@article{oai:repo.qst.go.jp:00085380,
 author = {Elham, Yousefzadeh-Nowshahr and Winter, Gordon and Bohn, Peter and Kneer, Katharina and A.F. von Arnim, Christine and Otto, Markus and Solbach, Christoph and Sarah, Anderl-Straub and Dörte, Polivka and Fissler, Patrick and Prasad, Vikas and Kletting, Peter and W. Riepe, Matthias and Makoto, Higuchi and Ludolph, Albert and J. Beer, Ambros and Glatting, Gerhard and Makoto, Higuchi},
 issue = {1},
 journal = {Zeitschrift für Medizinische Physik},
 month = {Jan},
 note = {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.},
 pages = {37--47},
 title = {Comparison of MRI-based and PET-based image pre-processing for quantification of 11C-PBB3 uptake in human brain},
 volume = {31},
 year = {2021}
}