Aa. Lammertsma et al., COMPARISON OF METHODS FOR ANALYSIS OF CLINICAL [C-11] RACLOPRIDE STUDIES, Journal of cerebral blood flow and metabolism, 16(1), 1996, pp. 42-52
Five different methods for the estimation of the binding potential, a
measure of B-max/K-d, of [C-11]raclopride in human striatum were compa
red using data from a dose ranging study of the neuroleptic CP-88,0590
1. Binding potential was estimated indirectly, from distribution volum
es in striatum and cerebellum, using both single- and two-tissue compa
rtment models with a metabolite-corrected plasma curve as input functi
on. The two-tissue compartment model was also used for a direct estima
te of the binding potential. In addition, a direct estimate was obtain
ed from the reference tissue compartment model using the cerebellum as
indirect input function. Finally, an estimate of binding potential wa
s calculated from the ratio of striatum over cerebellum counts at late
times after injection. The estimates of striatum binding potential fr
om all methods, except the direct determination using a two-tissue com
partment model with metabolite-corrected plasma input function, correl
ated with each other. Use of an average metabolite correction resulted
in only a small reduction in accuracy in this series of normal subjec
ts. The reference tissue model provided estimates of the binding poten
tial with the same sensitivity for detecting changes as those methods
that required a metabolite-corrected plasma input function. This indic
ates that for routine analysis of clinical [C-11]raclopride studies, n
o arterial cannulation is required. The range of normal values was sig
nificantly less variable with the reference tissue method than when si
mple striatum-to-cerebellum ratios were used.