A Dual-Tracer Study of Extrastriatal 6-[F-18]fluoro-m-tyrosine and 6-[F-18]-fluoro-L-dopa Uptake in Parkinson's Disease

作者：Li Clarence T; Palotti Matthew; Holden James E; Oh Jen; Okonkwo Ozioma; Christian Bradley T; Bendlin Barbara B; Buyan Dent Laura; Harding Sandra J; Stone Charles K; DeJesus Onofre T; Nickles Robert J; Gallagher Catherine L^*

来源：Synapse, 2014, 68(8): 325-331.

DOI：10.1002/syn.21745

• adult
• aged
• humans
• brain mapping
• cerebral cortex/metabolism/radionuclide imaging
• dopamine agentsdiagnostic use/pharmacokinetics
• dihydroxyphenylalanineanalogs & derivatives/drug effects/pharmacokinetics
• tyrosineanalogs & derivatives/diagnostic use
• tomography
• Parkinson Diseasephysiopathologyradionuclide imaging
• research support
• US Gov't
• PHS

6-[F-18]-Fluoro-L-dopa (FDOPA) has been widely used as a biomarker for catecholamine synthesis, storage, and metabolism-its intense uptake in the striatum, and fainter uptake in other brain regions, is correlated with the symptoms and pathophysiology of Parkinson's disease (PD). 6-[F-18] fluoro-m-tyrosine (FMT), which also targets L-amino acid decarboxylase, has potential advantages over FDOPA as a radiotracer because it does not form catechol-O-methyltransferase (COMT) metabolites. The purpose of the present study was to compare the regional distribution of these radiotracers in the brains of PD patients. Fifteen Parkinson's patients were studied with FMT and FDOPA positron emission tomography (PET) as well as high-resolution structural magnetic resonance imaging (MRI). MRI's were automatically parcellated into neuroanatomical regions of interest (ROIs) in Freesurfer (http://surfer.nmr.mgh.harvard.edu); region-specific uptake rate constants (K-occ) were generated from coregistered PET using a Patlak graphical approach. The essential findings were as follows: (1) regional Kocc were highly correlated between the radiotracers and in agreement with a previous FDOPA studies that used different ROI selection techniques; (2) FMT K-occ were higher in extrastriatal regions of relatively large uptake such as amygdala, pallidum, brainstem, hippocampus, entorhinal cortex, and thalamus, whereas cortical K-occ were similar between radiotracers; (3) while subcortical uptake of both radiotracers was related to disease duration and severity, cortical uptake was not. These results suggest that FMT may have advantages for examining pathologic changes within allocortical loop structures, which may contribute to cognitive and emotional symptoms of PD.

• 出版日期2014-8