scholarly journals Deep-learning-based attenuation correction in dynamic [15O]H2O studies using PET/MRI in healthy volunteers

2021 ◽  
pp. 0271678X2110291
Author(s):  
Oriol Puig ◽  
Otto M Henriksen ◽  
Flemming L Andersen ◽  
Ulrich Lindberg ◽  
Liselotte Højgaard ◽  
...  
Keyword(s):  
Attenuation Correction ◽  
Activity Concentration ◽  
Reference Method ◽  
Occipital Lobe ◽  
Brain Regions ◽  
Regions Of Interest ◽  
Whole Brain ◽  
Ultrashort Echo Time ◽  
Positron Emission ◽  
Static Images

Quantitative [15O]H2O positron emission tomography (PET) is the accepted reference method for regional cerebral blood flow (rCBF) quantification. To perform reliable quantitative [15O]H2O-PET studies in PET/MRI scanners, MRI-based attenuation-correction (MRAC) is required. Our aim was to compare two MRAC methods (RESOLUTE and DeepUTE) based on ultrashort echo-time with computed tomography-based reference standard AC (CTAC) in dynamic and static [15O]H2O-PET. We compared rCBF from quantitative perfusion maps and activity concentration distribution from static images between AC methods in 25 resting [15O]H2O-PET scans from 14 healthy men at whole-brain, regions of interest and voxel-wise levels. Average whole-brain CBF was 39.9 ± 6.0, 39.0 ± 5.8 and 40.0 ± 5.6 ml/100 g/min for CTAC, RESOLUTE and DeepUTE corrected studies respectively. RESOLUTE underestimated whole-brain CBF by 2.1 ± 1.50% and rCBF in all regions of interest (range −2.4%– −1%) compared to CTAC. DeepUTE showed significant rCBF overestimation only in the occipital lobe (0.6 ± 1.1%). Both MRAC methods showed excellent correlation on rCBF and activity concentration with CTAC, with slopes of linear regression lines between 0.97 and 1.01 and R2 over 0.99. In conclusion, RESOLUTE and DeepUTE provide AC information comparable to CTAC in dynamic [15O]H2O-PET but RESOLUTE is associated with a small but systematic underestimation.

Gray matter blood flow change is unevenly distributed during moderate isocapnic hypoxia in humans

2008 ◽  
Vol 104 (1) ◽  
pp. 212-217 ◽  
Author(s):  
Andrew P. Binks ◽  
Vincent J. Cunningham ◽  
Lewis Adams ◽  
Robert B. Banzett
Keyword(s):  
Blood Flow ◽  
Nucleus Accumbens ◽  
Positron Emission Tomography Imaging ◽  
Occipital Lobe ◽  
Brain Regions ◽  
Functional Brain Imaging ◽  
Regions Of Interest ◽  
Breath Hold ◽  
Obstructive Sleep ◽  
The Brain

Hypoxia increases cerebral blood flow (CBF), but it is unknown whether this increase is uniform across all brain regions. We used H215O positron emission tomography imaging to measure absolute blood flow in 50 regions of interest across the human brain ( n = 5) during normoxia and moderate hypoxia. Pco2 was kept constant (∼44 Torr) throughout the study to avoid decreases in CBF associated with the hypocapnia that normally occurs with hypoxia. Breathing was controlled by mechanical ventilation. During hypoxia (inspired Po2 = 70 Torr), mean end-tidal Po2 fell to 45 ± 6.3 Torr (means ± SD). Mean global CBF increased from normoxic levels of 0.39 ± 0.13 to 0.45 ± 0.13 ml/g during hypoxia. Increases in regional CBF were not uniform and ranged from 9.9 ± 8.6% in the occipital lobe to 28.9 ± 10.3% in the nucleus accumbens. Regions of interest that were better perfused during normoxia generally showed a greater regional CBF response. Phylogenetically older regions of the brain tended to show larger vascular responses to hypoxia than evolutionary younger regions, e.g., the putamen, brain stem, thalamus, caudate nucleus, nucleus accumbens, and pallidum received greater than average increases in blood flow, while cortical regions generally received below average increases. The heterogeneous blood flow distribution during hypoxia may serve to protect regions of the brain with essential homeostatic roles. This may be relevant to conditions such as altitude, breath-hold diving, and obstructive sleep apnea, and may have implications for functional brain imaging studies that involve hypoxia.

scholarly journals In vivo evidence for dysregulation of mGluR5 as a biomarker of suicidal ideation

2019 ◽  
Vol 116 (23) ◽  
pp. 11490-11495 ◽  
Author(s):  
Margaret T. Davis ◽  
Ansel Hillmer ◽  
Sophie E. Holmes ◽  
Robert H. Pietrzak ◽  
Nicole DellaGioia ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Suicide Risk ◽  
Potential Role ◽  
Input Function ◽  
Brain Regions ◽  
Volume Of Distribution ◽  
Regions Of Interest ◽  
Emission Tomography ◽  
Positron Emission

Recent evidence implicates dysregulation of metabotropic glutamatergic receptor 5 (mGluR5) in pathophysiology of PTSD and suicidality. Using positron emission tomography and [18F]FPEB, we quantified mGluR5 availability in vivo in individuals with PTSD (n = 29) and MDD (n = 29) as a function of suicidal ideation (SI) to compare with that of healthy comparison controls (HC; n = 29). Volume of distribution was computed using a venous input function in the five key frontal and limbic brain regions. We observed significantly higher mGluR5 availability in PTSD compared with HC individuals in all regions of interest (P’s = 0.001–0.01) and compared with MDD individuals in three regions (P’s = 0.007). mGluR5 availability was not significantly different between MDD and HC individuals (P = 0.17). Importantly, we observed an up-regulation in mGluR5 availability in the PTSD-SI group (P’s = 0.001–0.007) compared with PTSD individuals without SI. Findings point to the potential role for mGluR5 as a target for intervention and, potentially, suicide risk management in PTSD.

Functional Abnormalities in the Neural Circuitry of Reading in Men with Nonsyndromic Clefts of the Lip or Palate

2006 ◽  
Vol 43 (6) ◽  
pp. 683-690 ◽  
Author(s):  
Grant Goldsberry ◽  
Dan O'Leary ◽  
Rich Hichwa ◽  
Peg Nopoulos
Keyword(s):  
Blood Flow ◽  
Language Processing ◽  
Oral Reading ◽  
Neural Circuit ◽  
Occipital Lobe ◽  
Neural Circuitry ◽  
Brain Regions ◽  
Healthy Controls ◽  
Positron Emission ◽  
Increased Blood Flow

Objective: The current study was designed to evaluate the neurobiology of reading in a group of men with nonsyndromic clefts of the lip or palate (NSCLP) compared with healthy controls by positron emission tomography. Design: Subjects included eight men with NSCLP compared with six healthy control men. By using radioactively labeled water (O15), regional brain blood flow was obtained during the performance of three simple reading tasks: reading unrelated words, reading unrelated sentences, and reading a story. Results: During each of the reading conditions, NSCLP subjects compared with healthy controls showed increased blood flow in areas previously reported to be involved in language processing and reading (inferior frontal lobe, cerebellum, and occipital lobe). The increased blood flow suggests a possible neural inefficiency. In contrast, when analyzing the brain regions involved in more complex language functioning (reading stories compared with reading only words), control subjects showed an increase in blood flow in a distributed neural circuit, whereas the NSCLP subjects showed a decrease in flow in these regions. Additionally, the NSCLP subjects had activation of several regions not activated in the healthy controls, suggesting a compensatory circuit used for this more complex reading task. Conclusions: These results indicate that subjects with NSCLP show abnormalities in the function of the distributed neural circuitry used for oral reading.

scholarly journals Altered Cerebral Protein Synthesis in Fragile X Syndrome: Studies in Human Subjects and Knockout Mice

2013 ◽  
Vol 33 (4) ◽  
pp. 499-507 ◽  
Author(s):  
Mei Qin ◽  
Kathleen C Schmidt ◽  
Alan J Zametkin ◽  
Shrinivas Bishu ◽  
Lisa M Horowitz ◽  
...  
Keyword(s):  
Protein Synthesis ◽  
Fragile X Syndrome ◽  
Fragile X ◽  
Human Subjects ◽  
Brain Regions ◽  
Synaptic Activity ◽  
Whole Brain ◽  
Propofol Sedation ◽  
Positron Emission ◽  
Cerebral Protein Synthesis

Dysregulated protein synthesis is thought to be a core phenotype of fragile X syndrome (FXS). In a mouse model ( Fmr1 knockout (KO)) of FXS, rates of cerebral protein synthesis (rCPS) are increased in selective brain regions. We hypothesized that rCPS are also increased in FXS subjects. We measured rCPS with the L-[1-11C]leucine positron emission tomography (PET) method in whole brain and 10 regions in 15 FXS subjects who, because of their impairments, were studied under deep sedation with propofol. We compared results with those of 12 age-matched controls studied both awake and sedated. In controls, we found no differences in rCPS between awake and propofol sedation. Contrary to our hypothesis, FXS subjects under propofol sedation had reduced rCPS in whole brain, cerebellum, and cortex compared with sedated controls. To investigate whether propofol could have a disparate effect in FXS subjects masking usually elevated rCPS, we measured rCPS in C57Bl/6 wild-type (WT) and KO mice awake or under propofol sedation. Propofol decreased rCPS substantially in most regions examined in KO mice, but in WT mice caused few discrete changes. Propofol acts by decreasing neuronal activity either directly or by increasing inhibitory synaptic activity. Our results suggest that changes in synaptic signaling can correct increased rCPS in FXS.

scholarly journals Analytical and Clinical Performance of Amyloid-Beta Peptides Measurements in CSF of ADNIGO/2 Participants by an LC–MS/MS Reference Method

2020 ◽  
Vol 66 (4) ◽  
pp. 587-597
Author(s):  
Magdalena Korecka ◽  
Michal J Figurski ◽  
Susan M Landau ◽  
Magdalena Brylska ◽  
Jacob Alexander ◽  
...  
Keyword(s):  
Clinical Performance ◽  
Certified Reference Materials ◽  
Reference Method ◽  
Brain Regions ◽  
Plaque Burden ◽  
Amyloid Pet ◽  
Positron Emission ◽  
High Concordance ◽  
Long Term Performance ◽  
Term Performance

Abstract Background Cerebrospinal fluid (CSF) amyloid-β1-42 (Aβ42) reliably detects brain amyloidosis based on its high concordance with plaque burden at autopsy and with amyloid positron emission tomography (PET) ligand retention observed in several studies. Low CSF Aβ42 concentrations in normal aging and dementia are associated with the presence of fibrillary Aβ across brain regions detected by amyloid PET imaging. Methods An LC–MS/MS reference method for Aβ42, modified by adding Aβ40 and Aβ38 peptides to calibrators, was used to analyze 1445 CSF samples from ADNIGO/2 participants. Seventy runs were completed using 2 different lots of calibrators. For preparation of Aβ42 calibrators and controls spiking solution, reference Aβ42 standard with certified concentration was obtained from EC-JRC-IRMM (Belgium). Aβ40 and Aβ38 standards were purchased from rPeptide. Aβ42 calibrators’ accuracy was established using CSF-based Aβ42 Certified Reference Materials (CRM). Results CRM-adjusted Aβ42 calibrator concentrations were calculated using the regression equation Y (CRM-adjusted) = 0.89X (calibrators) + 32.6. Control samples and CSF pools yielded imprecision ranging from 6.5 to 10.2% (Aβ42) and 2.2 to 7.0% (Aβ40). None of the CSF pools showed statistically significant differences in Aβ42 concentrations across 2 different calibrator lots. Comparison of Aβ42 with Aβ42/Aβ40 showed that the ratio improved concordance with concurrent [18F]-florbetapir PET as a measure of fibrillar Aβ (n = 766) from 81 to 88%. Conclusions Long-term performance assessment substantiates our modified LC–MS/MS reference method for 3 Aβ peptides. The improved diagnostic performance of the CSF ratio Aβ42/Aβ40 suggests that Aβ42 and Aβ40 should be measured together and supports the need for an Aβ40 CRM.

Conceptual disorganization and redistribution of resting state cortical hubs in untreated first episode psychosis: A 7T MRI study

2020 ◽  
Author(s):  
Avyarthana Dey ◽  
Kara Dempster ◽  
Michael Mackinley ◽  
Peter Jeon ◽  
Tushar Das ◽  
...  
Keyword(s):  
Negative Symptoms ◽  
Superior Temporal Gyrus ◽  
Brain Regions ◽  
First Episode Psychosis ◽  
Cortical Reorganization ◽  
First Episode ◽  
Formal Thought Disorder ◽  
Whole Brain ◽  
Episode Psychosis ◽  
Positive And Negative Symptoms

Background:Network level dysconnectivity has been studied in positive and negative symptoms of schizophrenia. Conceptual disorganization (CD) is a symptom subtype which predicts impaired real-world functioning in psychosis. Systematic reviews have reported aberrant connectivity in formal thought disorder, a construct related to CD. However, no studies have investigated whole-brain functional correlates of CD in psychosis. We sought to investigate brain regions explaining the severity of CD in patients with first-episode psychosis (FEPs) compared with healthy controls (HCs).Methods:We computed whole-brain binarized degree centrality maps of 31 FEPs, 25 HCs and characterized the patterns of network connectivity in the two groups. In FEPs, we related these findings to the severity of CD. We also studied the effect of positive and negative symptoms on altered network connectivity.Results:Compared to HCs, reduced hubness of a right superior temporal gyrus (rSTG) cluster was observed in the FEPs. In patients exhibiting high CD, increased hubness of a medial superior parietal (mSPL) cluster was observed, compared to patients exhibiting low CD. These two regions were strongly correlated with CD scores but not with other symptom scores.Discussion:Our observations are congruent with previous findings of reduced but not increased hubness. We observed increased hubness of mSPL suggesting that cortical reorganization occurs to provide alternate routes for information transfer.Conclusion:These findings provide insight into the underlying neural processes mediating the presentation of symptoms in untreated FEP. A longitudinal tracking of the symptom course will be useful to assess the mechanisms underlying these compensatory changes.

scholarly journals Regional Lung Derecruitment and Inflammation during 16 Hours of Mechanical Ventilation in Supine Healthy Sheep

2013 ◽  
Vol 119 (1) ◽  
pp. 156-165 ◽  
Author(s):  
Mauro R. Tucci ◽  
Eduardo L. V. Costa ◽  
Tyler J. Wellman ◽  
Guido Musch ◽  
Tilo Winkler ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
Hypoxic Pulmonary Vasoconstriction ◽  
Regions Of Interest ◽  
Positive End Expiratory Pressure ◽  
18F Fluorodeoxyglucose ◽  
Positron Emission ◽  
Lung Dysfunction ◽  
Regional Lung ◽  
Net Uptake ◽  
Normal Lungs

Abstract Background: Lung derecruitment is common during general anesthesia. Mechanical ventilation with physiological tidal volumes could magnify derecruitment, and produce lung dysfunction and inflammation. The authors used positron emission tomography to study the process of derecruitment in normal lungs ventilated for 16 h and the corresponding changes in regional lung perfusion and inflammation. Methods: Six anesthetized supine sheep were ventilated with VT = 8 ml/kg and positive end-expiratory pressure = 0. Transmission scans were performed at 2-h intervals to assess regional aeration. Emission scans were acquired at baseline and after 16 h for the following tracers: (1) 18F-fluorodeoxyglucose to evaluate lung inflammation and (2) 13NN to calculate regional perfusion and shunt fraction. Results: Gas fraction decreased from baseline to 16 h in dorsal (0.31 ± 0.13 to 0.14 ± 0.12, P < 0.01), but not in ventral regions (0.61 ± 0.03 to 0.63 ± 0.07, P = nonsignificant), with time constants of 1.5–44.6 h. Although the vertical distribution of relative perfusion did not change from baseline to 16 h, shunt increased in dorsal regions (0.34 ± 0.23 to 0.63 ± 0.35, P < 0.01). The average pulmonary net 18F-fluorodeoxyglucose uptake rate in six regions of interest along the ventral–dorsal direction increased from 3.4 ± 1.4 at baseline to 4.1 ± 1.5⋅10−3/min after 16 h (P < 0.01), and the corresponding average regions of interest 18F-fluorodeoxyglucose phosphorylation rate increased from 2.0 ± 0.2 to 2.5 ± 0.2⋅10−2/min (P < 0.01). Conclusions: When normal lungs are mechanically ventilated without positive end-expiratory pressure, loss of aeration occurs continuously for several hours and is preferentially localized to dorsal regions. Progressive lung derecruitment was associated with increased regional shunt, implying an insufficient hypoxic pulmonary vasoconstriction. The increased pulmonary net uptake and phosphorylation rates of 18F-fluorodeoxyglucose suggest an incipient inflammation in these initially normal lungs.

scholarly journals Accurate Transmission-Less Attenuation Correction Method for Amyloid-β Brain PET Using Deep Neural Network

Electronics ◽  
2021 ◽  
Vol 10 (15) ◽  
pp. 1836
Author(s):  
Bo-Hye Choi ◽  
Donghwi Hwang ◽  
Seung-Kwan Kang ◽  
Kyeong-Yun Kim ◽  
Hongyoon Choi ◽  
...  
Keyword(s):  
Neural Network ◽  
Attenuation Correction ◽  
Complex Structure ◽  
Scatter Correction ◽  
Amyloid Β ◽  
Correction Method ◽  
Percentage Error ◽  
Similarity Coefficients ◽  
Brain Pet ◽  
Positron Emission

The lack of physically measured attenuation maps (μ-maps) for attenuation and scatter correction is an important technical challenge in brain-dedicated stand-alone positron emission tomography (PET) scanners. The accuracy of the calculated attenuation correction is limited by the nonuniformity of tissue composition due to pathologic conditions and the complex structure of facial bones. The aim of this study is to develop an accurate transmission-less attenuation correction method for amyloid-β (Aβ) brain PET studies. We investigated the validity of a deep convolutional neural network trained to produce a CT-derived μ-map (μ-CT) from simultaneously reconstructed activity and attenuation maps using the MLAA (maximum likelihood reconstruction of activity and attenuation) algorithm for Aβ brain PET. The performance of three different structures of U-net models (2D, 2.5D, and 3D) were compared. The U-net models generated less noisy and more uniform μ-maps than MLAA μ-maps. Among the three different U-net models, the patch-based 3D U-net model reduced noise and cross-talk artifacts more effectively. The Dice similarity coefficients between the μ-map generated using 3D U-net and μ-CT in bone and air segments were 0.83 and 0.67. All three U-net models showed better voxel-wise correlation of the μ-maps compared to MLAA. The patch-based 3D U-net model was the best. While the uptake value of MLAA yielded a high percentage error of 20% or more, the uptake value of 3D U-nets yielded the lowest percentage error within 5%. The proposed deep learning approach that requires no transmission data, anatomic image, or atlas/template for PET attenuation correction remarkably enhanced the quantitative accuracy of the simultaneously estimated MLAA μ-maps from Aβ brain PET.

scholarly journals Disrupted metabolic connectivity in dopaminergic and cholinergic networks at different stages of dementia from 18F-FDG PET brain persistent homology network

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tun-Wei Hsu ◽  
Jong-Ling Fuh ◽  
Da-Wei Wang ◽  
Li-Fen Chen ◽  
Chia-Jung Chang ◽  
...  
Keyword(s):  
Algebraic Topology ◽  
Fdg Pet ◽  
Persistent Homology ◽  
Network Connectivity ◽  
Brain Regions ◽  
Imaging Data ◽  
Cholinergic Pathways ◽  
Positron Emission ◽  
Metabolic Connectivity ◽  
Neurochemical Changes

AbstractDementia is related to the cellular accumulation of β-amyloid plaques, tau aggregates, or α-synuclein aggregates, or to neurotransmitter deficiencies in the dopaminergic and cholinergic pathways. Cellular and neurochemical changes are both involved in dementia pathology. However, the role of dopaminergic and cholinergic networks in metabolic connectivity at different stages of dementia remains unclear. The altered network organisation of the human brain characteristic of many neuropsychiatric and neurodegenerative disorders can be detected using persistent homology network (PHN) analysis and algebraic topology. We used 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET) imaging data to construct dopaminergic and cholinergic metabolism networks, and used PHN analysis to track the evolution of these networks in patients with different stages of dementia. The sums of the network distances revealed significant differences between the network connectivity evident in the Alzheimer’s disease and mild cognitive impairment cohorts. A larger distance between brain regions can indicate poorer efficiency in the integration of information. PHN analysis revealed the structural properties of and changes in the dopaminergic and cholinergic metabolism networks in patients with different stages of dementia at a range of thresholds. This method was thus able to identify dysregulation of dopaminergic and cholinergic networks in the pathology of dementia.

scholarly journals The pharmacokinetics of [18F]UCB-H revisited in the healthy non-human primate brain

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sébastien Goutal ◽  
Martine Guillermier ◽  
Guillaume Becker ◽  
Mylène Gaudin ◽  
Yann Bramoullé ◽  
...  
Keyword(s):  
Slow Component ◽  
Specific Binding ◽  
Compartment Model ◽  
Brain Regions ◽  
Volume Of Distribution ◽  
Pharmacokinetic Data ◽  
Limited Information ◽  
Positron Emission ◽  
Human Primate

Abstract Background Positron Emission Tomography (PET) imaging of the Synaptic Vesicle glycoprotein (SV) 2A is a new tool to quantify synaptic density. [18F]UCB-H was one of the first promising SV2A-ligands to be labelled and used in vivo in rodent and human, while limited information on its pharmacokinetic properties is available in the non-human primate. Here, we evaluate the reliability of the three most commonly used modelling approaches for [18F]UCB-H in the non-human cynomolgus primate, adding the coupled fit of the non-displaceable distribution volume (VND) as an alternative approach to improve unstable fit. The results are discussed in the light of the current state of SV2A PET ligands. Results [18F]UCB-H pharmacokinetic data was optimally fitted with a two-compartment model (2TCM), although the model did not always converge (large total volume of distribution (VT) or large uncertainty of the estimate). 2TCM with coupled fit K1/k2 across brain regions stabilized the quantification, and confirmed a lower specific signal of [18F]UCB-H compared to the newest SV2A-ligands. However, the measures of VND and the influx parameter (K1) are similar to what has been reported for other SV2A ligands. These data were reinforced by displacement studies using [19F]UCB-H, demonstrating only 50% displacement of the total [18F]UCB-H signal at maximal occupancy of SV2A. As previously demonstrated in clinical studies, the graphical method of Logan provided a more robust estimate of VT with only a small bias compared to 2TCM. Conclusions Modeling issues with a 2TCM due to a slow component have previously been reported for other SV2A ligands with low specific binding, or after blocking of specific binding. As all SV2A ligands share chemical structural similarities, we hypothesize that this slow binding component is common for all SV2A ligands, but only hampers quantification when specific binding is low.

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