scholarly journals Subcortical Hypermetabolism Associated With Cortical Hypometabolism Is a Common Metabolic Pattern in Patients With Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaobin Zhao ◽  
Shaokun Zhao ◽  
Yaojing Chen ◽  
Zhanjun Zhang ◽  
Xiaotong Li ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Parietal Lobe ◽  
Statistical Parametric Mapping ◽  
Occipital Lobe ◽  
Healthy Controls ◽  
Metabolic Pattern ◽  
Individual Level ◽  
Positron Emission ◽  
Neurologic Disability ◽  
The Individual

PurposeBrain 18F-fluorodeoxyglucose positron emission tomography (FDG PET) is a sensitive technique for assisting in the diagnosis of patients with anti-leucine-rich glioma-inactivated 1 (LGI1) antibody encephalitis. However, the common pattern of this disorder assessed by FDG PET remains unknown. The present study aimed to explore the glucose metabolic patterns of this disorder based on PET voxel analysis.MethodsThis retrospective study enrolled 25 patients with anti-LGI1 encephalitis, who were admitted in Beijing Tiantan Hospital between September 2014 and July 2019. The glucose metabolic pattern was compared between the included patients and 44 age- and gender-matched healthy controls using Statistical Parametric Mapping. Then, the correlation between the metabolic pattern and scaled activities of daily living (ADLs) of the patients was assessed.ResultsThe median time from symptom onset to PET scans was 9 w (range:2-53w). The groupwise analysis revealed that patients with anti-LGI1 encephalitis had left hippocampal hypermetabolism and hypometabolism in almost all neocortical regions. The individual-level results showed most patients presented a decreased metabolism in neocortical regions, as well as an increase in metabolism in the hippocampus and basal ganglia. Furthermore, the metabolic gradient between hippocampus and neocortical regions was positively associated with the ADLs (frontal lobe, r=0.529, P=0.008; parietal lobe, r=0.474, P=0.019; occipital lobe, r=0.413, P=0.045; temporal lobe, r=0.490, P=0.015), respectively. In addition, the patients with facio-brachial dystonic seizures (FBDS) presented bilateral putamen hypermetabolism, when compared to patients without FBDS and healthy controls.ConclusionSubcortical hypermetabolism associated with cortical hypometabolism presented with a common metabolic pattern in patients with anti-LGI1 encephalitis in the present study. The resolution of the metabolic gradient of the hippocampal hypermetabolism and neocortical hypometabolism may bring about improved clinical neurologic disability.

scholarly journals Functional Abnormality Associated With Tau Deposition in Alzheimer’s Disease – A Hybrid Positron Emission Tomography/MRI Study

2021 ◽  
Vol 13 ◽  
Author(s):  
Liping Fu ◽  
Zhi Zhou ◽  
Linwen Liu ◽  
Jinming Zhang ◽  
Hengge Xie ◽  
...  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Standardized Uptake Value ◽  
Occipital Lobe ◽  
Posterior Cingulate Cortex ◽  
Functional Abnormality ◽  
Individual Level ◽  
Positron Emission ◽  
Mri Scans ◽  
The Individual

Objective: To investigate the characteristics of tau deposition and its impact on functional connectivity (FC) in Alzheimer’s disease (AD).Methods: Hybrid PET/MRI scans with [18F]-THK5317 and neuropsychological assessments were undertaken in 26 participants with AD and 19 healthy controls (HC). The standardized uptake value ratio (SUVR) of [18F]-THK5317 PET imaging was compared between the AD and HC groups. Significant clusters that revealed higher tau deposition in the AD group compared to the HC group were selected as regions of interest (ROI) for FC analysis. We evaluated the difference in the FC between the two groups for each ROI pair. The clinical and radiological characteristics were compared between the AD patients with negative FC and AD patients with positive FC for exploratory analysis.Results: The bilateral inferior lateral temporal lobe, dorsal prefrontal cortex, precuneus, posterior cingulate cortex, hippocampus, and occipital lobe showed significantly higher [18F]-THK5317 accumulation in AD patients. Decreased FC in regions with higher SUVR was observed in AD patients, and the FC strength was negatively correlated with regional SUVR. Patients with a positive FC exhibited older ages, better cognitive performances, and a lower SUVR than patients with a negative FC.Conclusions: An impact of tau deposition was observed on FC at the individual level in AD patients. Our findings suggested that the combination of tau-PET and rs-fMRI might help predict AD progression.

scholarly journals Understanding Deep Brain Stimulation: In Vivo Metabolic Consequences of the Electrode Insertional Effect

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Marta Casquero-Veiga ◽  
David García-García ◽  
Manuel Desco ◽  
María Luisa Soto-Montenegro
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Statistical Parametric Mapping ◽  
Metabolic Effects ◽  
Metabolic Pattern ◽  
Cortical Areas ◽  
Positron Emission ◽  
Male Wistar Rats ◽  
Deep Brain

Deep brain stimulation (DBS) is a neurosurgery technique widely used in movement disorders, although its mechanism of action remains unclear. In fact, apart from the stimulation itself, the mechanical insertion of the electrode may play a crucial role. Here we aimed to distinguish between the insertional and the DBS effects on brain glucose metabolism. To this end, electrodes were implanted targeting the medial prefrontal cortex in five adult male Wistar rats. Positron Emission Tomography (PET) studies were performed before surgery (D0) and seven (D7) and nine days (D9) after that. DBS was applied during the 18FDG uptake of the D9 study. PET data were analysed with statistical parametric mapping. We found an electrode insertional effect in cortical areas, while DBS resulted in a more widespread metabolic pattern. The consequences of simultaneous electrode and DBS factors revealed a combination of both effects. Therefore, the insertion metabolic effects differed from the stimulation ones, which should be considered when assessing DBS protocols.

scholarly journals Population-specific brain [18F]-FDG PET templates of Chinese subjects for statistical parametric mapping

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Hongkai Wang ◽  
Yang Tian ◽  
Yang Liu ◽  
Zhaofeng Chen ◽  
Haoyu Zhai ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Statistical Parametric Mapping ◽  
Brain Regions ◽  
Brain Images ◽  
Parametric Mapping ◽  
Brain Morphometry ◽  
Brain Pet ◽  
Positron Emission ◽  
The Family ◽  
Function Impairment

AbstractStatistical Parametric Mapping (SPM) is a computational approach for analysing functional brain images like Positron Emission Tomography (PET). When performing SPM analysis for different patient populations, brain PET template images representing population-specific brain morphometry and metabolism features are helpful. However, most currently available brain PET templates were constructed using the Caucasian data. To enrich the family of publicly available brain PET templates, we created Chinese-specific template images based on 116 [18F]-fluorodeoxyglucose ([18F]-FDG) PET images of normal participants. These images were warped into a common averaged space, in which the mean and standard deviation templates were both computed. We also developed the SPM analysis programmes to facilitate easy use of the templates. Our templates were validated through the SPM analysis of Alzheimer’s and Parkinson’s patient images. The resultant SPM t-maps accurately depicted the disease-related brain regions with abnormal [18F]-FDG uptake, proving the templates’ effectiveness in brain function impairment analysis.

scholarly journals Clinical impact of digital and conventional PET control databases for semi-quantitative analysis of brain 18F-FDG digital PET scans 

2020 ◽  
Author(s):  
Elise Mairal ◽  
Matthieu Doyen ◽  
Thérèse Rivasseau-Jonveaux ◽  
Catherine Malaplate ◽  
Eric Guedj ◽  
...  
Keyword(s):  
Quantitative Analysis ◽  
Fdg Pet ◽  
Visual Analysis ◽  
Digital Camera ◽  
Visual Interpretation ◽  
Individual Level ◽  
Pet Ct ◽  
Digital Pet ◽  
Healthy Control ◽  
The Individual

Abstract Purpose: Digital PET cameras markedly improve sensitivity and spatial resolution of brain 18F-FDG PET images compared to conventional cameras. Our study aimed to assess whether specific control databases are required to improve the diagnostic performance of these recent advances.Methods: We retrospectively selected two groups of subjects, twenty-seven Alzheimer's Disease (AD) patients and twenty-two healthy control (HC) subjects. All subjects underwent a brain 18F-FDG PET on a digital camera (Vereos, Philips®). These two group (AD and HC) are compared, using a Semi-Quantitative Analysis (SQA), to two age and sex matched controls acquired with a digital PET/CT (Vereos, Philips®) or a conventional PET/CT (Biograph 6, Siemens®) camera, at group and individual levels. Moreover, individual visual interpretation of SPM T-maps was provided for the positive diagnosis of AD by 3 experienced raters.Results: At group level, SQA using digital controls detected more marked hypometabolic areas in AD (+ 116 cm3 at p<0.001 uncorrected for the voxel, corrected for the cluster) than SQA using conventional controls. At the individual level, the accuracy of SQA for discriminating AD using digital controls was higher than SQA using conventional controls (86 % vs. 80 %, p<0.01, at p<0.005 uncorrected for the voxel, corrected for the cluster), with similar specificity (82 % vs. 82 %) but higher sensitivity (89 % vs. 78 %). These results were confirmed by visual analysis (accuracies of 84 % and 82 % for digital and conventional controls respectively, p=0.01).Conclusion: There is an urgent need to establish specific digital PET control databases for SQA of brain 18F-FDG PET images as such databases improve the accuracy of AD diagnosis.

Accuracy of FDG-PET at the individual level in MCI-LB versus MCI-AD: A stepwise approach from visual to semi-quantitative analysis

2021 ◽  
Vol 429 ◽  
pp. 117830
Author(s):  
Federico Massa ◽  
Andrea Chincarini ◽  
Matteo Bauckneht ◽  
Stefano Raffa ◽  
Enrico Peira ◽  
...  
Keyword(s):  
Quantitative Analysis ◽  
Fdg Pet ◽  
Stepwise Approach ◽  
Individual Level ◽  
The Individual

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 Comparison of Eight Methods for the Estimation of the Image-Derived Input Function in Dynamic [18F]-FDG PET Human Brain Studies

2009 ◽  
Vol 29 (11) ◽  
pp. 1825-1835 ◽  
Author(s):  
Paolo Zanotti-Fregonara ◽  
El Mostafa Fadaili ◽  
Renaud Maroy ◽  
Claude Comtat ◽  
Antoine Souloumiac ◽  
...  
Keyword(s):  
Blood Sample ◽  
Rate Constants ◽  
Fdg Pet ◽  
Input Function ◽  
Blood Samples ◽  
Arterial Blood ◽  
Positron Emission ◽  
Phantom Studies ◽  
The Individual ◽  
Individual Rate

The aim of this study was to compare eight methods for the estimation of the image-derived input function (IDIF) in [18F]-FDG positron emission tomography (PET) dynamic brain studies. The methods were tested on two digital phantoms and on four healthy volunteers. Image-derived input functions obtained with each method were compared with the reference input functions, that is, the activity in the carotid labels of the phantoms and arterial blood samples for the volunteers, in terms of visual inspection, areas under the curve, cerebral metabolic rates of glucose (CMRglc), and individual rate constants. Blood-sample-free methods provided less reliable results as compared with those obtained using the methods that require the use of blood samples. For some of the blood-sample-free methods, CMRglc estimations considerably improved when the IDIF was calibrated with a single blood sample. Only one of the methods tested in this study, and only in phantom studies, allowed a reliable calculation of the individual rate constants. For the estimation of CMRglc values using an IDIF in [18F]-FDG PET brain studies, a reliable absolute blood-sample-free procedure is not available yet.

scholarly journals FDG-PET Imaging for Hodgkin and Diffuse Large B-Cell Lymphoma—An Updated Overview

Cancers ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 601 ◽  
Author(s):  
Conrad-Amadeus Voltin ◽  
Jasmin Mettler ◽  
Jirka Grosse ◽  
Markus Dietlein ◽  
Christian Baues ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Imaging Modality ◽  
High Sensitivity ◽  
B Cell Lymphoma ◽  
Response Assessment ◽  
Metabolic Tumor Volume ◽  
Total Lesion Glycolysis ◽  
Positron Emission ◽  
Working Groups ◽  
The Individual

Since the mid-1990s, 18F-fluorodeoxglucose (FDG)-positron emission tomography (PET) in combination with computed tomography has come to play a prominent role in the management of malignant lymphomas. One of the first PET applications in oncology was the detection of lymphoma manifestations at staging, where it has shown high sensitivity. Nowadays, this imaging modality is also used during treatment to evaluate the individual chemosensitivity and adapt further therapy accordingly. If the end-of-treatment PET is negative, irradiation in advanced-stage Hodgkin lymphoma patients can be safely omitted after highly effective chemotherapy. Thus far, lymphoma response assessment has mainly been performed using visual criteria, such as the Deauville five-point scale, which became the international standard in 2014. However, novel measures such as metabolic tumor volume or total lesion glycolysis have recently been recognized by several working groups and may further increase the diagnostic and prognostic value of FDG-PET in the future.

18F-FDG-PET patterns of surgical success and failure in mesial temporal lobe epilepsy

Neurology ◽  
2017 ◽  
Vol 88 (11) ◽  
pp. 1045-1053 ◽  
Author(s):  
Francine Chassoux ◽  
Eric Artiges ◽  
Franck Semah ◽  
Agathe Laurent ◽  
Elisabeth Landré ◽  
...  
Keyword(s):  
Temporal Lobe Epilepsy ◽  
Temporal Lobe ◽  
Fdg Pet ◽  
Hippocampal Sclerosis ◽  
Statistical Parametric Mapping ◽  
Mesial Temporal Lobe Epilepsy ◽  
Epileptogenic Zone ◽  
Metabolic Pattern ◽  
Suboptimal Outcome ◽  
Mesial Temporal Lobe

Objective:To search for [18F]-fluorodeoxyglucose (FDG)-PET patterns predictive of long-term prognosis in surgery for drug-resistant mesial temporal lobe epilepsy (MTLE) due to hippocampal sclerosis (HS).Methods:We analyzed metabolic data with [18F]-FDG-PET in 97 patients with MTLE (53 female participants; age range 15–56 years) with unilateral HS (50 left) and compared the metabolic patterns, electroclinical features, and structural atrophy on MRI in patients with the best outcome after anteromesial temporal resection (Engel class IA, completely seizure-free) to those with a non-IA outcome, including suboptimal outcome and failure. Imaging processing was performed with statistical parametric mapping (SPM5).Results:With a mean follow-up of >6 years (range 2–14 years), 85% of patients achieved a class I outcome, including 45% in class IA. Class IA outcome was associated with a focal anteromesial temporal hypometabolism, whereas non-IA outcome correlated with extratemporal metabolic changes that differed according to the lateralization: ipsilateral mesial frontal and perisylvian hypometabolism in right HS and contralateral fronto-insular hypometabolism and posterior white matter hypermetabolism in left HS. Suboptimal outcome presented a metabolic pattern similar to the best outcome but with a larger involvement of extratemporal areas, including the contralateral side in left HS. Failure was characterized by a mild temporal involvement sparing the hippocampus and relatively high extratemporal hypometabolism on both sides. These findings were concordant with electroclinical features reflecting the organization of the epileptogenic zone but were independent of the structural abnormalities detected on MRI.Conclusions:[18F]-FDG-PET patterns help refine the prognostic factors in MTLE and should be implemented in predictive models for epilepsy surgery.

scholarly journals Verifying Sarcoidosis Activity: Chitotriosidase Versus ACE in Sarcoidosis – A Case-Control Study

2016 ◽  
Vol 35 (4) ◽  
pp. 390-400 ◽  
Author(s):  
Spasoje Popević ◽  
Zorica Šumarac ◽  
Dragana Jovanović ◽  
Dragan Babić ◽  
Mihailo Stjepanović ◽  
...  
Keyword(s):  
Fdg Pet ◽  
Nonparametric Tests ◽  
Inactive Disease ◽  
Healthy Controls ◽  
Serum Angiotensin Converting Enzyme ◽  
Positron Emission ◽  
Pet Scanning ◽  
Pet Ct ◽  
Chitotriosidase Activity ◽  
Fdg Pet Ct

SummaryBackground:Until now, a proper biomarker(s) to evaluate sarcoidosis activity has not been recognized. The aims of this study were to evaluate the sensitivity and specificity of the two biomarkers of sarcoidosis activity already in use (serum angiotensin converting enzyme – ACE and serum chitotriosidase) in a population of 430 sarcoidosis patients. The activities of these markers were also analyzed in a group of 264 healthy controls.Methods:Four hundred and thirty biopsy positive sarcoidosis patients were divided into groups with active and inactive disease, and groups with acute or chronic disease. In a subgroup of 55 sarcoidosis patients, activity was also assessed by F-18 fluorodeoxyglucose positron emission tomography (18F-FDG-PET) scanning. Both serum chitotriosidase and ACE levels showed non-normal distribution, so nonparametric tests were used in statistical analysis.Results:Serum chitotriosidase activities were almost 6 times higher in patients with active sarcoidosis than in healthy controls and inactive disease. A serum chitotriosidase value of 100 nmol/mL/h had the sensitivity of 82.5% and specificity of 70.0%. A serum ACE activity cutoff value of 32.0 U/L had the sensitivity of 66.0% and the specificity of 54%. A statistically significant correlation was obtained between the focal granulomatous activity detected on18F-FDG PET/CT and serum chitotriosidase levels, but no such correlation was found with ACE. The levels of serum chitotriosidase activity significantly correlated with the disease duration (P<0.0001). Also, serum chitotriosidase significantly correlated with clinical outcome status (COS) categories (ρ=0.272,P=0.001).Conclusions:Serum chitotriosidase proved to be a reliable biomarker of sarcoidosis activity and disease chronicity.

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