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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Yong-Il (Department of Nuclear Medicine, Seoul National University Hospital) Im, Hyung-Jun (Department of Nuclear Medicine, Seoul National University Hospital) Paeng, Jin Chul (Department of Nuclear Medicine, Seoul National University Hospital) Lee, Jae Sung (Department of Nuclear Medicine, Seoul National University Hospital) Eo, Jae Seon (Department of Nuclear Medicine, Seoul National University Hospital) Kim, Dong Hyun (Department of Radiology, Seoul National University Hospital) Kim, Euishin E. (Department of Molecular Medicine and Biopharmaceutical Sciences, WCU Graduate School of Convergence Science and Technology, Seoul National University) Kang, Keon Wook (Department of Nuclear Medicine, Seoul National University Hospital) Chung, June-Key (Department of Nuclear Medicine, Seoul National University Hospital) Lee, Dong Soo (Department of Nuclear Medicine, Seoul National University Hospital)
저널정보
대한핵의학회 Nuclear medicine and molecular imaging : NMMI Nuclear medicine and molecular imaging : NMMI 제46권 제4호
발행연도
2012.1
수록면
254 - 260 (7page)

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Purpose $^{18}F$-FP-CIT positron emission tomography (PET) is an effective imaging for dopamine transporters. In usual clinical practice, $^{18}F$-FP-CIT PET is analyzed visually or quantified using manual delineation of a volume of interest (VOI) for the striatum. In this study, we suggested and validated two simple quantitative methods based on automatic VOI delineation using statistical probabilistic anatomical mapping (SPAM) and isocontour margin setting. Methods Seventy-five $^{18}F$-FP-CIT PET images acquired in routine clinical practice were used for this study. A study-specific image template was made and the subject images were normalized to the template. Afterwards, uptakes in the striatal regions and cerebellum were quantified using probabilistic VOI based on SPAM. A quantitative parameter, $Q_{SPAM}$, was calculated to simulate binding potential. Additionally, the functional volume of each striatal region and its uptake were measured in automatically delineated VOI using isocontour margin setting. Uptake-volume product ($Q_{UVP}$) was calculated for each striatal region. $Q_{SPAM}$ and $Q_{UVP}$ were compared with visual grading and the influence of cerebral atrophy on the measurements was tested. Results Image analyses were successful in all the cases. Both the $Q_{SPAM}$ and $Q_{UVP}$ were significantly different according to visual grading (P<0.001). The agreements of $Q_{UVP}$ or $Q_{SPAM}$ with visual grading were slight to fair for the caudate nucleus (${\kappa}$=0.421 and 0.291, respectively) and good to perfect to the putamen (${\kappa}$=0.663 and 0.607, respectively). Also, $Q_{SPAM}$ and $Q_{UVP}$ had a significant correlation with each other (P<0.001). Cerebral atrophy made a significant difference in $Q_{SPAM}$ and $Q_{UVP}$ of the caudate nuclei regions with decreased $^{18}F$-FP-CIT uptake. Conclusion Simple quantitative measurements of $Q_{SPAM}$ and $Q_{UVP}$ showed acceptable agreement with visual grading. Although $Q_{SPAM}$ in some group may be influenced by cerebral atrophy, these simple methods are expected to be effective in the quantitative analysis of $^{18}F$-FP-CIT PET in usual clinical practice.

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