes in cholinergic activity can be imaged with this non-invasive technique. Following preclinical screening, PET scanning with [(18)F]FBT may be useful to investigate mechanisms of analgesic action in normal humans and in those with pain.
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Analgésicos Opioides/farmacología , Fibras Colinérgicas/efectos de los fármacos , Fibras Colinérgicas/fisiología , Morfina/farmacología , Médula Espinal/efectos de los fármacos , Médula Espinal/fisiología , Acetilcolina/metabolismo , Animales , Fibras Colinérgicas/diagnóstico por imagen , Radioisótopos de Flúor , Fluorobencenos/farmacocinética , Macaca mulatta , Masculino , Microdiálisis , Piperidinas/farmacocinética , Flujo Sanguíneo Regional/efectos de los fármacos , Médula Espinal/irrigación sanguínea , Tomografía Computarizada de EmisiónRESUMEN
In the present study, the radiotracer [(18)F] (+)-4-fluorobenzyltrozamicol ((+)-[(18)F]FBT) and positron emission tomography (PET) were used to examine the vesicular acetylcholine transporter and determine if presynaptic cholinergic activity was altered with age in 23 rhesus monkeys that varied in age from 10 to 37 years. Binding of (+)-[(18)F]FBT in the basal ganglia was reduced significantly with increasing age of the monkeys. However, there were individual differences noted in that some middle-aged and aged monkeys demonstrated levels of (+)-[(18)F]FBT binding that were comparable to the binding measured in adult monkeys. These data indicate that presynaptic cholinergic function may decrease with age, but that there may be a differential susceptibility of the cholinergic system to the aging process in different individuals.
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Acetilcolina/metabolismo , Envejecimiento/metabolismo , Ganglios Basales/metabolismo , Proteínas Portadoras/metabolismo , Proteínas de Transporte de Membrana , Terminales Presinápticos/metabolismo , Proteínas de Transporte Vesicular , Animales , Ganglios Basales/citología , Cerebelo/citología , Cerebelo/metabolismo , Radioisótopos de Flúor , Fluorobencenos/farmacocinética , Macaca mulatta/anatomía & histología , Macaca mulatta/metabolismo , Masculino , Fármacos Neuromusculares Despolarizantes/agonistas , Piperidinas/agonistas , Piperidinas/farmacocinética , Terminales Presinápticos/ultraestructura , Tomografía Computarizada de Emisión , Proteínas de Transporte Vesicular de AcetilcolinaRESUMEN
A series of PET imaging studies were conducted with two fluorine-18-labeled tropane analoges, [(18)F](+)-FTT and [(18)F](+)-FCT. Both compounds possessed a high affinity and selectivity for the dopamine transporter and had a higher accumulation in the basal ganglia, a brain region having a high density of the dopamine transporter (DAT) than the cerebellum, a reference region devoid of dopaminergic terminals. [(18)F](+)-FCT had a higher brain uptake and more suitable basal ganglia:cerebellum (BG:Cb) ratio than [(18)F](+)-FTT. [(18)F](+)-FCT also displayed reversible binding kinetics in vivo, indicating that the measurement of DAT density in vivo with PET will be relatively insensitive to changes in cerebral blood flow that can occur as a consequence of disease or prolonged cocaine abuse. The uptake of [(18)F](+)-FCT was also displaced by an intravenous injection of cocaine (1.0 mg/kg), which is consistent with the labeling of the DAT in vivo by this radiotracer. These data suggest that [(18)F](+)-FCT may be a suitable radiotracer for studying DAT function in vivo with PET.
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Encéfalo/metabolismo , Proteínas Portadoras/metabolismo , Glicoproteínas de Membrana , Proteínas de Transporte de Membrana , Proteínas del Tejido Nervioso , Tomografía Computarizada de Emisión , Tropanos , Animales , Ganglios Basales/diagnóstico por imagen , Ganglios Basales/metabolismo , Sangre/metabolismo , Encéfalo/diagnóstico por imagen , Proteínas Portadoras/antagonistas & inhibidores , Cerebelo/diagnóstico por imagen , Cerebelo/metabolismo , Cocaína/farmacología , Proteínas de Transporte de Dopamina a través de la Membrana Plasmática , Inhibidores de Captación de Dopamina/farmacología , Radioisótopos de Flúor , Inyecciones Intravenosas , Cinética , Macaca mulatta , Masculino , Ratas , Ratas Sprague-DawleyRESUMEN
Previous imaging and neurophysiological studies have suggested that the posterior inferior temporal region participates in tasks requiring the recognition of objects, including faces, words, and letters; however, the relationship between accuracy of recognition and activity in that region has not been systematically investigated. In this study, positron emission tomography was used to estimate glucose metabolism in 60 normal adults performing a computer-generated letter-recognition task. Both a region of interest and a voxel-based method of analysis, with subject state and trait variables statistically controlled, found task accuracy to be: (1) negatively related to metabolism in the left ventrolateral inferior temporal occipital cortex (Brodmann's area 37, or ventrolateral BA 37) and (2) positively related to metabolism in a region of the right ventrolateral frontal cortex (Brodmann's areas 47 and 11, or right BA 47/11). Left ventrolateral BA 37 was significantly related both to hits and to false alarms, whereas the right BA 47/11 finding was related only to false alarms. The results were taken as supporting an automaticity mechanism for left ventrolateral BA 37, whereby task accuracy was associated with automatic letter recognition and in turn to reduced metabolism in this extrastriate area. The right BA 47/11 finding was interpreted as reflecting a separate component of task accuracy, associated with selectivity of attention broadly and with inhibition of erroneous responding in particular. The findings are interpreted as supporting the need for control of variance due to subject and task variables, not only in correlational but also in subtraction designs.
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Corteza Cerebral/fisiología , Recuerdo Mental/fisiología , Reconocimiento Visual de Modelos/fisiología , Tomografía Computarizada de Emisión , Adulto , Anciano , Glucemia/metabolismo , Mapeo Encefálico , Corteza Cerebral/diagnóstico por imagen , Dominancia Cerebral/fisiología , Femenino , Fluorodesoxiglucosa F18 , Humanos , Masculino , Persona de Mediana Edad , Lóbulo Temporal/diagnóstico por imagen , Lóbulo Temporal/fisiologíaRESUMEN
UNLABELLED: [18F](+)-4-fluorobenzyltrozamicol (FBT), which selectively binds to the vesicular acetylcholine transporter in the presynaptic cholinergic neuron, has previously been shown to be a useful ligand for the study of cholinergic terminal density in the basal ganglia with PET. The goal of this study was to assess the test-retest variability of [18F]FBT and PET measurements under baseline conditions in the basal ganglia. METHODS: After approval from the Animal Care and Use Committee, 6 rhesus monkeys underwent a series of 2 [18F]FBT PET scans (time between scans, 32-301 d) under isoflurane anesthesia. Each scan was initiated on the bolus injection of the radiotracer and consisted of 26 frames acquired during 180 min. Arterial blood samples were collected over the course of each scan to determine the metabolite-corrected arterial input function. Tissue time-activity curves were obtained from the scan data by drawing regions of interest over the basal ganglia and cerebellum. The distribution volume ratio for the basal ganglia was then determined for each scan by taking the ratio of the basal ganglia (specific binding) to cerebellum (nonspecific binding) distribution volume. Distribution volumes were derived using the Logan graphic analysis technique as well as a standard 3-compartment model. Additionally, the radioactivity concentration ratio was calculated as the ratio of the average [18F]FBT concentration in the basal ganglia to that in the cerebellum during the last half of the study (85-170 min). The constant K1, determined using the standard 3-compartment model, was used as an index of blood flow changes between studies. RESULTS: For all subjects, the test-retest variability was less than 15% for the distribution volume ratio and 12% for the radioactivity concentration ratio. Good agreement was found between the distribution volume ratio calculated using the graphic technique and the standard 3-compartment model. Using K1 as an index, the variability in blood flow seen in both the basal ganglia and the cerebellum was significantly reduced in their ratio. CONCLUSION: These results show the reproducibility of [18F]FBT and PET measurements in the basal ganglia.
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Encéfalo/diagnóstico por imagen , Fibras Colinérgicas/diagnóstico por imagen , Radioisótopos de Flúor , Fluorobencenos , Terminaciones Nerviosas/diagnóstico por imagen , Piperidinas , Radiofármacos , Tomografía Computarizada de Emisión , Animales , Ganglios Basales/diagnóstico por imagen , Cerebelo/diagnóstico por imagen , Macaca mulatta , Masculino , Reproducibilidad de los ResultadosRESUMEN
The purpose of the present study was to determine whether positron emission tomography (PET) studies in monkeys with the dopamine (DA) D2 receptor ligand [18F]fluoroclebopride (FCP) would be significantly influenced by anesthetic induction with isoflurane (approximately 5.0%) compared to induction with 10 mg/kg ketamine. Five experimentally-naive adult male cynomolgus monkeys (Macaca fascicularis) were trained to sit calmly in a primate restraint chair. Before the first PET scan, each monkey was anesthetized, by mask, with isoflurane. After complete sedation, the monkey was intubated and anesthesia was maintained throughout the PET study by isoflurane (approximately 1.5%). At least 1 month later, a second PET study was conducted in which anesthesia was induced with ketamine and maintained by isoflurane (approximately 1.5%). Irrespective of induction anesthetic, there was a high uptake of [18F]FCP and a linear rate of washout from the basal ganglia for all monkeys. There were also no differences in time to peak uptake (approximately 25 min), in clearance half-life (t1/2 = 140-164 min) or in D2 binding (distribution volume ratios of 2.48 vs. 2.50). These results indicate that induction anesthetic did not differentially affect D2 binding of [18F]FCP in monkeys. Furthermore, the low variability between studies indicates that [18F]FCP is an excellent ligand for longitudinal studies of D2 receptors in nonhuman primates.
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Anestésicos/farmacología , Benzamidas/farmacología , Isoflurano/farmacología , Ketamina/farmacología , Piperidinas/farmacología , Radiofármacos/farmacología , Receptores de Dopamina D2/metabolismo , Animales , Interacciones Farmacológicas , Radioisótopos de Flúor , Macaca fascicularis , Masculino , Receptores de Dopamina D2/efectos de los fármacos , Tomografía Computarizada de EmisiónRESUMEN
PURPOSE: Our goal was to demonstrate the feasibility of an in vivo noninvasive method for imaging spinal cord cholinergic terminals using (+)-4-[18F]fluorobenzyltrozamicol ([18F]FBT) and PET. METHOD: In vitro and in vivo experiments in rats were conducted to demonstrate the specific binding characteristics, localization, and time course of [3H]FBT binding in the spinal cord. PET imaging was then performed on seven rhesus monkeys. RESULTS: The rat studies demonstrate high specific binding in the spinal cord with a distribution coinciding with the known distribution of cholinergic terminals. In vivo tracer concentrations in the spinal cord and basal ganglia were of the same magnitude. With use of [18F]FBT and PET in the rhesus monkey, the spinal cord was clearly visualized, with tracer concentration in the spinal cord being approximately one-fourth of that seen in the basal ganglia. CONCLUSION: This work demonstrates the feasibility of imaging cholinergic terminals in vivo in the spinal cord using [18F]FBT and PET.
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Fibras Colinérgicas/diagnóstico por imagen , Fluorobencenos , Terminaciones Nerviosas/diagnóstico por imagen , Piperidinas , Médula Espinal/diagnóstico por imagen , Tomografía Computarizada de Emisión , Animales , Autorradiografía , Técnicas In Vitro , Macaca mulatta , Masculino , Ensayo de Unión Radioligante , Ratas , Ratas Sprague-DawleyRESUMEN
PURPOSE: A tool (Gemini) was developed for quantifying regions of interest (ROIs) in registered MR and PET data. Its use was validated through phantom and simulated studies. METHOD: Hot spheres were imaged in a phantom (3:1 and 5:1 target-to-nontarget ratios). The computerized 3D Hoffman brain phantom was used to simulate PET studies. Spherical local activity features of two diameters (4 and 10 mm) and five intensities (5, 15, 25, 50, and 100% increase over gray matter) were added to the data in the thalamus and Brodmann area 37. The data were reprojected into sinograms and blurred with a 7 mm kernel. Poisson noise was added, and the sinograms were then reconstructed and analyzed using both SPM96 and Gemini spherical ROIs. RESULTS: Based on phantom and simulated data, the 95th percentile of intensity within a Gemini ROI afforded a reasonable joint optimization of variance (reliability) and accuracy (validity). SPM96 and Gemini results were similar for the larger (10 mm) feature, but in this application, Gemini was more sensitive than SPM96 for the small feature (4 mm). CONCLUSION: Gemini, a tool for display and measurement of spherical ROIs in registered PET and MR data, is precise and accurate for testing hypotheses of differences in localized brain activity, comparing favorably with SPM96.
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Encéfalo/metabolismo , Simulación por Computador , Aumento de la Imagen , Tomografía Computarizada de Emisión , Imagen por Resonancia Magnética , Fantasmas de Imagen , Reproducibilidad de los ResultadosRESUMEN
Functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) are noninvasive techniques recently used to investigate cortical motor physiology. However, these modalities measure different phenomena, and in studies of human motor control they have given inconsistent results. We have developed a reproducible technique which co-registers TMS and fMRI, using a frameless method. In four normal subjects, the TMS map and fMRI activation were present on the primary motor cortex contralateral to the target hand, with some extension into primary sensory cortex. fMRI activation alone was also present in the medial motor cortex bilaterally and in the sensorimotor cortex ipsilateral to the target hand. This technique allows a more comprehensive evaluation of the physiologic events involved in motor control.
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Encéfalo/fisiología , Imagen por Resonancia Magnética/métodos , Magnetoencefalografía/métodos , Adulto , Encéfalo/anatomía & histología , Mapeo Encefálico/instrumentación , Mapeo Encefálico/métodos , Interpretación Estadística de Datos , Femenino , Humanos , Interpretación de Imagen Asistida por Computador , Imagen por Resonancia Magnética/instrumentación , Magnetoencefalografía/instrumentación , Masculino , Movimiento/fisiologíaAsunto(s)
Cuerpo Estriado/diagnóstico por imagen , Cuerpo Estriado/metabolismo , Jerarquia Social , Macaca fascicularis/fisiología , Receptores de Dopamina D2/metabolismo , Tomografía Computarizada de Emisión , Animales , Ganglios Basales/metabolismo , Benzamidas/farmacocinética , Femenino , Piperidinas/farmacocinéticaRESUMEN
Microdialysis studies have shown that psychostimulants act through a common neurochemical mechanism of elevating synaptic dopamine content in the mesocorticolimbic dopaminergic system. However, little information is available regarding the dynamics of the interaction between the elevated synaptic dopamine levels induced by a psychostimulant and postsynaptic dopamine receptors. The goal of the current investigation was to determine if positron emission tomography (PET) studies using the dopamine D2-selective radioligand [18F]4'-fluoroclebopride ([18F]FCP) could be used to measure synaptic dopamine levels. Rhesus monkeys were used because our previous studies revealed that [18F]FCP has a low test/retest variability in this species. Under control conditions, [18F]FCP had a high uptake and slow rate of washout from the basal ganglia, a region of brain that expresses a high density of D2 receptors, reaching kinetic equilibrium at approximately 40 min. Challenge studies, each separated by at least 1 month, were conducted by administering an intravenous dose of (-)cocaine, d-amphetamine, methylphenidate, or d-methamphetamine (1.0 mg/kg) at 40 min post-IV injection of a no-carrier-added dose of [18F]FCP. In each case, the psychostimulant caused an increase in the rate of washout of [18F]FCP from the basal ganglia. Methamphetamine and amphetamine had more pronounced effects on the washout kinetics of [18F]FCP relative to cocaine and methylphenidate, a result that is consistent with the ability of each drug to elevate synaptic dopamine levels. Our results indicate that challenge studies with [18F]FCP may be a useful technique for studying the dynamics of the interaction between psychostimulant-induced increases in synaptic dopamine and postsynaptic D2 receptors.
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Encéfalo/diagnóstico por imagen , Dopamina/metabolismo , Narcóticos/farmacología , Tomografía Computarizada de Emisión , Animales , Antagonistas de Dopamina/farmacología , Macaca mulatta , Racloprida , Ensayo de Unión Radioligante , Salicilamidas/farmacologíaRESUMEN
The goal of the present set of studies was to characterize the in vitro binding properties and in vivo tissue kinetics for the vesicular acetylcholine transporter (VAcChT) radiotracer, [18F](+)-4-fluorobenzyltrozamicol ([18F](+)-FBT). In vitro binding studies were conducted in order to determine the affinity of the (+)- and (-)-stereoisomers of FBT for the VAcChT as well as sigma (sigma 1 and sigma 2) receptors. (+)-FBT was found to have a high affinity (Ki = 0.22 nM) for the VAcChT and lower affinities for sigma 1 (21.6 nM) and sigma 2 (35.9 nM) receptors, whereas (-)-FBT had similar affinities for the VAcChT and sigma 1 receptors (approximately 20 nM) and a lower affinity for sigma 2 (110 nM) receptors. PET imaging studies were conducted in rhesus monkeys (n = 3) with [18F](+)-FBT. [18F](+)-FBT was found to have a high accumulation and slow rate of washout from the basal ganglia, which is consistent with the labeling of cholinergic interneurons in this brain region. [18F](+)-FBT also displayed reversible binding kinetics during the 3 h time course of PET and produced radiolabeled metabolites that did not cross the blood-brain barrier. The results from the current in vitro and in vivo studies indicate that [18F](+)-FBT is a promising ligand for studying cholinergic terminal density, with PET, via the VAcChT.
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Encéfalo/diagnóstico por imagen , Encéfalo/metabolismo , Proteínas Portadoras/metabolismo , Radioisótopos de Flúor , Fluorobencenos , Proteínas de Transporte de Membrana , Piperidinas , Vesículas Sinápticas/metabolismo , Tomografía Computarizada de Emisión/métodos , Proteínas de Transporte Vesicular , Animales , Ganglios Basales/metabolismo , Proteínas Portadoras/análisis , Cerebelo/metabolismo , Radioisótopos de Flúor/farmacocinética , Lóbulo Frontal/metabolismo , Macaca mulatta , Imagen por Resonancia Magnética , Masculino , Fármacos Neuromusculares Despolarizantes/metabolismo , Lóbulo Occipital/metabolismo , Especificidad de Órganos , Piperidinas/síntesis química , Piperidinas/metabolismo , Piperidinas/farmacocinética , Ensayo de Unión Radioligante , Ratas , Ratas Sprague-Dawley , Receptores sigma/análisis , Receptores sigma/metabolismo , Estereoisomerismo , Lóbulo Temporal/metabolismo , Proteínas de Transporte Vesicular de AcetilcolinaRESUMEN
UNLABELLED: The purpose of this study was to develop an accurate, retrospectively applicable procedure for registering thoracic studies from different modalities in a short amount of time and with minimal operator intervention. METHODS: CT and PET studies were acquired from six patients. The pleural surfaces in both image sets were determined by segmenting based on 50% of the maximum soft-tissue value in the study. These surfaces were converted into three-dimensional volumes and used to register the CT and PET studies in three dimensions using a sum of least squares fitting approach. The registered PET study was then displayed in a hot metal scale overlayed on top of the gray scale CT study. The accuracy of the fit was evaluated through a phantom study and preliminary clinical evaluation. RESULTS: A phantom study was performed to determine the limits of this technique. The accuracy was determined to be less than 2.3 mm in the x and y direction and 3 mm in the z direction. Preliminary clinical evaluation was also performed with encouraging results. CONCLUSION: This technique accurately registers PET and CT images of the thorax, retrospectively, without the need for external fiducial markers or other a priori action.
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Algoritmos , Procesamiento de Imagen Asistido por Computador , Neoplasias Pulmonares/diagnóstico , Tomografía Computarizada de Emisión , Tomografía Computarizada por Rayos X , Anciano , Carcinoma Broncogénico/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Desoxiglucosa/análogos & derivados , Femenino , Radioisótopos de Flúor , Fluorodesoxiglucosa F18 , Humanos , Masculino , Persona de Mediana Edad , Fantasmas de Imagen , Factores de TiempoRESUMEN
Statistical models of partial volume effect for systems with various types of noise or pixel value distributions are developed and probability density functions are derived. The models assume either Gaussian system sampling noise or intrinsic material variances with Gaussian or Poisson statistics. In particular, a material can be viewed as having a distinct value that has been corrupted by additive noise either before or after partial volume mixing, or the material could have nondistinct values with a Poisson distribution as might be the case in nuclear medicine images. General forms of the probability density functions are presented for the N material cases and particular forms for two- and three-material cases are derived. These models are incorporated into finite mixture densities in order to more accurately model the distribution of image pixel values. Examples are presented using simulated histograms to demonstrate the efficacy of the models for quantification. Modeling of partial volume effect is shown to be useful when one of the materials is present in images mainly as a pixel component.
RESUMEN
UNLABELLED: The intent of this investigation was to quantitate the amount of misregistration between PET emission and transmission scans of the thorax that occurs in a normal clinical environment. METHODS: The data from 17 FDG myocardial studies were evaluated. Prior to injection, a transmission study was acquired for 15 min using a 68Ge/68Ga ring source. The location of the cross-hairs from a laser alignment system was marked on the patient who was then removed from the scanner and injected with 10 mCi of FDG. After 45 min, the patient was placed back on the table and repositioned with the previously placed marks and a 15-min emission scan was acquired. The outline of the lungs on both the transmission and emission images was manually segmented. Both attenuation-corrected and noncorrected emission images were evaluated and the one that provided clearer visualization of the outline of the lungs was chosen for segmentation. The segmented contours of the transmission and emission scans were then registered with the method described by Pelizzari et al. using the transmission image as the "head" and the emission image as the "hat." The allowable transformations were x and y shifts and rotation in the transverse plane. RESULTS: Shifts in the x-axis averaged 2.4 mm (range: 0.2-7.3 mm, 80% less than 3.3 mm) with shifts in the y-axis averaging 2.6 mm (range: 0.1-8.7 mm, 80% less than 2.4 mm) and rotations in the transverse plane averaging 1.6 degrees (range: 0.2 to 5.1 degrees, 80% less than 2.4 degrees). A phantom study indicated that the accuracy of this method of evaluating misregistration was 2.35 mm and 1.81 mm in the x and y directions, respectively. CONCLUSION: Our preliminary evaluation indicates that careful application of laser alignment is an adequate method of registration in most cases.
Asunto(s)
Desoxiglucosa/análogos & derivados , Radioisótopos de Flúor , Corazón/diagnóstico por imagen , Tomografía Computarizada de Emisión , Algoritmos , Estudios de Evaluación como Asunto , Femenino , Fluorodesoxiglucosa F18 , Humanos , Masculino , Persona de Mediana Edad , Modelos Estructurales , Estudios Retrospectivos , Tomografía Computarizada de Emisión/instrumentación , Tomografía Computarizada de Emisión/métodosRESUMEN
The problem of automatic quantification of brain tissue by utilizing single-valued (single echo) magnetic resonance imaging (MRI) brain scans is addressed. It is shown that this problem can be solved without classification or segmentation, a method that may be particularly useful in quantifying white matter lesions where the range of values associated with the lesions and the white matter may heavily overlap. The general technique utilizes a statistical model of the noise and partial volume effect together with a finite mixture density description of the tissues. The quantification is then formulated as a minimization problem of high order with up to six separate densities as part of the mixture. This problem is solved by tree annealing with and without partial volume utilized, the results compared, and the sensitivity of the tree annealing algorithm to various parameters is exhibited. The actual quantification is performed by two methods: a classification-based method called Bayes quantification, and parameter estimation. Results from each method are presented for synthetic and actual data.