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  1. 原著論文

Comparison of MRI-based and PET-based image pre-processing for quantification of 11C-PBB3 uptake in human brain

https://repo.qst.go.jp/records/85380
https://repo.qst.go.jp/records/85380
e5bda66d-4e23-4cab-a677-df45c4415c96
Item type 学術雑誌論文 / Journal Article(1)
公開日 2021-12-28
タイトル
タイトル Comparison of MRI-based and PET-based image pre-processing for quantification of 11C-PBB3 uptake in human brain
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Elham, Yousefzadeh-Nowshahr

× Elham, Yousefzadeh-Nowshahr

WEKO 1028959

Elham, Yousefzadeh-Nowshahr

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Winter, Gordon

× Winter, Gordon

WEKO 1028960

Winter, Gordon

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Bohn, Peter

× Bohn, Peter

WEKO 1028961

Bohn, Peter

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Kneer, Katharina

× Kneer, Katharina

WEKO 1028962

Kneer, Katharina

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A.F. von Arnim, Christine

× A.F. von Arnim, Christine

WEKO 1028963

A.F. von Arnim, Christine

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Otto, Markus

× Otto, Markus

WEKO 1028964

Otto, Markus

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Solbach, Christoph

× Solbach, Christoph

WEKO 1028965

Solbach, Christoph

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Sarah, Anderl-Straub

× Sarah, Anderl-Straub

WEKO 1028966

Sarah, Anderl-Straub

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Dörte, Polivka

× Dörte, Polivka

WEKO 1028967

Dörte, Polivka

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Fissler, Patrick

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WEKO 1028968

Fissler, Patrick

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Prasad, Vikas

× Prasad, Vikas

WEKO 1028969

Prasad, Vikas

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Kletting, Peter

× Kletting, Peter

WEKO 1028970

Kletting, Peter

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W. Riepe, Matthias

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WEKO 1028971

W. Riepe, Matthias

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Makoto, Higuchi

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WEKO 1028972

Makoto, Higuchi

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Ludolph, Albert

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WEKO 1028973

Ludolph, Albert

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J. Beer, Ambros

× J. Beer, Ambros

WEKO 1028974

J. Beer, Ambros

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Glatting, Gerhard

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WEKO 1028975

Glatting, Gerhard

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Makoto, Higuchi

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WEKO 1028976

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抄録
内容記述タイプ Abstract
内容記述 Purpose
Quantification of tau load using 11C-PBB3-PET has the potential to improve diagnosis of neurodegenerative diseases. Although MRI-based pre-processing is used as a reference method, not all patients have MRI. The feasibility of a PET-based pre-processing for the quantification of 11C-PBB3 tracer was evaluated and compared with the MRI-based method.

Materials and methods
Fourteen patients with decreased recent memory were examined with 11C-PBB3-PET and MRI. The PET scans were visually assessed and rated as either PBB3(+) or PBB3(−). The image processing based on the PET-based method was validated against the MRI-based approach. The regional uptakes were quantified using the Mesial-temporal/Temporoparietal/Rest of neocortex (MeTeR) regions. SUVR values were calculated by normalizing to the cerebellar reference region to compare both methods within the patient groups.

Results
Significant correlations were observed between the SUVRs of the MRI-based and the PET-based methods in the MeTeR regions (rMe = 0.91; rTe = 0.98; rR = 0.96; p < 0.0001). However, the Bland–Altman plot showed a significant bias between both methods in the subcortical Me region (bias: −0.041; 95% CI: −0.061 to −0.024; p = 0.003). As in the MRI-based method, the 11C-PBB3 uptake obtained with the PET-based method was higher for the PBB3(+) group in each of the cortical regions and for the whole brain than for the PBB3(−) group (PET-basedGlobal: 1.11 vs. 0.96; Cliff's Delta (d) = 0.68; p = 0.04; MRI-basedGlobal: 1.11 vs. 0.97; d = 0.70; p = 0.03). To differentiate between positive and negative scans, Youden's index estimated the best cut-off of 0.99 from the ROC curve with good accuracy (AUC: 0.88 ± 0.10; 95% CI: 0.67–1.00) and the same sensitivity (83%) and specificity (88%) for both methods.

Conclusion
The PET-based pre-processing method developed to quantify the tau burden with 11C-PBB3 provided comparable SUVR values and effect sizes as the MRI-based reference method. Furthermore, both methods have a comparable discrimination accuracy between PBB3(+) and PBB3(−) groups as assessed by visual rating. Therefore, the presented PET-based method can be used for clinical diagnosis if no MRI image is available.
書誌情報 Zeitschrift für Medizinische Physik

巻 31, 号 1, p. 37-47, 発行日 2021-01
出版者
出版者 Elsevier
ISSN
収録物識別子タイプ ISSN
収録物識別子 0939-3889
PubMed番号
識別子タイプ PMID
関連識別子 33454153
DOI
識別子タイプ DOI
関連識別子 10.1016/j.zemedi.2020.12.002
関連サイト
識別子タイプ URI
関連識別子 https://www.sciencedirect.com/science/article/pii/S0939388920301318?via%3Dihub
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