Abstract
Molecular PET neuroimaging in neuropsychiatry focuses on the quantification of brain PET data to assess group differences, short- and long-term effects of treatments or even to measure neurotransmitter levels in psychiatric conditions. In this chapter we introduce the main tracers used in neuropsychiatry, and starting from the basics of dynamic PET imaging, we present different methodologies to quantify PET imaging, including compartmental, graphical and semiquantitative approaches. We also present different approaches to measure changes in neurotransmitter levels induced by pharmacological or behavioural challenge. Finally, we conclude focusing on the potential use of hybrid PET/MRI in neuropsychiatric research.
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References
Aiello M, Cavaliere C, Salvatore M (2016) Hybrid PET/MR imaging and brain connectivity. Front Neurosci 10:64
Akkus F, Treyer V, Ametamey SM, Johayem A, Buck A, Hasler G (2017) Metabotropic glutamate receptor 5 neuroimaging in schizophrenia. Schizophr Res 183:95–101
Akkus F, Mihov Y, Treyer V, Ametamey SM, Johayem A, Senn S et al (2018) Metabotropic glutamate receptor 5 binding in male patients with alcohol use disorder. Transl Psychiatry 8:17
Alf MF, Wyss MT, Buck A, Weber B, Schibli R, Krämer SD (2013) Quantification of brain glucose metabolism by18F-FDG PET with real-time arterial and image-derived input function in mice. J Nucl Med 54:132–138
Alpert NM, Badgaiyan RD, Livni E, Fischman AJ (2003) A novel method for noninvasive detection of neuromodulatory changes in specific neurotransmitter systems. NeuroImage 19:1049–1060
Attwells S, Setiawan E, Wilson AA, Rusjan PM, Mizrahi R, Miler L et al (2017) Inflammation in the neurocircuitry of obsessive-compulsive disorder. JAMA Psychiat 74:833–840
Backes H, Ullrich R, Neumaier B, Kracht L, Wienhard K, Jacobs AH (2009) Noninvasive quantification of 18F-FLT human brain PET for the assessment of tumour proliferation in patients with high-grade glioma. Eur J Nucl Med Mol Imaging 36:1960–1967
Bastin C, Bahri MA, Meyer F, Manard M, Delhaye E, Plenevaux A et al (2020) In vivo imaging of synaptic loss in Alzheimer’s disease with [18F]UCB-H positron emission tomography. Eur J Nucl Med Mol Imaging 47:390–402
Bender AT, Beavo JA (2006) Cyclic nucleotide phosphodiesterases: molecular regulation to clinical use. Pharmacol Rev 58:488–520
Bodén R, Persson J, Wall A, Lubberink M, Ekselius L, Larsson E-M et al (2017) Striatal phosphodiesterase 10A and medial prefrontal cortical thickness in patients with schizophrenia: a PET and MRI study. Transl Psychiatry 7:e1050–e1050
Brock CS, Young H, Osman S, Luthra SK, Jones T, Price PM (2005) Glucose metabolism in brain tumours can be estimated using [18F]2-fluorodeoxyglucose positron emission tomography and a population-derived input function scaled using a single arterialised venous blood sample. Int J Oncol 26:1377–1383
Ceccarini J, Vrieze E, Koole M, Muylle T, Bormans G, Claes S et al (2012) Optimized in vivo detection of dopamine release using 18F-fallypride PET. J Nucl Med 53:1565–1572
Ceccarini J, Casteels C, Koole M, Bormans G, Van Laere K (2013a) Transient changes in the endocannabinoid system after acute and chronic ethanol exposure and abstinence in the rat: a combined PET and microdialysis study. Eur J Nucl Med Mol Imaging 40:1582–1594
Ceccarini J, De Hert M, Van Winkel R, Peuskens J, Bormans G, Kranaster L et al (2013b) Increased ventral striatal CB1 receptor binding is related to negative symptoms in drug-free patients with schizophrenia. NeuroImage 79:340–312
Ceccarini J, Hompes T, Verhaeghen A, Casteels C, Peuskens H, Bormans G et al (2014) Changes in cerebral CB1 receptor availability after acute and chronic alcohol abuse and monitored abstinence. J Neurosci 34:2822–2831
Ceccarini J, Leurquin-Sterk G, Crunelle C, de Laat B, Bormans G, Peuskens H et al (2019) Recovery of decreased metabotropic glutamate receptor 5 availability in abstinent alcohol-dependent patients. J Nucl Med 61:256–262. https://doi.org/10.2967/jnumed.119.228825
Cecchin D, Palombit A, Castellaro M, Silvestri E, Bui F, Barthel H et al (2017) Brain PET and functional MRI: why simultaneously using hybrid PET/MR systems? Q J Nucl Med Mol Imaging 61:345–359
Ceccarini J, Liu H, Van Laere K, Morris ED, Sander CY (2020). Methods for Quantifying Neurotransmitter Dynamics in the Living Brain With PET Imaging. Front Physiol 11:792
Celen S, Koole M, De Angelis M, Sannen I, Chitneni SK, Alcazar J et al (2010) Preclinical evaluation of 18F-JNJ41510417 as a radioligand for PET imaging of phosphodiesterase-10A in the brain. J Nucl Med 51:1584–1591
Chen M-K, Mecca AP, Naganawa M, Finnema SJ, Toyonaga T, Lin S et al (2018) Assessing synaptic density in Alzheimer disease with synaptic vesicle glycoprotein 2A positron emission tomographic imaging. JAMA Neurol 75:1215–1224
Chen KT, Salcedo S, Gong K, Chonde DB, Izquierdo-Garcia D, Drzezga A et al (2019) An efficient approach to perform MR-assisted PET data optimization in simultaneous PET/MR neuroimaging studies. J Nucl Med 60:272–278
Cosgrove KP, Wang S, Kim SJ, McGovern E, Nabulsi N, Gao H et al (2014) Sex differences in the brain’s dopamine signature of cigarette smoking. J Neurosci 34:16851–16855
De Laat B, Leurquin-Sterk G, Celen S, Bormans G, Koole M, Van Laere K et al (2015) Preclinical evaluation and quantification of 18F-FPEB as a radioligand for PET imaging of the metabotropic glutamate receptor 5. J Nucl Med 56:1954–1959
Erritzoe D, Ashok AH, Searle GE, Colasanti A, Turton S, Lewis Y et al (2019) Serotonin release measured in the human brain: a PET study with [11C]CIMBI-36 and d-amphetamine challenge. Neuropsychopharmacology 45:804. https://doi.org/10.1038/s41386-019-0567-5
Fan AP, Jahanian H, Holdsworth SJ, Zaharchuk G (2016) Comparison of cerebral blood flow measurement with [15O]-water positron emission tomography and arterial spin labeling magnetic resonance imaging: a systematic review. J Cereb Blood Flow Metab 36:842–861
Fisher RE, Morris ED, Alpert NM, Fischman AJ (1995) In vivo imaging of neuromodulatory synaptic transmission using PET: a review of relevant neurophysiology. Hum Brain Mapp 3:24
Gryglewski G, Lanzenberger R, Kranz GS, Cumming P (2014) Meta-analysis of molecular imaging of serotonin transporters in major depression. J Cereb Blood Flow Metab 34:1096–1103
Hellwig S, Domschke K (2019) Update on PET imaging biomarkers in the diagnosis of neuropsychiatric disorders. Curr Opin Neurol 32:539–547
Hirvonen J, Zanotti-Fregonara P, Umhau JC, George DT, Rallis-Frutos D, Lyoo CH et al (2013) Reduced cannabinoid CB1 receptor binding in alcohol dependence measured with positron emission tomography. Mol Psychiatry 18:916–921
Holmes SE, Scheinost D, Finnema SJ, Naganawa M, Davis MT, DellaGioia N et al (2019) Lower synaptic density is associated with depression severity and network alterations. Nat Commun 10:1529
Ichise M, Liow JS, Lu JQ, Takano A, Model K, Toyama H et al (2003) Linearized reference tissue parametric imaging methods: application to [11C]DASB positron emission tomography studies of the serotonin transporter in human brain. J Cereb Blood Flow Metab 23:1096–1112
Innis RB, Carson R (2007) Consensus nomenclature: its time has come. Eur J Nucl Med Mol Imaging 34:1239
Kaiser RH, Whitfield-Gabrieli S, Dillon DG, Goer F, Beltzer M, Minkel J et al (2016) Dynamic resting-state functional connectivity in major depression. Neuropsychopharmacology 41:1822–1830
Kim SJ, Sullivan JM, Wang S, Cosgrove KP, Morris ED (2014) Voxelwise lp-ntPET for detecting localized, transient dopamine release of unknown timing: sensitivity analysis and application to cigarette smoking in the PET scanner. Hum Brain Mapp 35:4876–4891
Koole M, Van Laere K, Ahmad R, Ceccarini J, Bormans G, Vandenberghe W (2017) Brain PET imaging of phosphodiesterase 10A in progressive supranuclear palsy and Parkinson’s disease. Mov Disord 32:943–945
Koole M, van Aalst A, Devrome M, Mertens N, Serdons K, Lacroix B et al (2019) Quantifying SV2A density and drug occupancy in the human brain using [ 11 C]UCB-J PET imaging and subcortical white matter as reference tissue. Eur J Nucl Med Mol Imaging 46:396–406
Lammertsma AA (2017) Forward to the past: the case for quantitative PET imaging. J Nucl Med 58:1019–1024
Lammertsma AA, Hume SP (1996) Simplified reference tissue model for PET receptor studies. NeuroImage 4:153–158
Lataster J, Collip D, Ceccarini J, Haas D, Booij L, van Os J et al (2011) Psychosocial stress is associated with in vivo dopamine release in human ventromedial prefrontal cortex: a positron emission tomography study using [18F]fallypride. NeuroImage 58:1081–1089
Lataster J, Collip D, Ceccarini J, Hernaus D, Haas D, Booij L et al (2014) Familial liability to psychosis is associated with attenuated dopamine stress signaling in ventromedial prefrontal cortex. Schizophr Bull 40:66–77
Leurquin-Sterk G, Ceccarini J, Crunelle CL, De Laat B, Verbeek J, Deman S et al (2018) Lower limbic metabotropic glutamate receptor 5 availability in alcohol dependence. J Nucl Med 59:682–690
Logan J, Fowler JS, Volkow ND, Wolf AP, Dewey SL, Schlyer DJ et al (1990) Graphical analysis of reversible radioligand binding from time-activity measurements applied to [N-11C-methyl]-(−)-cocaine PET studies in human subjects. J Cereb Blood Flow Metab 10:740–747
Martinez D, Slifstein M, Nabulsi N, Grassetti A, Urban NBL, Perez A et al (2014) Imaging glutamate homeostasis in cocaine addiction with the metabotropic glutamate receptor 5 positron emission tomography radiotracer [11C]ABP688 and magnetic resonance spectroscopy. Biol Psychiatry 75:165–171
Matuskey D, Tinaz S, Wilcox KC, Naganawa M, Toyonaga T, Dias M et al (2020) Synaptic changes in Parkinson’s disease assessed with in-vivo imaging. Ann Neurol 87:329–338. https://doi.org/10.1002/ana.25682
McCluskey SP, Plisson C, Rabiner EA, Howes O (2020) Advances in CNS PET: the state-of-the-art for new imaging targets for pathophysiology and drug development. Eur J Nucl Med Mol Imaging 47:451–489
Mertens N, Maguire RP, Serdons K, Lacroix B, Mercier J, Sciberras D et al (2019) Validation of parametric methods for [11C]UCB-J PET imaging using subcortical white matter as reference tissue. Mol Imaging Biol 22:444. https://doi.org/10.1007/s11307-019-01387-6
Minhas DS, Price JC, Laymon CM, Becker CR, Klunk WE, Tudorascu DL et al (2018) Impact of partial volume correction on the regional correspondence between in vivo [C-11]PiB PET and postmortem measures of Aβ load. NeuroImage Clin 19:182–189
Morris ED, Fisher RE, Alpert NM, Rauch SL, Fischman AJ (1995) In vivo imaging of neuromodulation using positron emission tomography: optimal ligand characteristics and task length for detection of activation. Hum Brain Mapp 3:35–55
Nabulsi NB, Mercier J, Holden D, Carr S, Najafzadeh S, Vandergeten MC et al (2016) Synthesis and preclinical evaluation of 11C-UCB-J as a PET tracer for imaging the synaptic vesicle glycoprotein 2A in the brain. J Nucl Med 57:777–784
Normandin MD, Schiffer WK, Morris ED (2012) A linear model for estimation of neurotransmitter response profiles from dynamic PET data. NeuroImage 59:2689–2699
Ooms M, Celen S, De Hoogt R, Lenaerts I, Liebregts J, Vanhoof G et al (2017) Striatal phosphodiesterase 10A availability is altered secondary to chronic changes in dopamine neurotransmission. EJNMMI Radiopharm Chem 1:3
Patlak CS, Blasberg RG, Fenstermacher JD (1983) Graphical evaluation of blood-to-brain transfer constants from multiple-time uptake data. J Cereb Blood Flow Metab 3:1–7
Persson J, Szalisznyó K, Antoni G, Wall A, Fällmar D, Zora H et al (2019) Phosphodiesterase 10A levels are related to striatal function in schizophrenia: a combined positron emission tomography and functional magnetic resonance imaging study. Eur Arch Psychiatry Clin Neurosci 270:1–9. https://doi.org/10.1007/s00406-019-01021-0
Pike VW (2016) Considerations in the development of reversibly binding PET Radioligands for brain imaging. Curr Med Chem 23:1818–1869
Rousset OG, Ma Y, Evans AC (1998) Correction for partial volume effects in PET: principle and validation. J Nucl Med 39:904–911
Salinas CA, Searle GE, Gunn RN (2015) The simplified reference tissue model: model assumption violations and their impact on binding potential. J Cereb Blood Flow Metab 35:304–311
Sanabria-Bohórquez SM, Labar D, Levêque P, Bol A, De Volder AG, Michel C et al (2000) [11C]flumazenil metabolite measurement in plasma is not necessary for accurate brain benzodiazepine receptor quantification. Eur J Nucl Med 27:1674–1683
Sanabria-Bohórquez SM, Joshi AD, Holahan M, Daneker L, Riffel K, Williams M et al (2012) Quantification of the glycine transporter 1 in rhesus monkey brain using [18F]MK-6577 and a model-based input function. NeuroImage 59:2589–2599
Sander CY, Hooker JM, Catana C, Normandin MD, Alpert NM, Knudsen GM et al (2013) Neurovascular coupling to D2/D3 dopamine receptor occupancy using simultaneous PET/functional MRI. Proc Natl Acad Sci 110:11,169–11,174
Sander CY, Hooker JM, Catana C, Rosen BR, Mandeville JB (2015) Imaging agonist-induced D2/D3 receptor desensitization and internalization in vivo with PET/fMRI. Neuropsychopharmacology 41:1427–1436
Sander CY, Mandeville JB, Wey HY, Catana C, Hooker JM, Rosen BR (2019) Effects of flow changes on radiotracer binding: simultaneous measurement of neuroreceptor binding and cerebral blood flow modulation. J Cereb Blood Flow Metab 39:131–146
Sari H, Erlandsson K, Law I, Larsson HBW, Ourselin S, Arridge S et al (2017) Estimation of an image derived input function with MR-defined carotid arteries in FDG-PET human studies using a novel partial volume correction method. J Cereb Blood Flow Metab 37:1398–1409
Setiawan E, Wilson AA, Mizrahi R, Rusjan PM, Miler L, Rajkowska G et al (2015) Role of translocator protein density, a marker of neuroinflammation, in the brain during major depressive episodes. JAMA Psychiat 72:268–275
Shidahara M, Thomas BA, Okamura N, Ibaraki M, Matsubara K, Oyama S et al (2017) A comparison of five partial volume correction methods for tau and amyloid PET imaging with [18F]THK5351 and [11C]PIB. Ann Nucl Med 31:563–569
Streeter Barrett F, Shi K, Minhas DS, Juhasz C, Zhu X, Zhu Y (2019) MRI-driven PET image optimization for neurological applications. Front Neurosci 13:782. https://doi.org/10.3389/fnins.2019.00782
Svarer C, Madsen K, Hasselbalch SG, Pinborg LH, Haugbøl S, Frøkjaer VG et al (2005) MR-based automatic delineation of volumes of interest in human brain PET images using probability maps. NeuroImage 24:969–979
Takagi S, Takahashi W, Shinohara Y, Yasuda S, Ide M, Shohtsu A et al (2004) Quantitative PET cerebral glucose metabolism estimates using a single non-arterialized venous-blood sample. Ann Nucl Med 18:297–302
Thie JA (2004) Understanding the standardized uptake value, its methods, and implications for usage. J Nucl Med 45:1431–1434
Turton S, Myers JFM, Mick I, Colasanti A, Venkataraman A, Durant C et al (2018) Blunted endogenous opioid release following an oral dexamphetamine challenge in abstinent alcohol-dependent individuals. Mol Psychiatry:1–10. https://doi.org/10.1038/s41380-018-0107-4
Tyler RE, Kim SW, Guo M, Jang YJ, Damadzic R, Stodden T et al (2019) Detecting neuroinflammation in the brain following chronic alcohol exposure in rats: a comparison between in vivo and in vitro TSPO radioligand binding. Eur J Neurosci 50:1831–1842
van Aalst J, Ceccarini J, Schramm G, Van Weehaeghe D, Rezaei A, Demyttenaere K, Sunaert S, Van Laere K (2020) Long-term Ashtanga yoga practice decreases medial temporal and brainstem glucose metabolism in relation to years of experience. EJNMMI Res 14;10(1):50.
Van Berckel BNM, Ossenkoppele R, Tolboom N, Yaqub M, Foster-Dingley JC, Windhorst AD et al (2013) Longitudinal amyloid imaging using 11C-PiB: methodologic considerations. J Nucl Med 54:1570–1576
Vanhaute H, Ceccarini J, Michiels L, Koole M, Sunaert S, Lemmens R, Triau E, Emsell L, Vandenbulcke M, Van Laere K (2020) In vivo synaptic density loss is related to tau deposition in amnestic mild cognitive impairment. Neurology. 95(5):e545–e553.
Van Laere K, De Hoon J, Bormans G, Koole M, Derdelinckx I, De Lepeleire I et al (2012) Equivalent dynamic human brain NK1-receptor occupancy following single-dose i.v. fosaprepitant vs. oral aprepitant as assessed by PET imaging. Clin Pharmacol Ther 92:243–250
Van Laere K, Ahmad RU, Hudyana H, Celen S, Dubois K, Schmidt ME et al (2013) Human biodistribution and dosimetry of 18F-JNJ42259152, a radioligand for phosphodiesterase 10A imaging. Eur J Nucl Med Mol Imaging 40:254–261
Van Weehaeghe D, Koole M, Schmidt ME, Deman S, Jacobs AH, Souche E et al (2019) [11C]JNJ54173717, a novel P2X7 receptor radioligand as marker for neuroinflammation: human biodistribution, dosimetry, brain kinetic modelling and quantification of brain P2X7 receptors in patients with Parkinson’s disease and healthy volunteers. Eur J Nucl Med Mol Imaging 46:2051–2064
Villemagne VL, Doré V, Bourgeat P, Burnham SC, Laws S, Salvado O et al (2017) Aβ-amyloid and tau imaging in dementia. Semin Nucl Med 47:75–88
Wai JM, Grassetti A, Slifstein M, Matuskey D, Nabulsi N, Ropchan J et al (2019) Binge alcohol use is not associated with alterations in striatal dopamine receptor binding or dopamine release. Drug Alcohol Depend 205:107,627
Wang KS, Smith DV, Delgado MR (2016) Using fMRI to study reward processing in humans: past, present, and future. J Neurophysiol 115:1664–1678
Warnock GI, Aerts J, Bahri MA, Bretin F, Lemaire C, Giacomelli F et al (2014) Evaluation of 18F-UCB-H as a novel PET tracer for synaptic vesicle protein 2A in the brain. J Nucl Med 55:1336–1341
Wey H-Y, Catana C, Hooker JM, Dougherty DD, Knudsen GM, Wang DJJ et al (2014) Simultaneous fMRI-PET of the opioidergic pain system in human brain. NeuroImage 102(Pt 2):275–282
Wilson L, Brandon N (2014) Emerging biology of PDE10A. Curr Pharm Des 21:378–388
Zakiniaeiz Y, Hillmer AT, Matuskey D, Nabulsi N, Ropchan J, Mazure CM et al (2019) Sex differences in amphetamine-induced dopamine release in the dorsolateral prefrontal cortex of tobacco smokers. Neuropsychopharmacology:1–7. https://doi.org/10.1038/s41386-019-0456-y
Zanotti-Fregonara P, Chen K, Liow JS, Fujita M, Innis RB (2011a) Image-derived input function for brain PET studies: many challenges and few opportunities. J Cereb Blood Flow Metab 31:1986–1998
Zanotti-Fregonara P, Liow JS, Fujita M, Dusch E, Zoghbi SS, Luong E et al (2011b) Image-derived input function for human brain using high resolution PET imaging with [11C](R)-rolipram and [11C]PBR28. PLoS One 6:e17056
Zhang P, Li Y, Fan F, Li CSR, Luo X, Yang F et al (2018) Resting-state brain activity changes associated with tardive dyskinesia in patients with schizophrenia: fractional amplitude of low-frequency fluctuation decreased in the occipital lobe. Neuroscience 385:237–245
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Ceccarini, J., Van Laere, K., Koole, M. (2021). Brain PET Quantification in Neuropsychiatric Research. In: Dierckx, R.A., Otte, A., de Vries, E.F.J., van Waarde, A., Sommer, I.E. (eds) PET and SPECT in Psychiatry. Springer, Cham. https://doi.org/10.1007/978-3-030-57231-0_2
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